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FORM NEW HAMPSHIRE DEPARTMENT OF REVENUE ADMINISTRATION
DP-148 APPLICATION FOR 6-MONTH EXTENSION OF TIME TO FILE
153
LEGACY AND SUCCESSION TAX RETURN
FOR DRA USE ONLY
A PROBATE COURT APPROVED EXTENSION (FORM 77-A) WILL NOT BE ACCEPTED
AS AN EXTENSION TO FILE THE DP-145 LEGACY AND SUCCESSION TAX RETURN
IMPORTANT The NH Department of Revenue Administration requires a Form DP-148 Extension of Time to File for all Legacy and Succession Tax
Return for taxpayers unable to meet the 9 month filing requirement.
WHEN TO This form must be filed on or before the due date of the return in order to receive a 6 month extension of time to file the return.
FILE
ADDITIONAL Extension requests for a period longer than 6 months must be accompanied by a letter of explanation.
TIME
WHERE TO The NH Department of Revenue Administration, 45 Chenell Drive, PO Box 637, Concord, NH 03302-0637.
FILE
NEED HELP Call the NH Department of Revenue Administration, Audit Division at (603) 271-2580. Hearing or speech impaired individuals may call
TDD Access: Relay NH 1-800-735-2964.
APPLICATION FOR 6 MONTH EXTENSION OF TIME TO FILE
LEGACY AND SUCCESSION TAX RETURN
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 SSN 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 EXECUTOR/ADMINISTRATOR SSN OR FEIN
PLEASE PRINT OR TYPE EXECUTOR/ADMINISTRATOR: ADDRESS CITY/TOWN STATE ZIP CODE
TAX PAYMENT SCHEDULE MAY 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: State of New Hampshire.................................. 3 $
Send remittance with this form. DO NOT USE the estimate form (DP-145 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.
SIGNATURE DATE
FOR DRA USE ONLY
NH DEPT OF REVENUE ADMINISTRATION
MAIL DOCUMENT PROCESSING DIVISION
TO: PO BOX 637
CONCORD NH 03302-0637
DP-148
Extension
Rev 11/00
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