Print and Reset Form
2007
NEW HAMPSHIRE DEPARTMENT OF REVENUE ADMINISTRATION
FORM
Original Date:
SUMMARY INVENTORY OF VALUATION
MS-1
Copy
FORM MS-1 FOR
2007
(check box if copy)
Municipal Services Division
Revision Date:
PO Box 487, Concord, NH 03302-0487 Phone (603) 271-2687
E-mail: nduffy@rev.state.nh.us
CITY/TOWN OF
IN
COUNTY
CERTIFICATION
This is to certify that the information contained in this report was taken from official records and is correct to the best of our knowledge and belief.
Rev 1707.03(d)(7)
PRINT NAMES OF CITY/TOWN OFFICIALS
SIGNATURES OF CITY/TOWN OFFICIALS (Sign in ink)
Date signed
Check one:
Governing
Assessors
Body
City/Town Telephone #
Due Date:
September 1, 2007
Complete the above required certification by inserting the name of the city/town officials, the date on which the certificate is signed, and have the
majority of the members of the board of selectmen/assessing officials sign in ink.
REPORTS REQUIRED: RSA 21-J:34, as amended, provides for certification of valuations, appropriations, estimated revenues and such other
information as the Department of Revenue Administration may require upon forms prescribed for that purpose.
NOTE: The values and figures provided represent the detailed values that are used in the city/town tax assessments and sworn to uphold under oath
per RSA 75:7. Please complete all applicable pages and refer to the instructions (pages 10 through 15) provided for individual items.
THIS FORM MUST BE RECEIVED BY THE DRA NO LATER THAN
SEPTEMBER
1st.
Village Districts - pages 8-9 must be completed for EACH village district within the municipality.
RETURN THIS SIGNED AND COMPLETED INVENTORY FORM TO: NH Department of Revenue Administration, Municipal Services Division,
PO Box 487, Concord, NH 03302-0487.
Contact Person:
E-Mail Address:
(Print/type)
Regular office hours:
FOR DRA USE ONLY
See instructions beginning on page 10, as needed.
MS-1
Rev. 7/17/07
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