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                   New Hampshire
                                                                   202  
                          Department of                                                    *BT80WE2311862*
                 Revenue Administration                            BET-80-WE                    BT80WE2311862

                                      BUSINESS ENTERPRISE TAX APPORTIONMENT FOR  
                                      INDIVIDUAL NEXUS MEMBERS OF A COMBINED GROUP
Business Enterprise Name

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

                                                              SECTION I - APPORTIONMENT FACTORS 
                                                                   See General Instructions
                                                                                  Round to the nearest whole dollar
                                                                   Column A                Column B                    Column C
                                                              Name                Name                             Name

                                                              FEIN                FEIN                             FEIN

Compensation and Wages Factor
1    New Hampshire Compensation and Wages Paid  
       or Accrued
2    Everywhere Compensation and Wages Paid or Accrued
3    COMPENSATION FACTOR (Line 1 divided by Line 2). 
       Enter on Line 21 (express to six decimal places).
Interest Factor
4    Average of New Hampshire Property

5    Average of Everywhere Property
6    INTEREST FACTOR (Line 4 divided by Line 5).  
       Enter on Line 26 (express to 6 decimal places).
Dividend Factor
7     New Hampshire Sales

8     Everywhere Sales
9     Sales Factor (Line 7 divided by Line 8). Express to six 
decimal places.
10  Subtotal (Sum of Lines 3, 6 and 9)
11  DIVIDEND FACTOR (Line 10 divided by number  
       of "Everywhere" factors in subtotal). Enter on Line 15 
(express to six decimal places).

BET-80-WE 202                                                                                                          Page 1 of 2
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                      New Hampshire
                                                                     202                     *BT80WE2321862*
                          Department of
                      Revenue Administration                BET-80-WE                            BT80WE2321862

                                      BUSINESS ENTERPRISE TAX APPORTIONMENT - continued
Business Enterprise Name

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

                                      SECTION II - BUSINESS ENTERPRISE TAX BASE APPORTIONMENT 
                                                                 See General Instructions
                                                                                             Round to the nearest whole dollar
                                                                 Column A                        Column B                     Column C
Dividend Apportionment                                FEIN
12    Dividends Paid

13    LESS:   Dividend Deduction

14    Subtotal (Line 12 minus Line 13)

15    Dividend Apportionment Factor (From Line 11)
16    Taxable Dividends (Line 14 multiplied by Line 15). If 
negative use a minus sign.
17    TOTAL TAXABLE DIVIDENDS (From Line 16). If 
negative enter zero.
17(a)   Sum of Columns 17A, 17B, and 17C. Enter this amount on Form BET, Line 1: TOTAL 17(a) 
Compensation and Wages Apportionment
18    Everywhere Compensation and Wages Paid  
          or Accrued
19    LESS:   Retained Compensation

20    Subtotal (Line 18 minus Line 19)
21    Compensation Apportionment Factor  
         (From Line 3)
22    Taxable Compensation (Line 20 multiplied by Line 21)

23    LESS:   Dividend Offset (See Instructions)
24    TOTAL TAXABLE COMPENSATION  
         (Line 22 minus Line 23) 
24(a)   Enter Sum of Columns 24A, 24B and 24C. Enter this amount on Form BET, Line 2: TOTAL 24(a)
Interest Apportionment
25    Interest Paid or Accrued

26    Interest Apportionment Factor (From Line 6)

27    Taxable Interest (Line 25 multiplied by Line 26)

28    LESS:   Dividend Offset (See Instructions)

29    TOTAL TAXABLE INTEREST (Line 27 minus Line 28)

29(a)   Sum of Columns 29A, 29B and 29C. Enter this amount on Form BET, Line 3: TOTAL 29(a)

BET-80-WE 202  
Version 1        /202                                                                                                                 Page 2 of 2






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