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Get NM TRD RPD-41071 2012

Information reported on this form and any attached supplements are true and correct. Signature of taxpayer or agent Title Date Type or print name Phone E-mail address Return this form and attachments to the Taxation and Revenue Department, P.O. Box 630, Santa Fe, New Mexico 87504-0630. RPD-41071 Rev. 8/2/2012 Request for Direct Deposit If you are requesting a refund of.

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