PDF document
- 1 -

Enlarge image
                                                                202  
                    New Hampshire                                       
                                                       AFFILIATION  
                             Department of                                             *AFFSCH2211862*
                Revenue Administration                 SCHEDULE
                                                                                                        AFFSCH2311862

                                          BUSINESS PROFITS TAX AFFILIATION SCHEDULE
  This schedule must be completed in its entirety as part of the NH-1120-WE.  This  schedule  identifies  the  principal  New 
  Hampshire  business  organization, as defined in NH Code of Admin. Rules, Rev 301.25, other members of the Water's Edge 
  Combined Group, as defined in RSA 77-A:1, XV  and  those  affiliates  excluded  from  the  group  as  non-unitary  or  qualified 
  Overseas Business Organizations, as defined by RSA 77-A:1, XIX. 
A Principal New Hampshire Business Organization

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

  Number & Street Address

  Address (continued)

  City / Town                                                                    State         Zip Code + 4 (or Canadian Postal Code)
                                                                                  
B New Hampshire
  Business Activity

C Other members included in the Water's Edge Combined Group.  Indicate with an  Xthose members who have nexus with New Hampshire. 
   Attach additional sheets, if necessary.
Name of Business Organization                                                     Tax Period Ending                FEIN                         X

D
Parent Company of this Combined Group                                                                              FEIN                         X

  Affiliation Schedule 202   
  Version 1     /202                                                                                                                 Page 1 of 2



- 2 -

Enlarge image
                                                                          202  
                      New Hampshire                                        
                                                         AFFILIATION  
                             Department of                                                  *AFFSCH2221862*
                  Revenue Administration                 SCHEDULE                                         AFFSCH2321862

                             BUSINESS PROFITS TAX AFFILIATION SCHEDULE - continued

E Name and Federal Employer Identification Numbers (FEIN) of the domestic affiliated business organizations who are excluded from the New Hampshire 
  Water's Edge Combined Group as non-unitary members.  Indicate with an  Xthose members who have nexus in New Hampshire.
Name of Business Organization.  Attach additional sheet(s), if necessary.                                     FEIN                                               X

F Name, location, and FEIN, if applicable, of the affiliates excluded from the group as qualified Overseas Business Organizations, as defined by RSA 77-A:1, XIX.
  Indicate with an  Xthose members who have nexus in New Hampshire.

Name & Location of Business Organization.  Attach additional sheet(s), if necessary.                          FEIN                                               X

G
Taxpayer Contact

Contact Title                                                                                    Phone Number

  Affiliation Schedule 202   
  Version 1       /202                                                                                                  Page 2 of 2






PDF file checksum: 2806678937

(Plugin #1/9.12/13.0)