New Hampshire
                                                                  202  
                          Department of                                                          *ADDINF2311862*
                    Revenue Administration                  ADDLINFO                                               ADDINF2311862

    This form should be completed if filing a NH-1120-WE or if New Hampshire apportionment is less than 100%

                           BUSINESS PROFITS TAX RETURN ADDITIONAL INFORMATION
Business Organization Name 

Taxpayer Identification #                                                               MMDDYYYY                                     MMDDYYYY
                                                 For the CALENDAR year 202  or 
                                                 other taxable period beginning:                                   and ending:

      YOU ARE REQUIRED TO FILE A BUSINESS PROFITS TAX RETURN IF GROSS BUSINESS INCOME  
                                                         IS GREATER THAN $   ,000.  
If the business organization is a partnership the due date of the return is the          Principal Business Activity in New Hampshire
FIFTEENTH DAY OF THE THIRD MONTH FOLLOWING THE END OF THE TAXABLE 
PERIOD. If the business organization is not a partnership the due date of the return is 
the FIFTEENTH DAY OF THE FOURTH MONTH FOLLOWING THE END OF THE 
TAXABLE PERIOD.
Business locations in New Hampshire - location of factories, sales offices, warehouses, etc.
      Check box and attach a list if more space is required

                                                                                                                                         Year first NH return filed

                                                                                                                                         State of  Incorporation

City, State and Country where records are located
City / Town                                                                      State   Country
                                                                                  
Business locations outside of New Hampshire                                                                        Answer Yes or No
      Check box and attach a list if more space is required                                      Registered to do  Files returns     Apportion sales, payroll 
City / Town                                                                      State           business in state in state          and/or property in state 
                                                                                                 where located?    where located?    where located?
                                                                                  
Type of Business                                                                                                                              

City / Town                                                                      State
                                                                                  
Type of Business                                                                                                                              

City / Town                                                                      State
                                                                                         
Type of Business                                                                                                                              

    ADDLINFO 202                                                                                                                             Page 1 of 2
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                     New Hampshire
                                                                       202  
                          Department of                                                         *ADDINF2321862*
                 Revenue Administration                             ADDLINFO                             ADDINF2321862

                      BUSINESS PROFITS TAX RETURN ADDITIONAL INFORMATION - continued
Business Organization Name 

Taxpayer Identification #                                                          MMDDYYYY                                             MMDDYYYY
                                                   For the CALENDAR year 202  or 
                                                   other taxable period beginning:                                           and ending:

                                                                                                MMDDYYYY                                MMDDYYYY
Is the business organization filing its tax return                     If yes, provide the date                              and  
on an IRS approved 52/53 week tax year?                Yes          No the period begins                                     ends

Is this business organization affiliated with any other business organization that files business tax returns with this Department?     Yes No
Identify affiliated business organization by name and FEIN             Check box and attach a list if more space is required        FEIN

Does the business organization file as part of a unitary group in any other jurisdiction?                                               Yes No

Is the business organization                                                  If YES, provide                                If YES, provide YEAR 
registered with the NH Secretary of State?             Yes          No        Business ID                                    registered
                                                           State
In which state is the business organization domiciled?:     

Did the business organization have a change in income due to a final adjustment determined by a court, the Internal  
Revenue Service, or another state's taxing authority since its most recent filing of a NH BPT return (prior to this return)?            Yes No

If yes, provide full details.  Use additional sheet(s) if necessary.

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