FORM
THE STATE OF NEW HAMPSHIRE
DP-147
DEPARTMENT OF REVENUE ADMINISTRATION
173
APPLICATION FOR 6-MONTH EXTENSION OF TIME TO FILE
A PROBATE COURT APPROVED EXTENSION (FORM 77-A) WILL NOT BE ACCEPTED AS AN EXTENSION
TO FILE THE DP-146 NEW HAMPSHIRE NON-RESIDENT PERSONAL PROPERTY TRANSFER TAX RETURN
The N.H. Department of Revenue Administration requires a form DP-147 Extension of Time to File for all tax returns for taxpayers unable to
IMPORTANT:
meet the 9 month filing requirement.
WHEN TO FILE:
This form must be postmarked on or before the due date of the return in order to receive a 6 month extension of time to file the return.
ADDITIONAL TIME:
Extension requests for a period in excess of 6 months must be accompanied by a letter of explanation.
WHERE TO FILE:
The N.H. Department of Revenue Administration,45 Chenell Drive, P.O. Box 637, Concord, N.H.
03302-0637.
NEED HELP:
Call the N.H. Department of Revenue Administration, Estate and Legacy Bureau (603) 271-2580. For hearing or speech impaired
call TDD Access: Relay NH 1-800-735-2964.
An extension of time for filing a return shall NOT extend the time for the payment of the tax due.
Estate of:
LAST NAME
FIRST NAME
MIDDLE INITIAL
Decedent's Social Security No.
Date of Death
Domicile at date of death:
ADDRESS
CITY/TOWN
STATE
COUNTY
Probate No.
Name of Executor/Administrator:
LAST NAME
FIRST NAME
MIDDLE INITIAL
Exector's Social Securty No. or FEI No.
Executor/Administrator:
ADDRESS
CITY/TOWN
STATE
ZIP CODE
TAX PAYMENT SCHEDULE
USE WHOLE DOLLARS
1
Enter 100% of the tax determined to be due . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
2
LESS: Credits and payments of estimated tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2
3
BALANCE DUE: Make check payable to the State of New Hampshire . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
Send remittance with this form. DO NOT USE the estimate form (DP-146 ES) when requesting an extension.
Under penalties of perjury, I declare that I have examined this application, and to the best of my belief it is
true, correct and complete. If prepared by a person other than the taxpayer, this declaration is based on all
information of which the preparer has knowledge.
FOR OFFICE USE ONLY
Signature
Date
NH DEPT REVENUE ADMINISTRATION
MAIL
DOCUMENT PROCESSING DIVISION
TO:
PO BOX 637
CONCORD NH 03302-0637
DP-147
Rev. 2/98