New Hampshire
2011
Department of
DP-2210/2220
DP22101111862
Revenue Administration
EXCEPTIONS AND PENALTY FOR THE UNDERPAYMENT OF ESTIMATED TAX
Business Organization Name
MMDDYYYY
MMDDYYYY
Taxpayer Identification #
2011
For the CALENDAR year
and ending:
or other taxable period beginning:
Check One:
Other _______________________________________
Business Tax Returns
Interest & Dividends Tax Returns
round to the nearest dollar
PART I - CALCULATE YOUR UNDERPAYMENT
$
1 Current year tax
$
0
2 90% of Line 1 (Line 1 x .90)
3(a) Enter in Columns A through D the installment dates
A
B
C
D
that correspond to the 15th of the 4th, 6th, 9th, and
12th months of your tax period or specify statutory
due dates. (I&D filers see instructions)
25%
25%
25%
25%
3(b) Applicable percentages
3(c) Enter Line 2 multiplied by Line 3(b) for Columns A
0
0
0
0
through D
4
Amount paid timely or credited for each period
5
Overpayment of previous installment
0
0
0
6
Total (Line 4 plus Line 5)
0
0
0
7
Overpayment (Line 6 minus Line 3(c)). Enter in Line 5
0
0
0
0
next column
8
Underpayment (Line 3(c) minus Line 6)
0
0
0
0
PART II - EXCEPTIONS TO PENALTY - See Instructions
A
B
C
D
9
Cumulative amount paid or credited from the beginning
of the tax year through the installment dates
(see instructions)
25%
50%
75%
100%
10
Applicable percentages
11
Exception, prior period’s tax (prior year must be
12 full months) (RSA 21-J:32,IV(a))
25%
50%
75%
100%
12
Applicable percentages
13
Exception prior period’s tax base and facts using
current years tax rate (RSA 21-J:32,IV(b))
22.5%
45%
67.5%
90%
14
Applicable percentages
15
Exception tax on annualized income
(RSA 21-J:32,IV(c)) (Attach schedule)
DP-2210/2220
Page 1 of 2
Rev 4.1 2/2012