Print This Page          Reset Pages

                                         New Hampshire                      202  
                                         Department of                       4
                                        Revenue Administration        DP-10-ES

                                                  ESTIMATED INTEREST AND DIVIDENDS TAX  

                                                Taxpayer's Worksheet - Keep This Page For Your Records

1   All interest and dividend income subject to tax under RSA 77                                                                     1 9 6         0  0
2   Less Exemption(s) – check the exemption(s) that apply (see instructions):

    2(a) Yourself                        Spouse Partnership/LLC     Estate       Total number of boxes checked      1 x $2400 = 2(a)               2 4 0 0
    2(b) 65 (or over) or disabled                               Blind            Total number of boxes checked        x $1200 = 2(b)
         Spouse 65 (or over) or disabled                        Spouse Blind

2(c)  Total exemptions (Line 2(a) plus 2(b))                                                                                           2 4          0 0

3   New Hampshire Taxable Income (Line 1 minus Line 2(c))                                                                            1 7 2          0 0

4   New Hampshire Interest and Dividends Tax (Line 3 multiplied by 3 %)                                                                  5          1 6

    If Line 4 is less than $500, see instructions 

5  RSA 77-G Education Tax Credit 
6  OVERPAYMENT from previous taxable period (If the overpayment exceeds the first 1/4 installment, the overage will 
     be applied to the next consecutive installment(s) until fully depleted)

7   BALANCE OF ESTIMATED INTEREST AND DIVIDENDS TAX (Line 4 minus Lines 5 and 6)                                                         5          1 6

                                                COMPUTATION AND RECORD OF PAYMENTS
         Date Paid                       Amount of Each Installment   Overpayment and Credit       Balance Due                       Calendar Year  
                                                (1/4 of Line 4)             Applied to Installment                                   Due Dates

    1 0  1 3 2 0 2 3                                            1 2 9                                                 1 2 9          April 15, 2024

    1 0  1 7 2 0 2 3                                            1 2 9                                                 1 2 9          June 15, 2024

    1 0 2 7 2 0 2 3                                             1 2 9                                                 1 2 9          Sept. 15, 2024

    1 1 0 3 2 0 2 3                                             1 2 9                                                 1 2 9          Jan. 15, 2025

                                         IMPORTANT 
Enter the primary taxpayer and spousal information in the same 
    order on all tax documents to avoid delays in processing.                                       MAKE YOUR PAYMENTS ONLINE 
                                                                                                    AT GRANITE TAX CONNECT   
    THE PENALTY PROVISIONS OF RSA 21-J:32 WILL APPLY IF THE                                        www.revenue.nh.gov/gtc
         ESTIMATE REQUIREMENTS HAVE NOT BEEN MET

         VersionDP-10-ES 1 0202 7 /2024 3

                                                                                                                        Print This Page

                                      New Hampshire                202  
                                         Department of                    4                             *DP10ES2411862*
                                     Revenue Administration     DP-10-ES
                                                                                                           DP10ES2411862
                                                       ESTIMATED INTEREST AND DIVIDENDS TAX 

For the CALENDAR year 202  4 or other taxable period beginning:                    ENTITY TYPE - Check One
MMDDYYYY                                   MMDDYYYY
                                           and ending:                                1 - Individual/Joint             3 - Partnership/LLC    4 - Estate
0 1 0       1 2                      0 2 4             1 2 3 1 2 0 2  4

Last Name                                                                                                               If issued a DIN, use the DIN in 
                                                                                                                        the appropriate taxpayer 
                                                                                                                        identification box. 
                                                                                                                        DO NOT enter SSN or FEIN
First Name                                                   MI    Social Security Number

                                                                                                                        Taxpayer Identification Number

Spouse's Last Name                                                                                                      N L 4 5 6 4 8 9 4

First Name                                                   MI    Social Security Number

Name of Partnership, Estate, or LLC
BOW PAVING AND ASPHAULT INC
Number & Street Address
80 SECOND ST
Address (continued)

City / Town                                                                     State                   Zip Code + 4 (or Canadian Postal Code)
BOW                                                                             NH                      0 3 3 0 4    -  2 6 5 2
                                                             DO NOT CUT.  SUBMIT THIS ENTIRE PAGE.
                                        MAKE YOUR PAYMENTS ONLINE AT                                                    Payment Form 1
                       GRANITE TAX CONNECT www.revenue.nh.gov/gtc                                       Amount of 
                                                                                                        This Payment                          1 2 9
Or mail to:                                Make Check Payable to:  STATE OF NEW HAMPSHIRE  
NH DRA                                                 Enclose, but do not staple or tape your payment                 Do not file a $0 estimate
PO Box 1265                                                  to this estimate.  
Concord NH 03302-1265

