Form Dp-148 - Application For 6-Month Extension Of Time To File - 1999

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FORM
THE STATE OF NEW HAMPSHIRE
DP-148
DEPARTMENT OF REVENUE ADMINISTRATION
153
APPLICATION FOR 6-MONTH EXTENSION OF TIME TO FILE
A PROBATE COURT APPROVED EXTENSION (FORM 77-A) WILL NOT BE ACCEPTED
AS AN EXTENSION TO FILE THE DP-145 LEGACY AND SUCCESSION TAX RETURN
IMPORTANT:
The N.H. Department of Revenue Administration requires a form DP-148 Extension of Time to File for all Legacy
and Succession Tax Returns for taxpayers unable to meet the 9 month filing requirement.
WHEN TO FILE:
This form must be filed on or before the due date of the return in order to receive a 6 month extension of time to
file the return.
Extension requests for a period longer than 6 months must be accompanied by a letter of explanation.
ADDITIONAL TIME:
WHERE TO FILE:
The NH Department of Revenue Administration, 45 Chenell Drive, PO Box 637, Concord, NH
03302-0637.
NEED HELP:
Call the NH Department of Revenue Administration, Estate and Legacy Bureau (603) 271-2580.
An extension of time for filing a return shall NOT extend the time for the payment of the tax due.
Estate of:
LAST NAME
FIRST NAME
MIDDLE INITIAL
Decedent's Social Security No.
Date of Death
Domicile at date of death:
ADDRESS
CITY/TOWN
STATE
COUNTY
Probate No.
Name of Executor/Administrator: LAST NAME
FIRST NAME
MIDDLE INITIAL
Executor's Social Security No. or FEI No.
Executor/Administrator:
ADDRESS
CITY/TOWN
STATE
ZIP CODE
TAX PAYMENT SCHEDULE
USE WHOLE DOLLARS
1
Enter 100% of the tax determined to be due.....................................................................................
1
2
LESS: Credits and payments of estimated tax................................................................................
2
BALANCE DUE: Make check payable to the State of New Hampshire...........................................
3
3
Send remittance with this form. DO NOT USE the estimate form (DP-145 ES) when requesting an extension.
Under penalties of perjury, I declare that I have examined this application, and to the best of my belief it is
true, correct and complete. If prepared by a person other than the taxpayer, this declaration is based on all
information of which the preparer has knowledge.
Signature
Date
OFFICE USE ONLY
NH DEPT REVENUE ADMINISTRATION
DOCUMENT PROCESSING DIVISION
MAIL
TO:
PO BOX 637
CONCORD NH 03302-0637
Rev 1/99

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