Form Pa-20 E - Utility Property Tax List Of Pollution Control Exemption Rsa 72:12-A

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NEW HAMPSHIRE DEPARTMENT OF REVENUE ADMINISTRATION
FORM
UTILITY PROPERTY TAX
PA-20 E
LIST OF POLLUTION CONTROL EXEMPTION RSA 72:12-A
FOR DRA USE ONLY
OWNER IDENTIFICATION Please check one
Association
Trust
Corporation
Limited Partnership
Estate
Partnership
Other (specify)
Individual (Sole Proprietor)
Political Subdivision
Name of Owner
Federal Employer Identification Number
Identify Each New Hampshire DES Exempted Item
City/Town Asset
DES %
Original Cost
(Attach a brief description of each)
Location in NH
Exempt
%
$
1
%
$
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%
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$
%
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$
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$
%
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%
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$
12
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$
20
PA-20E
1 of 2
Rev. 6/05

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