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Get Rpd 41285 2021-2024

S) name, street address, city, state, ZIP code, and phone number Mark box if address outside the U.S. Remittee s (recipient s) name, street address, city, state, and ZIP code Mark one box FEIN SSN Mark one box FEIN SSN Remitter s NMBTIN (optional) Remittee s federal identification number Gross oil and gas proceeds New Mexico state tax withheld Mark box if address outside the U.S. Remittees (recipients) must attach this form to their New Mexico state income tax return to.

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