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DO NOT STAPLE
New Hampshire
202
Department of
*000DP82311862*
Revenue Administration DP-8
000DP82311862

LOW AND MODERATE INCOME HOMEOWNERS PROPERTY TAX RELIEF
This 202 claim must be postmarked no earlier than May 1, 202 and no later than June 30, 202 .
The Low and Moderate Homeowners Property Tax Relief Form (DP-8) is not automatically mailed to prior year applicants.
STEP 1 - Name, Address & Social Security Number(s) Do not list a deceased claimant. PRINT or TYPE
Claimant's First Name MI
Social Security No. of Claimant 3
1 Last name

Co-Claimant's First Name MI
Social Security No. of Co-Claimant 4

2 Last Name

Current Mailing Address
5
City / Town State Zip Code + 4 (or Canadian Postal Code)
6

STEP 2 - Property Location FROM YOUR FINAL 202 PROPERTY TAX BILL
7 Location of homestead property: Town or City 7(a) Multi-Family Dwelling

7(b) Map and Lot #(Enter preceding zeros)

8 Did you reside in the homestead on April 1, 202 ? Yes No If no, give reason

9 Address where you resided on April 1, 202 if different from Step 1:

9(a) Do other names appear on your property tax bill other than claimant/co-claimant? If yes, attach a copy of the QSPQFSUZ deed B DPQZ PG UIF Yes No
FOUJSF USVTU or B DPQZ PG UIF death certificate.

STEP 3 - Eligibility
10 I qualify under: Table 1 - Single Table 2 - Married or Head of NH Household (See %FGJOJUJPOT on QBHF PG %1 *OTUSVDUJPOT )

10(a) CHECK HERE IF ANY ADULT MEMBER OF THIS HOUSEHOLD WAS NOT REQUIRED TO FILE A FEDERAL INCOME TAX RETURN
10(b) Enter the 202 total adjusted gross income of all adult members of the NH household (Federal
Return, Line 11) except adult household members who were not required to file a federal income tax
return. Do not leave blank. If zero or negative, enter 0. 10(b)

10(c) If the property is owned by an income-bearing trust, enter the 202 total taxable trust income.
(Federal return 1041, Line 23). Do not leave blank. If zero or negative, enter 0. 10(c)
11(a) Enter the total adjusted gross income of all adult member(s) of the NH household who were
not required to file a federal income tax return. Do not include income from Line 10(b).
Do not leave blank. If zero or negative, enter 0. 11(a)
11(b) Enter the sum of Lines 10(b), 10(c) and 11(a) on Line 11(b). If Line 11(b) is greater than $37,000 for
STOP a single person, or $47,000 for married or head of NH household, you are not eligible for property
tax relief and should not file this claim. Do not leave blank. If zero or negative, enter 0. 11(b)
(Do not leave blank)
DP-8 202 FOR HELP OR TO CHECK THE STATUS OF YOUR CLAIM VISIT
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7FSTJPO US ON THE WEB AT: www.revenue.nh.gov/gtc

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                                         New Hampshire  
                                                                                        202  
                                           Department of  
                                                                                                                   *000DP82321862*
                                         Revenue Administration                         DP-8
                                                                                                                                        000DP82321862

                               LOW AND MODERATE INCOME HOMEOWNERS PROPERTY TAX RELIEF - continued
             STEP 4  -  Calculate Your Relief Amount
             12(a)   Enter the decimal percentage of ownership for the homestead                                                      ex. 50% = .50 
             property as calculated on DP-8 Worksheet (see Instructions on page  )                    12(a)                           ex. 100% = 1.00
             12(b)   Enter the total assessed value of property after 
                          exemptions                                 12(b)

             12(c)   Enter the total amount of Line 12(a) multiplied by Line 12(b)   [ex. 1.00 x $150,000 = $150,000]           12(c)

             12(d)   Enter amount from Table 3, Column C on pages   or               PG %1   *OTUSVDUJPOT for your municipality (Town or City)                  12(d)
             12(e)   Enter the smaller amount of either Line 12(c)  
                          or Line 12(d)                              12(e)

             13    Enter the total of Line 12(e) divided by 1,000                 13                                                  ex. 100,000 ÷ 1,000 = 100 

             14    Enter State Education Property Tax rate from Table 3, Column B on pages            or  PG %1   *OTUSVDUJPOT  
                      for your municipality (Town or City)                                                                            14

             15    Enter the total of Line 13 multiplied by Line 14                                                             15

             16    Enter the decimal number from Table 1 or Table 2, Column B on page   PG %1   *OTUSVDUJPOT for which you qualify (1.0, .60, .40, .20)                    16

             17    Enter the total of Line 15 multiplied by Line 16                                                             17
                   If all information on this Form is correct, this will be the amount of your tax relief check.
             STEP 5  -  Copies & Signatures
             IMPORTANT  You must Attach:  A copy of the actual final 202  property tax bill indicating total assessed value (the tax bill mailed to you between October 
             and December of 202  in most cases) and a copy of the first 2 pages of your 202  federal income tax return (Form 1040, Form 1040-SR, or Form 1041) or 
             TELEFILE WORKSHEET for all adult members of the NH household. Failure to include the attachments will delay processing. 
I declare, under penalties of criminal prosecution, that I have owned an interest in, resided in and maintained the homestead as a primary residence on April 1, 202 , 
that this claim is made in good faith, and that the facts contained in this claim are true and complete.

             Signature (in ink) of Claimant - Required                                                        Daytime Telephone Number               Today's Date (MMDDYYYY)

             Signature (in ink) of Co-Claimant - Required, if applicable                                      Daytime Telephone Number               Today's Date (MMDDYYYY)

                   This completed claim must be submitted with copies of your 202                             FILE ONLINE AT GRANITE TAX CONNECT WWW.REVENUE.NH.GOV/GTC 
                     federal income tax return and your final 202  property tax bill.  
                         This claim for relief must be postmarked no earlier than                             or MAIL TO:       NH DRA 
                               May 1, 202  and no later than June 30, 202 .                                                     TAXPAYER SERVICES DIVISION
                                                                                                                                PO BOX 299
                                                                                                                                CONCORD, NH  03302-0299

                     DP-8 202                              FOR HELP OR TO CHECK THE STATUS OF YOUR CLAIM VISIT                                                       Page 2 of  
                     7FSTJPO             
                                                                          US ON THE WEB AT:  www.revenue.nh.gov/gtc

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