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New Mexico Free Printable  for 2024 New Mexico NEW MEXICO CAREGIVER'S STATEMENT

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NEW MEXICO CAREGIVER'S STATEMENT
Form PIT-CG

PIT-CG Rev. 04/29/2021 New Mexico Taxation and Revenue Department Caregiver's Statement Purpose of this worksheet: Use the Caregiver's Statement along with the PIT-Childcare, Child Day Care Credit Worksheet when claiming the New Mexico Child Day Care Credit on the PIT-RC. Please print legibly using blue or black ink. Keep original forms for your records and submit copies with your PIT-1 return. Important: An incomplete PIT-RC or missing PIT-CG will result in the denial of the credit. First Name, Middle Initial, and Last Name Social Security Number (SSN) Instructions: The caregiver must complete the PIT-CG Sections I and Section II. Both the caregiver and taxpayer must complete the Signature section. Each caregiver needs a separate PIT-CG. Note: Do not include any charges for childcare for periods of unemployment or for childcare provided either before or after work (plus any necessary travel time) or for periods the taxpayer is attending school. Section I: Qualifications for Individual Caregivers (Caregiver complete all fields) Name (Business Name or First Name, Middle Initial, and Last Name) NMBTIN or SSN Mailing Address City, State, and Zip Code 1. Were you, as a caregiver, age 18 or over at the time the care was performed? 2. Did you, as a caregiver, provide day care service for less than 24 hours daily? Yes o No 3. Were you a dependent of the above taxpayer for whom you provided childcare services? Yes o No Yes o No o o o Section II: Statement of Compensation Received by Caregiver (Caregiver, complete all applicable fields) Tax Year 20____ Month Child 1 Name: SSN: No. of Days Compensation Amount Received Per Month Child 2 Child 3 Child 4 Name: Name: Name: SSN: SSN: SSN: No. of Days Compensation Amount Received Per Month No. of Days Compensation Amount Received Per Month No. of Days Compensation Amount Received Per Month January February March April May June July August September October November December Total Section III: If Unable To Have Caregiver Complete PIT-CG (Taxpayer, complete Section I,II, and III) If you made all reasonable attempts to have the caregiver complete the PIT-CG schedule and you were unable to locate the caregiver or to obtain the required information, complete Section I and Section II of this schedule based on previous billings or other records. Explain below why the caregiver did not complete the statement. Signature: Both Caregiver and Taxpayer Must Sign Below I herby certify and declare that the information reported on this form and any attached supplement(s) are true and correct: Caregiver- Print Name Caregiver- Signature Date Caregiver Title Caregiver- Email Address Caregiver- Phone Number Taxpayer- Print Name Taxpayer Signature Date
Extracted from PDF file 2023-new-mexico-form-pit-cg.pdf, last modified June 2022

More about the New Mexico Form PIT-CG Individual Income Tax TY 2023

We last updated the NEW MEXICO CAREGIVER'S STATEMENT in February 2024, so this is the latest version of Form PIT-CG, fully updated for tax year 2023. You can download or print current or past-year PDFs of Form PIT-CG directly from TaxFormFinder. You can print other New Mexico tax forms here.


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Other New Mexico Individual Income Tax Forms:

TaxFormFinder has an additional 80 New Mexico income tax forms that you may need, plus all federal income tax forms.

Form Code Form Name
Form PIT-ES Estimated Payment Voucher
Form PIT-1 Personal Income Tax Return
Form PIT-RC Rebate & Credit Schedule
Form PIT-ADJ Schedule of Additions & Deductions and Exemptions
Income Tax Instructions Individual Income Tax Instructions

Download all NM tax forms View all 81 New Mexico Income Tax Forms


Form Sources:

New Mexico usually releases forms for the current tax year between January and April. We last updated New Mexico Form PIT-CG from the Taxation and Revenue Department in February 2024.

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About the Individual Income Tax

The IRS and most states collect a personal income tax, which is paid throughout the year via tax withholding or estimated income tax payments.

Most taxpayers are required to file a yearly income tax return in April to both the Internal Revenue Service and their state's revenue department, which will result in either a tax refund of excess withheld income or a tax payment if the withholding does not cover the taxpayer's entire liability. Every taxpayer's situation is different - please consult a CPA or licensed tax preparer to ensure that you are filing the correct tax forms!

Historical Past-Year Versions of New Mexico Form PIT-CG

We have a total of twelve past-year versions of Form PIT-CG in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:



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