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                       New Hampshire                              202 3
                           Department of                                                        *BETEXT2311862*
                      Revenue Administration                      BT-EXT                                          BETEXT2311862

PAYMENT FORM AND APPLICATION FOR 7-MONTH                                                               FILE ONLINE AT GRANITE TAX CONNECT  
EXTENSION OF TIME TO FILE BUSINESS TAX RETURN                                                                 www.revenue.nh.gov/gtc
PRINT OR TYPE                                 100% OF TAX PAYMENT IS DUE ON OR BEFORE THE ORIGINAL DUE DATE OF THE TAX
For the CALENDAR year 202  3 or other taxable period beginning:                ENTITY TYPE   Check one of the following
MMDDYYYY                                      MMDDYYYY                                   1 - Proprietorship     2 - Corporation 3 - Partnership
0 1 0        1 2       0 2 3      and ending    1 2  3 1 2      0 2 3
                                                                                         4 - Fiduciary      5 - Non-Profit Organization      6 - Combined Group
Proprietor's Last Name
                                                                                                                                If issued a DIN, 
SMITH 
                                                                                                                          use DIN in appropriate 
                                                                                                                       taxpayer identification box.
First Name                                                   MI                Social Security Number
                                                                                                                          DO NOT enter SSN or FEIN 
JONATHAN                                                     G                        2  3 4  5 6      7    8 9 0               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
804 PINECREST DR
Address (continued)
APT 2
City / Town                                                                             State          Zip Code + 4 (or Canadian Postal Code)
HANOVER                                                                                  NH            0 3 7 5 5 -       1 2 3 4

                                                                                                                         Round to the nearest whole dollar
1   Enter 100% of the Business Enterprise Tax (BET) determined to be due (net of credit)                            1                           8      6 5 0

2   Enter 100% of the Business Profits Tax (BPT) determined to be due (net of credit)                               2                           5      3 2 5

3   Subtotal (Line 1 plus Line 2)                                                                                   3                         1 3      9 7 5

4   LESS: Credit carried over from prior year and total estimated tax payments                                      4                                  2 5 0

5   BALANCE DUE: 
(If negative or zero, DO NOT FILE this form. As long as 100% of the BET and BPT tax due has been                   5                          1 3      7 2 5
paid by the due date, an automatic 7-month extension to file will be granted.)

Mail to:                                        Make Check Payable to:   
                                                                                                FILE ONLINE AT GRANITE TAX CONNECT 
NH DRA                                    STATE OF NEW HAMPSHIRE 
                                                                                                              www.revenue.nh.gov/gtc
PO Box 1265                       Enclose but DO NOT staple or tape your 
Concord NH 03302-1265                         payment to this extension

     BT-EXT 202  3                                                                                                                           Page 1 of 2
     Version 1 08 /2023

                         New Hampshire                   202 3
                          Department of
                         Revenue Administration          BT-EXT

PAYMENT FORM AND APPLICATION FOR 7-MONTH EXTENSION OF TIME TO FILE BUSINESS TAX RETURN

                         DO NOT FILE THIS FORM IF LINE 5 
                                                               FILE ONLINE AT GRANITE TAX CONNECT: 
                          IS NEGATIVE OR ZERO 
                                                                                       www.revenue.nh.gov/gtc
            THIS IS NOT AN EXTENSION OF TIME TO PAY

WHO MUST FILE 
Taxpayers who have not paid 100% of their Business Enterprise Tax (BET) and/or Business Profits Tax (BPT) determined to be due by the due 
date of the tax and are requesting a 7-month extension to file their BET and BPT returns. To make an additional payment in order to have 
paid 100% of the tax determined to be due, you may submit this form with payment or make your payment electronically by accessing 
Granite Tax Connect www.revenue.nh.gov/gtc by the original due date of the tax.  An extension will not be granted if 100% of the tax 
determined to be due is not paid timely. Do not file this form if the Balance Due (Line 5) is negative or zero.  

AUTOMATIC EXTENSION 
If you have paid 100% of the BET and BPT determined to be due by the due date of the tax, you will be granted an automatic 7-month 
extension to file your New Hampshire BET and BPT returns WITHOUT filing this form. If you meet this requirement, you may file your New 
Hampshire BET and BPT return up to 7 months beyond the original due date of the return and you will not be subject to the late filing 
penalty. Note that an extension of time to file your return is not an extension of time to pay the tax. 

WHEN TO FILE 
This form must be postmarked on or before the original due date of the return. Electronic payments must be made before midnight on the 
due date of the return.  

WHERE TO FILE 
File online at Granite Tax Connect www.revenue.nh.gov/gtc or mail to NH DRA, PO Box 1265, Concord, NH 03302-1265. 

ONLINE FILING 
Pay 100% of your tax payment online and you will not have to file this form. Access Granite Tax Connect at www.revenue.nh.gov/gtc.  

RSA 21-J:3, XXI requires taxpayers who had a tax liability in the prior tax year of $100,000 or more to remit payment electronically. Pursuant 
to RSA 21-J:33, III, in the case of any failure to comply with the electronic payment requirements under RSA 21-J:3, XXI, a penalty shall be 
added to the amount of tax due equal to 5% of the amount of such tax not to exceed $5,000. This penalty is in addition to any other penalty 
that may be applicable and shall be assessed, collected, and paid in the same manner as taxes. The penalty in this paragraph shall not apply 
if failure to pay electronically was due to reasonable cause and not willful neglect of the taxpayer.   

REASONS FOR DENIAL 
Applications for extension will be denied for reasons such as, but not limited to, the application was postmarked after the due date for filing 
the return, or payment of 100% of the balance due shown on Line 5 did not accompany this application or was not received electronically by 
the due date of the return. 

NEED HELP? 
Questions not covered here may be answered in our “Frequently Asked Questions” available on our website at www.revenue.nh.gov or by 
calling Taxpayer Services at (603) 230-5920, Monday through Friday, 8:00 am to 4:30 pm. All written correspondence to the Department 
should include the taxpayer name, taxpayer identification number, the name of a contact person and a daytime telephone number. 
Individuals who need auxiliary aids for effective communications in programs and services of the New Hampshire Department of Revenue 
Administration are invited to make their needs and preferences known. Individuals with hearing or speech impairments may call TDD 
Access: Relay NH 1-800-735-2964. 

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