    Version  DP-10-ES 1 7 0202 /2024 3

                                                                                                                     Print This Page

                                    New Hampshire                 202  
                                       Department of                    4               *DP10ES2411862*
                                   Revenue Administration       DP-10-ES
                                                                                                         DP10ES2411862

                                                     ESTIMATED INTEREST AND DIVIDENDS TAX  

For the CALENDAR year 202  4 or other taxable period beginning:                  ENTITY TYPE - Check One
MMDDYYYY                                 MMDDYYYY
                                         and ending:                                1 - Individual/Joint            3 - Partnership/LLC     4 - Estate
0 1 0       1 2                    0 2 4             1 2 3 1 2  0 2  4

Last Name                                                                                                            If issued a DIN, use the DIN in 
                                                                                                                     the appropriate taxpayer 
                                                                                                                     identification box. 
                                                                                                                     DO NOT enter SSN or FEIN
First Name                                                 MI     Social Security Number

                                                                                                                     Taxpayer Identification Number

Spouse's Last Name                                                                                                   N L 4 5 6 4 8 9 4

First Name                                                 MI     Social Security Number

Name of Partnership, Estate, or LLC
BOW PAVING AND ASPHAULT INC
Number & Street Address
80 SECOND ST
Address (continued)

City / Town                                                                   State                   Zip Code + 4 (or Canadian Postal Code)
BOW                                                                           NH                      0 3 3 0 4   - 2 6 5 2
                                                           DO NOT CUT.  SUBMIT THIS ENTIRE PAGE.
                                       MAKE YOUR PAYMENTS ONLINE AT                                                  Payment Form 2
                         GRANITE TAX CONNECT www.revenue.nh.gov/gtc                                   Amount of 
                                                                                                                                            1 2 9
  Or mail to:                                                                                         This Payment
                                         Make Check Payable to:  STATE OF NEW HAMPSHIRE                              Do not file a $0 estimate
  NH DRA                                             Enclose, but do not staple or tape your payment  
  PO Box 1265                                              to this estimate.  
  Concord NH 03302-1265

    VersionDP-10-ES 1 0202 7 /2024 3

                                                                                                                    Print This Page

                                  New Hampshire                   202  
                                     Department of                    4           *DP10ES2411862*
                                 Revenue Administration         DP-10-ES
                                                                                                       DP10ES2411862

                                                   ESTIMATED INTEREST AND DIVIDENDS TAX  

For the CALENDAR year 202  4 or other taxable period beginning:                ENTITY TYPE - Check One
MMDDYYYY                               MMDDYYYY
                                       and ending:                                1 - Individual/Joint             3 - Partnership/LLC    4 - Estate
0 1 0       1 2                  0 2 4             1 2 3 1 2    0 2 4

Last Name                                                                                                           If issued a DIN, use the DIN in 
                                                                                                                    the appropriate taxpayer 
                                                                                                                    identification box. 
                                                                                                                    DO NOT enter SSN or FEIN
First Name                                               MI       Social Security Number

                                                                                                                    Taxpayer Identification Number

Spouse's Last Name                                                                                                  N L 4 5 6 4 8 9 4

First Name                                               MI       Social Security Number

Name of Partnership, Estate, or LLC
BOW PAVING AND ASPHAULT INC
Number & Street Address
80 SECOND ST
Address (continued)

City / Town                                                                 State                   Zip Code + 4 (or Canadian Postal Code)
BOW                                                                         NH                      0 3 3 0 4    -  2 6 5 2
                                                         DO NOT CUT.  SUBMIT THIS ENTIRE PAGE.
                                   MAKE YOUR PAYMENTS ONLINE AT                                                     Payment Form 3
                     GRANITE TAX CONNECT www.revenue.nh.gov/gtc                                     Amount of 
                                                                                                    This Payment                          1 2 9
Or mail to:                            Make Check Payable to:  STATE OF NEW HAMPSHIRE                               Do not file a $0 estimate
NH DRA                                             Enclose, but do not staple or tape your payment  
PO Box 1265                                              to this estimate.  
Concord NH 03302-1265

  VersionDP-10-ES 1 0202 7 /2024 3

                                                                                                                     Print This Page

                                    New Hampshire                 202  
                                       Department of                     4               *DP10ES2411862*
                                   Revenue Administration       DP-10-ES
                                                                                                             DP10ES2411862

                                                     ESTIMATED INTEREST AND DIVIDENDS TAX 

For the CALENDAR year 202  4 or other taxable period beginning:                      ENTITY TYPE - Check One
MMDDYYYY                                 MMDDYYYY
                                         and ending:                                    1 - Individual/Joint        3 - Partnership/LLC     4 - Estate
0 1 0       1 2                    0 2 4             1 2 3 1 2  0 2     4

                                                                                                                     If issued a DIN, use the DIN in 
Last Name                                                                                                            the appropriate taxpayer 
                                                                                                                     identification box. 
                                                                                                                     DO NOT enter SSN or FEIN
First Name                                                 MI     Social Security Number

