Form Dp-149 - Web Import Registration For E-File New Hampshire Tax Payments - New Hampshire Department Of Revenue Administration

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NEW HAMPSHIRE DEPARTMENT OF REVENUE ADMINISTRATION
FORM
DP-149
WEB IMPORT REGISTRATION FOR e-FILE
NEW HAMPSHIRE TAX PAYMENTS
981
FOR DRA USE ONLY
GENERAL INSTRUCTIONS
WHO MUST
Anyone wishing to make payments for clients. If at any time you change your Tax ID Number you must re-register with the
REGISTER
Department and redefine your file layout under your new Tax ID Number.
If you wish to participate in the Web Import e-File New Hampshire program, you must submit this form to register with the Department.
WHAT TO
The information provided on this form should include the name, address, e-mail address, telephone number, and fax number of the
REGISTER
contact person(s) for Web Import e-File New Hampshire purposes. In addition, this form should be used to report any changes in your
registration information (i.e. a change to the contact person, telephone number, etc.).
TAX ID
Please list your Practitioner Tax Identification Number (PTIN). If you do not have a PTIN, please list your Federal Employer Identification
Number (FEIN). If you do not have either a PTIN or FEIN, please list your Department Identification Number (DIN). If you do not have
NUMBER
either a PTIN, FEIN, or DIN please list your Social Security Number (SSN). You will need to use one of these numbers when you make
payments for clients.
WHEN TO
This form must be filed prior to your first file import. Any changes in the registration information must be provided to the Department.
REGISTER
A notification letter will be sent confirming your Tax ID Number. Please allow up to 30 days for processing time, prior to using
e-File New Hampshire.
WHERE TO
New Hampshire Department of Revenue Administration, Document Processing Division, PO Box 1004, Concord, NH 03302-1004.
REGISTER
Call the New Hampshire Department of Revenue Administration, Central Taxpayer Services at (603) 271-2191. Hearing or speech
NEED HELP
impaired individuals may call TDD Access: Relay NH 1-800-735-2964. Access our website at to try out the on-
line demonstration of the NH e-file process prior to registering and to access the NH e-file system after the Department has
processed your registration request.
Web Import Registration for e-File New Hampshire Tax Payments
Please check one
PTIN
FEIN
DIN
SSN
PLEASE PRINT OR TYPE
TAX PRACTITIONER/BUSINESS NAME
TAX ID NUMBER
NUMBER & STREET ADDRESS
TELEPHONE
(
)
ADDRESS (CONTINUED)
zip
CITY/ TOWN
STATE
TELEPHONE
CONTACT PERSON
(
)
FAX NUMBER
E-MAIL ADDRESS
(
)
Please check one of the following:
New Registration
Change Request
If changing your Tax ID Number, please provide your old Tax ID Number
FOR DRA USE ONLY
AUTHORIZED REPRESENTATIVE’S SIGNATURE (IN INK)
DATE
FOR DRA USE ONLY
NH DEPT OF REVENUE ADMINISTRATION
Approved by
MAIL
DOCUMENT PROCESSING DIVISION
TO:
PO BOX 1004
Date
CONCORD NH 03302-1004
DP-149
Rev. 1/2/07

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