Form Ms-4 - Revised Estimated Revenues

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NEW HAMPSHIRE DEPARTMENT OF REVENUE ADMINISTRATION
MS-4
MUNICIPAL SERVICES DIVISION
PO BOX 487, CONCORD, NH 03302-0487
DUE SEPTEMBER 1
(603) 271-3397
City/Town:
FY:
REVISED ESTIMATED REVENUES (RSA 21-J:34)
WARR.
For Use By
Reserved For Use
Acct. #
SOURCE OF REVENUE
ART.#
Municipality
by DRA
XXXXXXXXXXX
TAXES
XXXXXXXXXX
3120
Land Use Change Tax
3180
Resident Tax
3185
Timber Tax
3186
Payment in Lieu of Taxes
3189
Other Taxes
3190
Interest & Penalties on Delinquent Taxes
Inventory Penalties
3187
Excavation Tax ($.02 cents per cubic yard)
3188
Excavation Activity Tax
LICENSES, PERMITS & FEES
XXXXXXXXXXX
XXXXXXXXXXX
3210
Business Licenses & Permits
3220
Motor Vehicle Permit Fees
3230
Building Permits
3290
Other Licenses, Permits & Fees
3311-3319
FROM FEDERAL GOVERNMENT
FROM STATE
XXXXXXXXXX
XXXXXXXXXX
Shared Revenues
3351
Meals & Rooms Tax Distribution
3352
3353
Highway Block Grant
3354
Water Pollution Grant
3355
Housing & Community Development
3356
State & Federal Forest Land Reimbursement
3357
Flood Control Reimbursement
3359
Other (Including Railroad Tax)
FROM OTHER GOVERNMENTS
3379
CHARGES FOR SERVICES
XXXXXXXXXX
XXXXXXXXXX
3401-3406
Income from Departments
3409
Other Charges
MISCELLANEOUS REVENUES
XXXXXXXXXX
XXXXXXXXXX
3501
Sale of Municipal Property
3502
Interest on Investments
3503-3509
Other
MS-4
1
Rev. 8/00

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