                                                                                                                     Taxpayer Identification Number

Spouse's Last Name                                                                                                   N L 4 5 6 4 8 9 4

First Name                                                 MI     Social Security Number

Name of Partnership, Estate, or LLC
BOW PAVING AND ASPHAULT INC
Number & Street Address
80 SECOND ST
Address (continued)

City / Town                                                                       State               Zip Code + 4 (or Canadian Postal Code)
BOW                                                                               NH                  0 3 3 0 4   -  2 6 5 2
                                                           DO NOT CUT.  SUBMIT THIS ENTIRE PAGE.
                                        MAKE YOUR PAYMENTS ONLINE AT                                                 Payment Form 4
                         GRANITE TAX CONNECT www.revenue.nh.gov/gtc                                   Amount of 
                                                                                                                                            1 2 9
  Or mail to:                                                                                         This Payment
                                         Make Check Payable to:  STATE OF NEW HAMPSHIRE  
  NH DRA                                             Enclose, but do not staple or tape your payment                 Do not file a $0 estimate
  PO Box 1265                                                  to this estimate.  
  Concord NH 03302-1265

    VersionDP-10-ES 1 0202 7 /2024 3

                                     New Hampshire                            202  
                                     Department of                                  4  ESTIMATED INTEREST AND 
                                    Revenue Administration           DP-10-ES          DIVIDENDS TAX  

                                                                           INSTRUCTIONS
Who Must Pay Estimated Tax 
Every taxpayer required to file an Interest and Dividends Tax Return must also make estimated Interest and Dividends Tax payments for its subsequent taxable period, 
unless the annual estimated tax for the subsequent taxable period is less than $500. See “Exceptions to the Underpayment of Estimated Tax Penalty” below. 
Note: For taxable periods ending on or after December 31, 2013, interest and dividends income shall be taxed as follows: 
     • Income received by estates held by trustees treated as grantor trusts under Section 671 of the United States Internal Revenue Code shall be 
     included in the return of their grantor, to the extent that the grantor is an inhabitant or resident of New Hampshire. 
     • Income reported by, and taxed federally as interest or dividends to, a trust beneficiary shall be included as interest or dividends in the return of 
     such beneficiary, to the extent that the beneficiary is an inhabitant or resident of New Hampshire with respect to distributions from a trust not 
     treated as a grantor trust under 671 of the United States Internal Revenue Code. 

Where to Make Payments 
Make estimated tax payments online at Granite Tax Connect www.revenue.nh.gov/gtc or mail to NH DRA, PO Box 1265, Concord NH 03302-1265. 

When to Make Payments  Note: If the 15th falls on a Saturday, Sunday, or legal holiday, the estimated tax payment is due on the next business day. 
               CALENDAR YEAR FILERS: 
                        1st quarterly estimated tax payment due April 15, 2024
                        2nd quarterly estimated tax payment due June 15, 202 4
                        3rd quarterly estimated tax payment due September 15, 202 4
                        4th quarterly estimated tax payment is due January 15, 202 5
               FISCAL YEAR FILERS: 
                        Quarterly estimated tax payments are due on or before the 15th day of the 4th, 6th, 9th and 12th     
                        months of the taxable period to which they relate. 

Payment of Estimated Tax 
Estimated tax may be paid in full with the initial declaration, or in installments on the required due dates. If paying in full, only one payment form is required. By utilizing 
Granite Tax Connect at www.revenue.nh.gov/gtc, you may authorize the Department of Revenue Administration to automatically withdraw estimate payments from 
your account electronically. Simply specify each date for which you would like a payment to be withdrawn from your account and each payment will be withdrawn on 
those dates. 
Joint filers: Enter the primary taxpayer and spousal information in the same order on all tax documents to avoid delays in processing. 

Underpayment of Estimated Tax Penalty 
A penalty may be imposed pursuant to RSA 21-J:32 for any underpayment of estimated tax if the payments are less than 90% of the current tax period's tax liability. If 
estimate payments are not made by the statutory due date, even if 90% of the tax is eventually paid, an underpayment penalty may be assessed. If an estimated 
payment is missed, send the payment as soon as possible to reduce any penalty. This penalty will not be imposed if any of the statutory exceptions are met.  

Exceptions to the Underpayment of Estimated Tax Penalty 
The underpayment of estimated tax penalty shall not apply if you meet one of the exceptions provided in RSA 21-J:32. Use Form DP 2210/2220 to determine whether 
you have met one of the exceptions, or to compute the amount of the penalty associated with the underpayment of estimated tax. This form may be obtained from our 
website at www.revenue.nh.gov or by calling the Forms Line at (603) 230-5001. 

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. 

     VersionDP-10-ES 1 0202 7 /2024 3