Form Dp-87 Prop - Report Of Change For Irs Adjustment
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1
2NEW HAMPSHIRE DEPARTMENT OF REVENUE ADMINISTRATION
FORM
DP-87 PROP
BUSINESS TAXES PROPRIETORSHIP
735
REPORT OF CHANGE FOR IRS ADJUSTMENT ONLY
FOR DRA USE ONLY
_____
For the CALENDAR year
or other taxable period beginning
and ending
Mo
Day
Year
Mo
Day
Year
This form is to be used to report any change to the New Hampshire Business Profi ts Tax return caused by a fi nal determination of an Internal Revenue
Service Examination only. DO NOT USE THIS FORM TO AMEND A RETURN.
PROPRIETOR LAST NAME
FIRST NAME & INITIAL
TAXPAYER IDENTIFICATION NUMBER
STEP 1
Print
or Type
SPOUSE’S LAST NAME
FIRST NAME & INITIAL
TAXPAYER IDENTIFICATION NUMBER
NAME OF PROPRIETORSHIP, ESTATE OR TRUST/LLC
TAXPAYER IDENTIFICATION NUMBER
NUMBER & STREET ADDRESS
ADDRESS (continued)
CITY/TOWN, STATE & ZIP CODE+4
Husband and wife may NOT combine net results of separately held business organizations.
STEP 2
Figure
1 NET PROFIT (LOSS) as originally fi led or previously adjusted ..................................................................1
Your
Tax
2 RENTAL INCOME (LOSS) as originally fi led or previously adjusted ...........................................................2
3 NET FARM PROFIT (LOSS) as originally fi led or previously adjusted ..........................................................3
4 NET GAIN (LOSS) FROM SALE OF ASSETS HELD FOR USE IN BUSINESS, FARMING AND/OR
RENTAL PURPOSES as originally fi led or previously adjusted .....................................................................4
5 INSTALLMENT GAIN (LOSS) as originally fi led or previously adjusted ....................................................5
6 GROSS BUSINESS PROFITS as originally fi led or previously adjusted (Combine Lines 1 - 5) .................6
7 INTERNAL REVENUE SERVICE ADJUSTMENTS TO FEDERAL INCOME (From Page 2, Section 1, Line 1) .....7
8 GROSS BUSINESS PROFITS AS ADJUSTED BY IRS ADJUSTMENTS (Line 6 minus Line 7) ............. 8
9 ADDITIONS AND DEDUCTIONS (RSA 77-A:4)
(a) As originally fi led or previously adjusted ......................................................................................... 9(a)
(b) Adjustments to additions from Page 2, Section 2, Line 2 ................................................................ 9(b)
(c) Adjustments to deductions from Page 2, Section 3, Line 3 .............................................................. 9(c)
(d) Total adjusted additions and deductions [Combine Line 9(a), 9(b) and 9(c)] ................................... 9(d)
10 ADJUSTED GROSS BUSINESS PROFITS [Line 8 adjusted by Line 9(d)] (If negative, show in parenthesis.) .......... 10
11 NEW HAMPSHIRE APPORTIONMENT (Form DP-80, Line 5) (Express as decimal to 6 places)
If this apportionment percentage is different from the percentage originally fi led or previously
.
adjusted, check here
and attach a revised DP-80 ........................................................................ 11
12 NEW HAMPSHIRE TAXABLE BUSINESS PROFITS (Line 10 x Line 11. If negative, enter zero.) ........... 12
13 NEW HAMPSHIRE BUSINESS PROFITS TAX AS ADJUSTED BY IRS ADJUSTMENTS .................... 13
(Line 12 x tax rate, see DP-87 instructions)
STEP 3
14 Credits allowed under RSA 77-A:5 as originally fi led or previously adjusted ................................................. 14
Figure
15 Subtotal (Line 13 minus Line 14) ............................................................................................................. 15
Your
Amount
16 Business Enterprise Tax Credit as originally fi led or previously adjusted ................................................................ 16
Due
17 Balance of Business Enterprise Tax due (Page 2, Section 4, Line F)
[If Line F is NEGATIVE, ENTER ZERO] .................................................................................................... 17
18 NH BPT Net of Statutory Credits as originally fi led or previously adjusted................................................ 18
19 Balance of tax due (Line 15 minus Line 16 plus Line 17 minus Line 18) .................................................. 19
20 Interest due (see DP-87 instructions) ........................................................................................................ 20
PAY THIS AMOUNT
21 Balance due (Line 19 plus Line 20) ........................................................................................................... 21
22 Refund due (If Line 19 is negative, enter here) .............................................. 22
FOR DRA USE ONLY
POA: By checking this box and signing below, you authorize us to discuss this return with the preparer listed on this return.
Under penalties of perjury, I declare that I have examined this form and to the best of my belief it is true, correct and complete. (If prepared
by a person other than the taxpayer, this declaration is based on all information of which the preparer has knowledge.)
x
x
SIGNATURE (IN INK) OF TAXPAYER
DATE
SIGNATURE (IN INK) OF PREPARER OTHER THAN TAXPAYER
DATE
PRINT SIGNATORY NAME & TITLE
PRINT PREPARER'S NAME & IDENTIFICATION NUMBER
PREPARER ADDRESS
If joint return BOTH parties must sign, even if only one had income
DATE
CITY/TOWN, STATE AND ZIP CODE+4
MAIL TO: NH DRA AUDIT DIVISION, PO BOX 457, CONCORD, NH 03302-0457
DP-87 PROP
Rev 02/2011
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