Form Pa-49 - Farm Structures & Land Under Farm Structures Assessment Use Change Release

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FOR REGISTER OF DEEDS USE ONLY
Print and Reset Form
FORM
NEW HAMPSHIRE DEPARTMENT OF REVENUE ADMINISTRATION
FARM STRUCTURES & LAND UNDER FARM STRUCTURES
PA-49
ASSESSMENT USE CHANGE RELEASE
STEP 1 PROPERTY OWNER (S)
LAST NAME
FIRST NAME
LAST NAME
FIRST NAME
STREET ADDRESS
ADDRESS (continued)
TOWN/CITY
STATE
ZIP CODE
STEP 2 PROPERTY LOCATION
STREET
TOWN/CITY
COUNTY
NUMBER OF ACRES/SQ FT
MAP #
LOT #
BOOK #
PAGE #
FARM STRUCTURE LAND ASSESSMENT RECORD IN:
BOOK #
PAGE #
STEP 3 TO BE COMPLETED BY ASSESSING OFFICIALS
Reason for Release:
Date of Release
Full and true value at time of release $
Farm Structures & Land Under Farm Structures Use Change Tax ........ $
PA-49
Page 1 of 3
Rev. 3/13

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