DO NOT STAPLE
                     New Hampshire
                                                                202  
                       Department of                                                         *0BTSUM2311862*
                    Revenue Administration                   BT-SUMMARY                                            0BTSUM2311862

                                                      BUSINESS TAX RETURN SUMMARY
STEP 1  -  PRINT OR TYPE                                        MMDDYYYY                                           MMDDYYYY
For the CALENDAR year 202  or other taxable period beginning:                                and ending:

    Check box if there has been a name change since last filing.  List former name.

Proprietor's Last Name
                                                                                                                                   If issued a DIN,  
                                                                                                                               use the DIN in the 
First Name                                                   MI          Social Security Number                                appropriate taxpayer 
                                                                                                                               identification box. 
                                                                                                                     DO NOT enter SSN or FEIN if 
                                                                                                                                   you have a DIN
Corporate, Partnership, Estate, Trust, Non-Profit or LLC Name

Taxpayer Identification Number      Principal Business Activity Code (Federal)

Number & Street Address

Address (continued)                                                                                                                Unit Type     Unit #
                                                                                                                                     
City / Town                                                               State              Zip Code + 4 (or Canadian Postal Code)
                                                                           
STEP 2  -  Return Type and Federal Information                  Are you required to file a BET Return (Gross Business Receipts 
                                                                                                                                             Yes        No
                                                                over $2  ,000, or Enterprise Value Tax Base over $2  ,000)? 
If  you checked "yes" to one or both of the first two           Are you required to file a BPT Return (Gross Business Income over $   ,000)? Yes        No
questions, you must file the completed corresponding 
return(s) with this BT-Summary.                                 Do you file a Form 990/990T?                                                 Yes        No
                                                                Do you file a Federal Form 8023, Federal Form 8883 and/or have checked box 
                                                                10b on Schedule B of Federal Form 1065?                                      Yes        No

                                                                Is the business organization filing its return on an IRS approved 52/53 week 
                                                                                                                                             Yes        No
                                                                tax year?

            2 - CORPORATION                 3 - PARTNERSHIP              1 - PROPRIETORSHIP                                 AMENDED RETURN
OR                                                                                                                                                   LLC
            6 - COMBINED GROUP              5 - NON-PROFIT               4 - FIDUCIARY                                      FINAL RETURN

    IRS Adjustment: A complete federal Revenue Agent Report (RAR) with all applicable Schedules must be included with a complete amended NH tax 
    return. Do not use this form to report IRS adjustments for taxable periods ending on or before December 31, 2020.

    BT-SUMMARY 202  
    Version 1 0 /202 
                                                                                                                                             Page 1 of 3

                        New Hampshire
                                                                           202  
                            Department of                                                           *0BTSUM2321862*
                       Revenue Administration                          BT-SUMMARY                                   0BTSUM2321862

                                                  BUSINESS TAX RETURN SUMMARY - Continued

STEP 3  -  Complete the BET and / or BPT return(s) and then complete the BT-Summary and attach return(s)

STEP 4  -  Calculate Your Balance Due or Overpayment                                                                Round to the nearest whole dollar

 1   (a)  Business Enterprise Tax Net of Statutory Credits         1(a)

   (b) Business Profits Tax Net of Statutory Credits               1(b)

   (c) Subtotal of Business Tax Due (Line 1(b) plus Line 1(a))                                              1(c)

 2   PAYMENTS      

   (a) Tax paid with application for extension                         2(a)

   (b) Total of taxable period's estimated tax payments                2(b)

   (c) Credit carryover from prior tax period                          2(c)

   (d) Tax paid with original return (Amended returns only)            2(d)

   (e) Total of Lines 2(a) through 2(d)                                                                   2(e)

3   TAX DUE: (Line 1(c) minus Line 2(e))                                                                       3

4   ADDITIONS TO TAX

   (a) Interest (See instructions)                                     4(a)

   (b) Failure to Pay (See instructions)                               4(b)

   (c) Failure to File (See instructions)                              4(c)

   (d) Underpayment of Estimated Tax (See instructions)                4(d)

   (e) Total of Lines 4(a) through 4(d)                                                                   4(e)

5  (a) Subtotal of Amount Due (Line 3 plus Line 4(e))                                                     5(a)

 (b) Return Payment Made Electronically                                5(b)
 (c) BALANCE DUE:  Line 5(a) minus 5(b).  Make your payment online at www.revenue.nh.gov/gtc or 
     make check payable to:   STATE OF NEW HAMPSHIRE                             PAY THIS AMOUNT           5(c)

6  OVERPAYMENT:  If balance due is less than zero, enter on Line 6              6

 (a) Any amount of overpayment in excess of 500% of Line 1(c) shall be
     refunded (Line 1(c) X 500%).                                          6(a)
7  Apply overpayment amount on Line 6 to:                                                               DO NOT PAY
   (a) Credit - Next Year's Tax Liability (amount entered shall not exceed Line 6(a))(Not available for Federal RAR)7(a) 

   (b) Refund (Only option available for Federal RAR)                                                   DO NOT PAY  7(b)

       BT-SUMMARY 202                                                                                                            Page 2 of 3
       Version 1 0 /202 

                        New Hampshire
                                                 202  
                        Department of                                                         *0BTSUM2331862*
                   Revenue Administration BT-SUMMARY                                                  0BTSUM2331862

                            BUSINESS TAX RETURN SUMMARY - Continued
STEP 5
Under penalties of perjury, I declare that I have examined this BT-Summary and the attached returns, and to the best of my belief they are 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. If a combined group, I also certify 
that all affiliated companies are included in the appropriate group described in this return. 
     POA:  By checking this box and signing below, you authorize us to discuss this return with the preparer listed below.

TAXPAYER'S SIGNATURE & INFORMATION
Signature (in ink)                                                                            MMDDYYYY

Print Signatory Name & Title

Email Address

Phone Number
                            Check this box if you are filing as a surviving spouse

PAID PREPARER'S SIGNATURE & INFORMATION
Signature of Preparer                                                                         MMDDYYYY

Printed Name of Preparer

Email Address

Phone Number                Preparer Identification Number

Preparer's Address

Address (continued)

City / Town                                                        State                      Zip Code + 4 (or Canadian Postal Code)
                                                                    
Mail to:                    Make Check Payable to:   
                                                                                              FILE ONLINE AT GRANITE TAX CONNECT 
NH DRA                      STATE OF NEW HAMPSHIRE 
PO Box 637                  Enclose but DO NOT staple or tape your                            www.revenue.nh.gov/gtc
Concord NH 03302-0637                 attachments

   THIS RETURN MUST BE ACCOMPANIED BY COMPLETE AND LEGIBLE COPIES OF THE APPROPRIATE FEDERAL FORMS AND SCHEDULES

     BT-SUMMARY 202  
     Version 1 0 /                                                                                                                  Page 3 of 3