Form Dp-14 - Meals & Rooms Tax Return

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FORM
STATE OF NEW HAMPSHIRE
DP-14
DEPARTMENT OF REVENUE ADMINISTRATION
051
MEALS & ROOMS TAX RETURN
LOW VOLUME, AMENDED OR FINAL RETURNS MUST BE COMPLETED USING THIS FORM
BUSINESS NAME
Due Date
Low Volume Filer
Amended
Final
License Number
Tax Period
RECEIPTS FROM MEALS AND BEVERAGES
1
Tax Excluded Receipts.......................................................................................
1
2
Meals Tax at 8% (Multiply line 1 by .08).................................................................
2
3
Tax Included Receipts........................................................................................
3
4
Meals Tax at 7.41% (Multiply line 3 by .0741)........................................................
4
5
Total Meals Tax (Line 2 plus line 4).......................................................................................................
5
RECEIPTS FROM RENTALS
6
Rental Receipts.................................................................................................
6
7
Permanent Resident Receipts............................................................................
7
8
8
Taxable Rental Receipts (Line 6 minus line 7)....................................................
9
Total Rental Tax (Multiply line 8 by .08 or .0741. Circle rate used).............................................................
9
10
Total Tax ( Line 5 plus line 9).............................................................................
10
ADDITIONS AND DEDUCTIONS
11
11
Commission (
) .
Line 10 multiplied by .03, only when timely filed and paid. See instructions
12
12
Advance Payment or Credit Memo.....................................................................
13
Total Deductions (Line 11 plus line 12).............................................................
13
14
Interest (See instructions)...................................................................................
14
15
15
Penalty for Late Payment (See instructions).......................................................
16
Penalty for Late Filing (See instructions).............................................................
16
17
17
Total Additions (Sum of lines 14, 15 & 16)........................................................
18
18
Total Payment Due (Line 10 minus line 13, plus line 17)........................................................................
19
Tax Exempt Meals and Rooms Receipts (See instructions)............................
19
IF THIS IS YOUR FINAL RETURN, PLEASE GIVE REASON:
3
1
Business Discontinued
2
Change in Organization
Business Sold
Last Day of Business
FOR OFFICE USE ONLY
Under penalties of perjury, I declare that I have examined this form 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 (
.)
Preparer Other Than Taxpayer
Date
Failure to sign may result in the assessment of penalties
Telephone Number
Date
Preparer's Identification Number
NH DEPT REVENUE ADMINISTRATION
Preparer's Address
DOCUMENT PROCESSING DIVISION
MAIL
PO BOX 2035
TO:
City or Town, State, Zip Code
CONCORD NH
03302-2035
DP-14

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