Form Bt-Ext - Application For 7 Month Extension Of Time To File - New Hampshire Department Of Revenue Administration

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NEW HAMPSHIRE DEPARTMENT OF REVENUE ADMINISTRATION
FORM
Application for 7 Month Extension of Time to File
BT-EXT
OFFICE USE ONLY
IMPORTANT: YOU MAY BE ELIGIBLE FOR AN AUTOMATIC 7-MONTH EXTENSION OF TIME TO FILE YOUR NEW
HAMPSHIRE BUSINESS ENTERPRISE TAX AND BUSINESS PROFITS TAX RETURNS WITHOUT FILING AN APPLICATION.
If you pay, by the original due date of the return, 100% of the Business Enterprise Tax and Business Profits Tax determined
to be due, then you will be granted an automatic 7-month extension to file your New Hampshire returns WITHOUT filing this
form. If you meet this requirement, you may file your New Hampshire Business Enterprise Tax and Business Profits Tax return up
to 7 months beyond the original due date and you will not be subject to the late filing penalty. Please note that an extension of
time to file your returns is not an extension of time to pay the tax.
WHEN TO USE THIS FORM:
If you need to make an additional payment in order to have paid 100% of the tax determined to be
due, then you must submit this form with payment by the original due date in order to be granted an extension of time to file your
returns.
WHEN TO FILE:
This form must be postmarked on or before the original due date of the returns.
REASONS FOR DENIAL:
Applications for extension will be rejected for reasons such as, but not limited to, failure to complete
the tax payment schedule, absence of the taxpayer’s or authorized agent’s signature, the application was postmarked after the due
date for filing the return, or if the payment for the balance due shown on line 5 below did not accompany this application.
WHERE TO FILE:
Document Processing Division, 45 Chenell Drive, PO Box 637, Concord, NH 03302-0637.
NEED HELP?
Call the New Hampshire Department of Revenue Administration, Taxpayer Assistance Office, at (603)271-2186.
Hearing or speech impaired individuals may call TDD Access: Relay NH 1-800-735-2964.
PROPRIETOR’S SOCIAL SECURITY NUMBER
PROPRIETORSHIP – LAST NAME
FIRST NAME & INITIAL
PROPRIETORSHIP – SPOUSE’S LAST NAME
FIRST NAME & INITIAL
SPOUSE’S SOCIAL SECURITY NUMBER
CORPORATE, PARTNERSHIP, FIDUCIARY, PRINCIPAL NH BUSINESS ORGANIZATION OR NON-PROFIT NAME
NUMBER AND STREET ADDRESS
FEDERAL IDENTIFICATION NUMBER
(Corporation, Partnership, Fiduciary, Prinicipal NH Business
Organization & Non-Profit)
CITY OR TOWN, STATE AND ZIP CODE
1998
For the CALENDAR year
or other tax year beginning
and ending
Mo
Day
Year
Mo
Day
Year
ENTITY TYPE Check one of the following:
Proprietorship
Corporation/Combined Group
Partnership
Fiduciary
Non-Profit Organiztion
TAX PAYMENT SCHEDULE
1 Enter 100% of the Business Enterprise Tax determined to be due ................................ 1
2 Enter 100% of the Business Profits Tax (net of BET credit) determined to be due ..... 2
3 Subtotal (Line 1 plus line 2) ................................................................................................. 3
4 LESS: Credit carried over from prior year and payments of estimated tax ................... 4
5
BALANCE DUE: Make check payable to: State of New Hampshire...........................5
IF NEGATIVE OR ZERO, YOU WILL RECEIVE AN AUTOMATIC SEVEN MONTH EXTENSION TO FILE.
OFFICE USE ONLY
DO NOT FILE THIS APPLICATION.
Under the 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.
SIGNATURE
DATE
NH DEPT REVENUE ADMINISTRATION
DOCUMENT PROCESSING DIVISION
MAIL TO:
PO BOX 637
BT-EXT
CONCORD, NH 03302-0637

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