New Hampshire                            202  
                       Department of  
                   Revenue Administration               DP-255-ES

                                            ESTIMATED UTILITY PROPERTY TAX

                             5"91":&3h4 803,4)&&5   ,&&1 '03 :063 3&$03%4

1  202  Utility Property Tax (see Notice of Value and Tax Bill, Line 3)      1

2  202  Overpayment applied to 202  taxes                                    2

3  Balance of Estimated Utility Property Tax (Line 1 minus Line 2)           3

                                  COMPUTATION AND RECORD OF PAYMENTS

                                                          202  Overpayment 
                         Amount of each Installment                                     Calendar Year 
   Date Paid                                                    Applied to   Balance Due
                           (1/4 of Line 1 of worksheet)                                     Due Dates
                                                                Installment

                                                                                        April 15, 202 

                                                                                        June 15, 202 

                                                                                        SeptFNCFS 15, 202 

                                                                                        DecFNCFS 15, 202 

                                                        IMPORTANT:

                       THE PENALTY PROVISIONS OF RSA 21-J:32 WILL APPLY IF THE  
                       ESTIMATED TAX PAYMENT REQUIREMENTS HAVE NOT BEEN MET

   DP-255-ES  202  
   7FSTJPO      0 /202 

                     New Hampshire           202                                ESTIMATED UTILITY 
                      Department of  
                                                               PROPERTY TAX -
                Revenue Administration       DP-255-ES                           1":.&/5 '03.  

                                             Due April 15, 202 
Name of Taxpayer                                                                Taxpayer Identification Number

Number & Street Address

Address (continued)

City / Town                                       State                Zip Code + 4 (or Canadian Postal Code)
                                                   
                                             Enclose, but do not staple or tape Amount of Payment
*0255ES2311862*                              your payment to this estimate.   
                                             Do not file a $0 estimate.
                     0255ES2411862                                              Make Check Payable to:  STATE OF NEW HAMPSHIRE
                                                                                MAIL TO:          
                                                                                NH DRA 
                                                                                PO BOX 637 
                                                                                CONCORD NH 03302-0637
DP-255-ES 202  
7FSTJPO     0 /202    

                      Cut along this line to submit Estimated Utility Property Tax.  Keep the Estimated Tax Worksheet for your records

                      New Hampshire  
                                             202                                ESTIMATED UTILITY 
                       Department of                           PROPERTY TAX - 1":.&/5 '03.  
                      Revenue Administration DP-255-ES

                                             Due June 15, 202 
Name of Taxpayer                                                                Taxpayer Identification Number

Number & Street Address

Address (continued)

City / Town                                       State                Zip Code + 4 (or Canadian Postal Code)
                                                   
                                             Enclose, but do not staple or tape Amount of Payment
*0255ES2311862*                              your payment to this estimate.   
                                             Do not file a $0 estimate.
                      0255ES2411862                                             Make Check Payable to:  STATE OF NEW HAMPSHIRE
                                                                                MAIL TO:          
                                                                                NH DRA 
                                                                                PO BOX 637 
                                                                                CONCORD NH 03302-0637

DP-255-ES  202  
7FSTJPO       0 /202 

                    New Hampshire          202                                ESTIMATED UTILITY 
                    Department of  
                Revenue Administration     DP-255-ES            PROPERTY TAX - 1":.&/5 '03.  

                                           Due SepUFNCFS 15, 202 
Name of Taxpayer                                                              Taxpayer Identification Number

Number & Street Address

Address (continued)

City / Town                                             State        Zip Code + 4 (or Canadian Postal Code)
                                                         
                                           Enclose, but do not staple or tape Amount of Payment
                                           your payment to this estimate.   
*0255ES2311862*                            Do not file a $0 estimate.
                    0255ES2411862                                             Make Check Payable to:  STATE OF NEW HAMPSHIRE
                                                                              MAIL TO:          
                                                                              NH DRA 
                                                                              PO BOX 637 
                                                                              CONCORD NH 03302-0637
DP-255-ES 202   
7FSTJPO      0 /202 

                    Cut along this line to submit Estimated Utility Property Tax.  Keep the Estimated Tax Worksheet for your records

                    New Hampshire  
                                                  202                         ESTIMATED UTILITY 
                       Department of                            PROPERTY TAX - 1":.&/5 '03.  
                    Revenue Administration DP-255-ES

                                           Due DecFNCFS 15, 202 
Name of Taxpayer                                                              Taxpayer Identification Number

Number & Street Address

Address (continued)

City / Town                                             State        Zip Code + 4 (or Canadian Postal Code)
                                                         
                                           Enclose, but do not staple or tape Amount of Payment
*0255ES2311862*                            your payment to this estimate.   
                                           Do not file a $0 estimate.
                    0255ES2411862                                             Make Check Payable to:  STATE OF NEW HAMPSHIRE
                                                                              MAIL TO:          
                                                                              NH DRA 
                                                                              PO BOX 637 
                                                                              CONCORD NH 03302-0637

DP-255-ES  202  
7FSTJPO        /202 

                    New Hampshire            202                           ESTIMATED UTILITY PROPERTY 
                    Department of                                             TAX */4536$5*0/4
                Revenue Administration       DP-255-ES

8)0 .645 1": &45*."5&% 5"9
Every utility or utility owner required to file a Utility Property Tax Payment Form must also make Estimated Utility Property Tax 
payments for the subsequent tax year, unless the annual estimated tax is less than $200.  

8)&3& 50 '*-&
File online at Granite Tax Connect www.revenue.nh.gov/gtc or mail to NH DRA, PO Box 637, Concord NH 03302-0637. 

8)&/ 50 .",& &45*."5&% 5"9 1":.&/54
One quarter of the estimated utility property tax is due on April 15, June 15, September 15 and December 15 of the tax year. If any of 
these dates fall on a weekend or legal holiday, the estimated tax payment is due on the next business day. 

1":.&/5 0' &45*."5&% 5"9
Estimated tax may be paid in full with the initial declaration (Estimated Utility Property Tax, Payment Form 1) or in equal installments 
on the due dates stated above. Make checks payable to State of New Hampshire. 

306/%*/( 0''
Money items on all forms shall be rounded off to the nearest whole dollar. 

6/%&31":.&/5 1&/"-5:
A penalty may be imposed under RSA 21-J:32 for an underpayment of estimated taxes if the payments are less than 90% of that tax 
period's tax liability. If estimate payments are not made on time, even if 90% of the tax is eventually paid, an underpayment penalty 
may be applied. If an estimated payment is missed, send the payment as soon as possible to reduce any penalty. 

&9$&15*0/4 50 5)& 6/%&31":.&/5 1&/"-5:
The penalty shall not apply if you meet one of the exceptions provided in RSA 21-J:32. Use Form DP-2210/2220 to see if you meet one 
of the exceptions or to compute the amount of the penalty due. 

/&&% '03.4 
To obtain additional forms visit our website at www.revenue.nh.gov or call the Forms Line at (603) 230-5001. 

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DP-255-ES  202  
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