Form Nh-1041-Es - Estimated Fiduciary Business Tax - 1999 Page 2
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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
Business Profits Tax
2
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
..................................................................
..................................................................
(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
Business Profits Tax
2
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
..................................................................
..................................................................
(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
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