Form Dp-146 - New Hampshire Non-Resident Personal Property Transfer Tax Return

THE STATE OF NEW HAMPSHIRE

FORM

DP-146

DEPARTMENT OF REVENUE ADMINISTRATION

171

NEW HAMPSHIRE NON-RESIDENT

PERSONAL PROPERTY TRANSFER TAX RETURN

Estate of:

LAST NAME

FIRST NAME

MIDDLE INITIAL

Decedent's Social Security No.

Date of Death

STEP 1

Domicile at date of death:

STREET

CITY/TOWN

STATE

COUNTY

Probate No.

Name of Executor/Administrator:

LAST NAME

FIRST NAME

MIDDLE INITIAL

Executor/Administrator Social Security or FEI No.

Executor/Administrator Address:

STREET

CITY/TOWN

STATE

ZIP CODE

Authorization is granted to the representative listed below to receive confidential tax information under RSA 21-J:14 and

STEP 2

to act as the estate's representative before the N.H. Department of Revenue Administration.

Name of Representative:

Address: Street, City/Town, State and Zip Code

(Area Code) Telephone No.

Signature of Executor/Administrator:

Did the decedent own any real estate in New Hampshire?

yes

no

If yes, list location

STEP 3

Does the decedent 's gross estate total $600,000 or

TOWN/CITY

more through 1997 or $625,000 or more through 1998

yes

no

.

If yes, a NH 706 Estate Return must be filed

or $650,000 or more through 1999?

Is this an

Initial Return or

Amended Return?

STEP 4

PERSONAL PROPERTY LOCATED IN NEW HAMPSHIRE

A

B

C

D

DESCRIPTION OF PERSONAL

LOCATION OF

OWNERSHIP

FAIR MARKET VALUE

PROPERTY

PROPERTY

JOINT

INDIVIDUAL

OF PROPERTY

1

2

3

4

5

6

7

8

STEP 5

9 TOTAL TAXABLE ESTATE

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9

(Total of Lines 1-8, Column D)

10 N.H. Non-Resident Personal Property Transfer Tax

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

(Line 9 x 2%)

11 Credits:

(a) Estimated tax paid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11(a)

(b) Tax paid with application for extension . . . . . . . . . . . . . . . . . . . . . . . . . .11(b)

(c) Tax paid with original return . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11(c)

(d) Other credits or payments

. . . . . . . . . . . . . . . . . . . . . . .11(d)

(Attach explanation)

11 TOTAL CREDITS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .11

12 Balance of tax due

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12

(Line 10 less Line 11)

13 Additions to tax: (a) Interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

13(a)

13(b)

(b) Failure to pay . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(c) Failure to file . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

13(c)

13 TOTAL ADDITIONS TO TAX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

14 Balance Due

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

(Line 12 plus Line 13)

15 Refund Due

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

(Line 11 less Line 10 adjusted by Line 13)

STEP 6

Under penalities of perjury, I declare that I have examined this return 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.

For Office Use Only

Signature of Executor/Administrator

Date

Signature of preparer if other than Executor/Administrator

Date

Preparer's Identification Number

NH DEPT REVENUE ADMINISTRATION

MAIL

DOCUMENT PROCESSING DIVISION

Preparer's Address

TO:

PO BOX 637

CONCORD NH

03302-0637

City/Town, State and Zip Code

DP-146

Rev. 2/98