Form A-10 - Application For Current Use Page 2
Download a blank fillable Form A-10 - Application For Current Use in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form A-10 - Application For Current Use with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2
3FORM
NEW HAMPSHIRE DEPARTMENT OF REVENUE ADMINISTRATION
A-10
APPLICATION FOR CURRENT USE
(continued)
STEP 4 COMPLETE CHART BELOW
CATEGORY
# ACRES
20% RECREATIONAL ADJUSTMENT
YES
NO
FARM LAND
FOREST LAND:
WHITE PINE
HARDWOOD
ALL OTHER
FOREST LAND with DOCUMENTED STEWARDSHIP:
WHITE PINE
HARDWOOD
ALL OTHER
UNPRODUCTIVE LAND
WETLAND
To be eligible for the 20% recreation adjustment, land must be open to the public for skiing, snowshoeing,
fishing, hunting, hiking and nature observation. See RSA 79-A:4, II for further information.
STEP 5 SIGNATURE OF ALL PROPERTY OWNERS OF RECORD
I/We certify that the land indicated above qualifies for assessment under the New Hampshire Statutes
and the Code of Administrative Rules, and that all requirements will continue to be performed.
I/We do firmly understand that, should the use of the above described land be changed to a non-qualifying
use, that the owner of record at the time of the change in use is liable for the land use change tax.
This form must be signed by all owners of record or agent with Power of Attorney. Submit a copy of the
Power of Attorney form, if applicable.
TYPE OR PRINT NAME (in black ink)
SIGNATURE (in black ink)
DATE
TYPE OR PRINT NAME (in black ink)
SIGNATURE (in black ink)
DATE
TYPE OR PRINT NAME (in black ink)
SIGNATURE (in black ink)
DATE
TYPE OR PRINT NAME (in black ink)
SIGNATURE (in black ink)
DATE
STEP 6 APPROVAL/DENIAL BY SELECTMEN/ASSESSORS
APPROVED
DENIED
Reason for denial:
STEP 7 SIGNATURES OF A MAJORITY OF SELECTMEN/ASSESSORS
TYPE OR PRINT NAME (in black ink)
SIGNATURE (in black ink)
DATE
TYPE OR PRINT NAME (in black ink)
SIGNATURE (in black ink)
DATE
TYPE OR PRINT NAME (in black ink)
SIGNATURE (in black ink)
DATE
TYPE OR PRINT NAME (in black ink)
SIGNATURE (in black ink)
DATE
TYPE OR PRINT NAME (in black ink)
SIGNATURE (in black ink)
DATE
A-10
Rev. 3/13
Page 2 of 3
ADVERTISEMENT
0 votes
Related Articles
Related forms
Form Str-45 - Application For Sale/use Tax Exemption Certificate For A Nonprofit Organization For Eye Banks
Legal
Form Lld-10 - Application For Reinstatement Of A Revoked Or Adminstratively Dissolved Limited Liablity Company January 2009
Financial
Form St-1-a - Arkansas Application For Sales & Use Tax Permit - Additional Owners Information Form
Financial
Related Categories
Parent category: Financial