2. 
3. Lodgers' Tax Report Without Payment
   City of Farmington Finance Division, 800 Municipal Drive, Farmington, NM 87401
5. TAX DUE BY THE 20TH DAY OF THE FOLLOWING MONTH.
6. For assistance call (505) 599-1217 or email lodgerstax@fmtn.org
8. Vendor Name*
10. First Name*
11. Last Name*
13. Address1*
14. Address2
16. City*
17. State*
18. Zip*
20. MONTH*
    -- Select One --JANUARYFEBRUARYMARCHAPRILMAYJUNEJULYAUGUSTSEPTEMBEROCTOBERNOVEMBERDECEMBER
21. YEAR*
    -- Select One --20202021202220232024202520262027
22. New Mexico Taxation & Revenue CRS Number*
    11 numbers without dashes.
26. Gross Taxable Rent *
27. Excluded Rent*
28. Net Taxable Rent (A)*
29. Lodgers' Tax Due*
    5% of Gross Taxable Rent Less Excluded Rents. (A x $0.05)
31. Number of Rooms Rented (B)*
32. Convention Center Fee Due
    $2.50 for each room/night rental. (B x $2.50)
34. Interest Due
36. Penalty Due
38. Total Due*
42. Sworn or Affirmed*

    1. Check Here

    By submitting this report, I swear or affirm that is is true and correct to the best of my knowledge and belief.
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44. 1. Receive an email copy of this form.
45. Email address

    This field is not part of the form submission.

46. Submit Submit and Print

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