New Mexico > Statewide > Department Of Labor
Tax Clearance Request - New Mexico
| Tax Clearance Request Form. This is a New Mexico form and can be used in Department Of Labor Statewide . |
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State of New Mexico Department of Workforce Solutions WORKFORCE TRANSITION SERVICES TAX SECTION UNEMPLOYMENT INSURANCE TAX CLEARANCE REQUEST Send to: for purposes of corporate Dissolution or Withdrawal New Mexico Department of Workforce Solutions ES Section Supervisor, Office sub-section(Clearance) PO Box 2281 Albuquerque, New Mexico 87103 1. Corporation dissolving or withdrawing from New Mexico Name: _________________________________________________________ Federal Employer Identification number _____________________________ Public Regulation Number: ________________________________________ Address:_________________________________________________________ City, State, Zip ___________________________________________________ 2. Has the above corporation ever paid wages in New Mexico? No Yes If No, proceed to item #5 If Yes, continue to item #3 3. Has this corporation ever been registered with the New Mexico Department of Labor to pay unemployment insurance taxes? No Yes If Yes, Please provide the Employer Account Number:_________________________ Last date wages were paid in New Mexico: __________________________________ If No, please complete form ES-802, Status Report in its entirety and return with this request. 4. Has final wage report and monies been submitted: No Yes If no please submit final report and monies due with this request 5. Mailing address for Clearance Certificate if different from above address: Address:______________________________________________________________ City, State, Zip _________________________________________________________ 6. Requested by: Name and title(Print):___________________________________________________ Phone number ______________ Fax number______________ Email_______________________ 7. Signature:______________________________________________________DATE____________ OFFICE USE ONLY No Wages Paid in New Mexico, OK for Clearance Wages Paid in New Mexico, OK for Clearance because: Account Number Inactive No Delinquency File by employer number File by Alpha American LegalNet, Inc. www.FormsWorkFlow.com
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