Enlarge image | Print Form Reset Form New Hampshire Department of DP-200 *0DP2002311862* Revenue Administration 0DP2002311862 REQUEST FOR DEPARTMENT IDENTIFICATION NUMBER (DIN) BUSINESS ENTITY INFORMATION Business Name 7 SEAS INC Number & Street Address DO NOT FILE THIS FORM FOR AN SMLLC 7 BUTTON RD THAT ALREADY HAS ITS OWN FEIN City / Town State Zip Code + 4 (or Canadian Postal Code) HOOKSETT NH 0 3 1 0 6 - 1 2 5 4 You must use your Department Identification Number (DIN) on all of the documents filed with the DRA instead of the Federal Employer Identification Number (FEIN) or Social Security Number (SSN). MEMBER OR TAXPAYER INFORMATION Member or Taxpayer Name Taxpayer Identification Number SAMANTHA EVANS 2 3 4 2 3 4 2 3 4 Number & Street Address FEIN SSN 6 COMMERCIAL ST APT 5 City / Town State Zip Code + 4 (or Canadian Postal Code) CONCORD NH 0 3 3 0 1 ENTITY TYPE: CORPORATION COMBINED GROUP FIDUCIARY PARTNERSHIP PROPRIETORSHIP For federal income tax purposes, the income of the SMLLC will be reported on the tax return of the member as listed above. For federal income tax purposes, the income of the SMLLC will NOT be reported on the tax return of the member as listed above. THE INCOME WILL BE REPORTED ON THE TAX RETURN FOR: Member or Taxpayer Name Taxpayer Identification Number Number & Street Address FEIN SSN City / Town State Zip Code + 4 (or Canadian Postal Code) SIGNATURE & INFORMATION Under penalties of perjury, I declare that I have examined this document and to the best of my belief it is true, correct and complete. Signature (in ink) of Applicant MMDDYYYY 1 1 2 1 2 0 2 3 Print Signatory Name & Title SAMANTHA EVANS FILE ONLINE AT GRANI TE TAX CONNECT WWW.REVENUE.NH.GOV/GTC OR MAIL TO: NH DRA, PO BOX 637, CONCORD NH 03302-0637 DP-200 Version 1 08/2023 Page 1 of 2 |
Enlarge image | New Hampshire Department of DP-200 INSTRUCTIONS Revenue Administration WHO MUST REQUEST A DIN Any taxpayer who shares a taxpayer identification number with another taxpayer subject to taxation, any taxpayer who is not required to obtain a federal taxpayer identification number or Social Security Number. Each taxpayer must have a unique federal or state taxpayer identification number. A SMLLC shall not use an SSN. PURPOSE To obtain an identifying number which is required to file New Hampshire tax related documents. SMLLCs are required by New Hampshire Law to file a separate entity tax return even though the SMLLC does NOT file a separate federal tax return. If the SMLLC shares a tax identification number with another entity, a New Hampshire Department Identification Number (DIN), is necessary in order to process all tax related documents for taxpayers as described in "Who Must Request a DIN" above. WHEN TO FILE This form must be filed at least 30 days prior to the due date of your first business tax document. Any changes in the registration information must be provided to the Department at least 30 days prior to the change. WHERE TO FILE File online at Granite Tax Connect www.revenue.nh.gov/gtc or mail forms to the New Hampshire Department of Revenue Administration, Taxpayer Services Division, PO Box 637, Concord, NH 03302-0637. NEED HELP? Call the Department of Revenue Administration, Taxpayer Services at (603) 230-5920. Individuals with hearing or speech impairments may call TDD Access: Relay NH 1-800-735-2964. FORMS SHALL NOT BE FILED BY FAX OR EMAIL DP-200 Version 1 08/2023 Page 2 of 2 |