BUSINESS TAX - FIDUCIARY
FORM
NH-1041-ES
1999 ESTIMATED TAX WORKSHEET (KEEP FOR YOUR RECORDS - DO NOT FILE)
722
BET
BPT
1
ESTIMATED TAX BASE AND/OR GROSS BUSINESS PROFITS
a
BET Taxable Base after Apportionment.....................................................................
b
Gross Business Profits Tax After Apportionment........................................................
2
TAX
a
Line 1(a) x .0025.........................................................................................................
b
Line 1(b) x 7%.............................................................................................................
3
CREDITS
a
RSA 162-L, CDFA......................................................................................................
b
RSA 77-A:5 (Please be sure to include the BET Credit)............................................
4
Estimated tax for current year [line 2 less line 3(a) and/or 3 (b)]...........................................
5
Overpayment from last year...................................................................................................
6
Balance of Business Taxes Due (line 4 less line 5)...............................................................
COMPUTATION and RECORD of PAYMENTS
Amount of each Installment
Total Due
CALENDAR YEAR
Date Paid
BET
(¼ of line 6 of worksheet)
BPT
(BET and/or BPT)
DUE DATES
1 ........................................
$ .............................................
$ ............................................
$ ............................................
April 15, 1999
2 ..........................................
$ .............................................
$ ............................................
$ ............................................
June 15, 1999
3 .........................................
$ .............................................
$ ............................................
$ ............................................
Sept. 15, 1999
Dec. 15, 1999
4 ..........................................
$ .............................................
$ ............................................
$ ............................................
INPORTANT: THE PENALTY PROVISIONS OF RSA 21-J:32 WILL APPLY IF THE ESTIMATE REQUIREMENTS HAVE NOT BEEN MET.
..................................................................
..................................................................
(cut along this line)
FORM
NEW HAMPSHIRE DEPARTMENT OF REVENUE ADMINISTRATION
1041
NH-
-ES
ESTIMATED FIDUCIARY BUSINESS TAX - 1999
722
1999
For CALENDAR year
or other tax year beginning
and ending
Mo
Day
Year
Mo
Day
Year
OFFICE USE
NAME OF ESTATE OR TRUST
FEDERAL EMPLOYER IDENTIFICATION NUMBER
ONLY
NUMBER AND STREET ADDRESS
Business Enterprise Tax
1
CITY OR TOWN, STATE, AND ZIP CODE
2
Business Profits Tax
AMOUNT OF THIS PAYMENT
3
NH DEPT REVENUE ADMINISTRATION
Make check payable to: STATE OF NEW HAMPSHIRE
MAIL
DOCUMENT PROCESSING DIVISION
Enclose, but do not staple or tape, your payment
TO:
PO BOX 637
with this estimate. Do not file a $0 estimate.
CONCORD NH 03302-0637