Form A-10 - Administration Application For Current Use Page 3

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FORM
NEW HAMPSHIRE DEPARTMENT OF REVENUE ADMINISTRATION
A-10
APPLICATION FOR CURRENT USE
INSTRUCTIONS
GENERAL INSTRUCTIONS
WHO
Land owners wishing to apply for current use assessment under the provisions of RSA 79-A, shall prepare Form A-10 and file it with
MUST
the local assessing officials of the municipality in which the subject land is located.
FILE
WHAT
A completed Form A-10 and:
TO
(1)
A Soil Potential Index (SPI) percentage of farm land, if applicable;
FILE
(2)
Documentation of forest land stewardship, if applicable;
(3)
A map or drawing of the entire parcel, which shall include:
(a)
Both current use and non-current use land, adequately identified and oriented to establish its location, and sufficiently
accurate to permit computation of acreage;
(b)
The interior boundaries;
(c)
The acreage of farm, forest, and/or unproductive land which the applicant is seeking current use assessment;
(d)
The forest type category for any forest land; and
(e)
All portions of land not to be classified under current use.
Once completed and signed in black ink, this form and attachments shall be filed as follows:
WHERE
Original:
Register of Deeds
TO
Copy:
Local Assessing Officials
FILE
Copy:
Land Owner
Copy:
Tax Collector
WHEN
Land owners must apply on or before April 15th of the tax year that the land owner wishes to have his land classified as current use
TO
pursuant to RSA 79-A:5, II.
FILE
If an application for Current Use is denied, the applicant may, on or before 6 months after any such action by the assessing officials,
APPEALS
appeal to the Board of Tax and Land Appeals or to the County Superior Court in accordance with RSA 79-A:9 or RSA 79-A:11.
Forms for appealing to the Board of Tax and Land Appeals may be obtained from the NH Board of Tax and Land Appeals, 107
Pleasant Street, Concord, NH 03301 or by calling (603) 271-2578 or by visiting their web site at Be sure to
specify that you were denied an application for Current Use.
ADA
Individuals who need auxiliary aids for effective communication in programs and services of the department are invited to make their
needs and preferences known to the NH Department of Revenue Administration.
NEED
Contact your local municipality or the Property Appraisal Division at (603) 230-5950.
HELP
LINE-BY-LINE INSTRUCTIONS
STEP 1
Print or type the name and address of the property owner(s) in the space(s) provided.
Enter the property location and street nearest the parcel of the land being classified as current use. Enter the book and page number
STEP 2
where the land was most recently recorded at the County Registry of Deeds. Identify the total number of acres in the parcel, the
number of acres currently classified as current use, and the number of acres that this application is requesting to be entered into
current use. Identify the map and lot number of each contiguous lot in the spaces provided. NOTE: Lots must be contiguous. Non-
contiguous lots must be submitted on a separate application.
(a) Check the box to indicate whether the Soil Potential Index is submitted.
STEP 3
(b) Check the box to indicate whether there is documentation to support an assessment within the "Forestland with Documented
Stewardship" category.
(c) If the answer to Step 3(b) is yes, please check the boxes to indicate what type(s) of documentation.
(d) Check the box to indicate whether you included the required map.
(e) Check the box to indicate that your map identifies the location and orientation of the current use parcel (s).
STEP 4
Complete the chart provided to indicate the number of acres of land in each category and whether each qualifies for the 20%
recreational adjustment pursuant to RSA 79-A:4, II.
STEP 5
All property owners of record must type or print their full name, sign and date in black ink in the spaces provided. If there are more
than four owners, submit a supplemental list of names and signatures.
To be completed by the local assessing officials to recommend approval or denial of this application.
STEP 6
Signatures and dates in black ink of a majority of selectmen/assessors indicates confirmation of the approval or denial checked on
STEP 7
Step 6.
A-10
Instructions
Page 3 of 3
Rev. 3/13

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