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2014 PIT-ADJ 2014 PIT-ADJ
NEW MEXICO SCHEDULE OF ADDITIONS, BARCODE SHOULD READ *140289999* where the
DEDUCTIONS, AND EXEMPTIONS last four digits are replaced with your vendor code.
Version Code 9
We cannot accept statements instead of this schedule.
Print your name (first, middle, last) YOUR SOCIAL SECURITY NUMBER
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 999-99-9999
Taxpayers who are required to make certain additions or who are eligible to take certain deductions or exemptions from federal adjusted gross
income to compute New Mexico taxable income must complete this schedule. Please refer to the instructions when completing this schedule.
NEW MEXICO ADDITIONS TO FEDERAL ADJUSTED GROSS INCOME
1. Interest and dividends from federal tax-exempt bonds........................................................................................... 1 999,999,999
2. Federal net operating loss carryover. See PIT-ADJ instructions. ........................................................................... + 2 999,999,999
3. Contributions refunded when closing a New Mexico-approved Section 529 college savings plan
account and certain contributions rolled out of a New Mexico-approved Section 529 college savings
plan account. .......................................................................................................................................................... 3
4. Charitable deduction amount claimed on federal Form 1040, Schedule A, for a donation of land toFINAL 1.1 + 999,999,999
private non-profit or public conservation agencies, for conservation purposes, from which you were
allowed the New Mexico Land Conservation Tax Credit. ....................................................................................... + 4 999,999,999
5. TOTAL ADDITIONS. Add lines 1 through 4. Also enter on Form PIT-1, line 11. .................................................... = 5 999,999,999
NEW MEXICO DEDUCTION S AND EXEMPTIONS FROM FEDERAL ADJUSTED GROSS INCOME
10/22/2014
6. New Mexico tax-exempt interest and dividends ..................................................................................................... 6 999,999,999
7. New Mexico net operating loss. See PIT-ADJ instructions. Attach Form RPD-41369. ........................................ + 7 999,999,999
8. Interest received on U.S. Government obligations ................................................................................................. + 8 999,999,999
9. Taxable Railroad Retirement Act annuities and benefits, and taxable Railroad Unemployment Insurance
Act sick pay. Attach Forms RRB-1099 and RRB-1099-R. ................................................................................... + 9 999,999,999
10. Income of a member of a New Mexico federally-recognized Indian nation, tribe, or pueblo that was
wholly earned on the lands of the reservation or pueblo of which the individual is an enrolled
member while domiciled on that land, reservation, or pueblo ................................................................................ + 10 999,999,999
10a. I am enrolled as a member of the XXXXXXXXXXXXXXXXXXXXXIndian
nation, tribe, or pueblo.
10b. My spouse is enrolled as a member of the XXXXXXXXXXXXXXXXXXXXX
Indian nation, tribe, or pueblo.
11. Income of persons age 100 years or older. If you or your spouse is age 100 or older, you must
mark the boxes to claim your exemption.
11a. 100 or older 11b. Spouse 100 or older ...................................................................................
X X + 11 999,999,999
12. Exemption for persons age 65 or older, or blind. .................................................................................................... + 12 999,999,999
13. Exemption for New Mexico medical care savings account. See PIT-ADJ instructions. ......................................... + 13 999,999,999
14. Deduction for contributions to a New Mexico-approved Section 529 college savings plan ................................... + 14 999,999,999
15. Net capital gains deduction. See PIT-ADJ instructions. ......................................................................................... + 15 999,999,999
16. Armed Forces active duty pay. See PIT-ADJ instructions. ..................................................................................... + 16 999,999,999
17. Medical care expense exemption for persons age 65 years or older ..................................................................... + 17 999,999,999
18. Deduction for organ donation-related expenses .................................................................................................... + 18 999,999,999
19. New Mexico National Guard member life insurance reimbursements tax exemption ............................................ + 19 999,999,999
20. Taxable refunds, credits, or offsets of state and local income taxes from federal Form 1040, line 10 ................... + 20 999,999,999
21. Non-resident U.S. Public Health Service members' active duty pay ...................................................................... + 21 999,999,999
22. TOTAL DEDUCTIONS AND EXEMPTIONS. Add lines 6 through 21. Enter here and on Form PIT-1, line 15. ..... = 22
999,999,999
Attach this Schedule PIT-ADJ to your Personal Income Tax Return, Form PIT-1.
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