Form Nh-1040-Es - Business Profits Tax - Proprietorship - 1999 Page 2

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NEW HAMPSHIRE DEPARTMENT OF REVENUE ADMINISTRATION
-1999
ESTIMATED PROPRIETORSHIP BUSINESS TAX
FORM
1040
NH-
-ES
732
1999
For the CALENDAR year
or other tax year beginning
and ending
Mo
Day
Year
Mo
Day
Year
SOCIAL SECURITY NUMBER (Proprietor)
OFFICE USE
LAST NAME
FIRST NAME & INITIAL
ONLY
SOCIAL SECURITY NUMBER (Spouse)
SPOUSE’S LAST NAME
FIRST NAME & INITIAL
NUMBER AND STREET ADDRESS
Business Enterprise Tax
1
Business Profits Tax
2
CITY OR TOWN, STATE AND ZIP CODE
Amount of This Payment 3
NH DEPT REVENUE ADMINISTRATION
Make checks payable to: STATE OF NEW HAMPSHIRE
DOCUMENT PROCESSING DIVISION
MAIL
Enclose, but do not staple or tape, your payment with
:
TO
PO BOX 637
this estimate. Do not file a $0 estimate.
CONCORD NH 03302-0637
(Cut along this line)
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
NEW HAMPSHIRE DEPARTMENT OF REVENUE ADMINISTRATION
FORM
1999
ESTIMATED PROPRIETORSHIP BUSINESS TAX-
1040
NH-
-ES
732
1999
For the CALENDAR year
or other tax year beginning
and ending
Mo
Day
Year
Mo
Day
Year
OFFICE USE
LAST NAME
FIRST NAME & INITIAL
SOCIAL SECURITY NUMBER (Proprietor)
ONLY
SPOUSE’S LAST NAME
FIRST NAME & INITIAL
SOCIAL SECURITY NUMBER (Spouse)
NUMBER AND STREET ADDRESS
Business Enterprise Tax
1
Business Profits Tax
2
CITY OR TOWN, STATE AND ZIP CODE
Amount of This Payment 3
NH DEPT REVENUE ADMINISTRATION
DOCUMENT PROCESSING DIVISION
MAIL
Make checks payable to: STATE OF NEW HAMPSHIRE
:
TO
PO BOX 637
Enclose, but do not staple or tape, your payment with this
CONCORD NH
03302-0637
estimate. Do not file a $0 estimate.
(Cut along this line)
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
NEW HAMPSHIRE DEPARTMENT OF REVENUE ADMINISTRATION
FORM
1999
ESTIMATED PROPRIETORSHIP BUSINESS TAX-
1040
NH-
-ES
1999
For the CALENDAR year
or other tax year beginning
and ending
732
Mo
Day
Year
Mo
Day
Year
SOCIAL SECURITY NUMBER (Proprietor)
LAST NAME
FIRST NAME & INITIAL
OFFICE USE
ONLY
SPOUSE’S LAST NAME
FIRST NAME & INITIAL
SOCIAL SECURITY NUMBER (Spouse)
NUMBER AND STREET ADDRESS
Business Enterprise Tax
1
Business Profits Tax
2
CITY OR TOWN, STATE AND ZIP CODE
Amount of This Payment 3
NH DEPT REVENUE ADMINISTRATION
Make checks payable to: STATE OF NEW HAMPSHIRE
DOCUMENT PROCESSING DIVISION
MAIL
Enclose, but do not staple or tape, your payment with
:
TO
PO BOX 637
this estimate. Do not file a $0 estimate.
CONCORD NH
03302-0637

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