Get Nmdot Form A 1147

This guide provides a comprehensive overview of how to accurately complete the Nmdot Form A 1147, a crucial document for the Disadvantaged Business Enterprise program. Follow the step-by-step instructions to ensure a successful online submission.

Follow the steps to complete the form effectively.

1. Press the ‘Get Form’ button to access the Nmdot Form A 1147, opening it in your digital environment.
2. Begin filling out the form by entering the fiscal year for which you are reporting. Ensure that the year aligns with the reporting period indicated at the top of the form.
3. Provide the name of the affiant, which is the authorized representative of the DBE firm, along with their residence address.
4. In the section regarding the DBE firm, enter the firm’s name and the position held by the affiant within the firm.
5. List the name(s) of the owner(s) of the DBE firm along with the firm's address to ensure proper identification.
6. Indicate the DBE firm’s average annual gross receipts, confirming they do not exceed the specified limits according to the relevant CFR regulations.
7. Fill out the annual gross receipts for the current fiscal year, ensuring accuracy to reflect the firm’s financial status.
8. Attach the required documentation, including copies of the federal business tax return and personal tax return, or relevant schedules if applicable, as specified.
9. Select one checkbox to indicate whether the DBE firm’s owner(s) are members of a designated group presumed to be disadvantaged or are claiming social and economic disadvantage.
10. Confirm that the DBE firm is owned by at least 51% socially and economically disadvantaged individuals, as required.
11. Acknowledge that the DBE firm operates independently and that controlling owners can direct management and policy decisions.
12. Indicate the personal net worth of the DBE firm’s owners, ensuring that it does not exceed the established limit. Attach the notarized statement required for supporting documentation.
13. Agree to future audits and examinations by the New Mexico Department of Transportation, confirming your understanding of the potential ramifications of material misrepresentation.
14. Review the completed form for accuracy and clarity before proceeding to save your changes, download the document, print it, or share it as necessary.

Complete your Nmdot Form A 1147 online today to ensure your business is certified successfully.