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                                       New Hampshire                 202  
                                              Department of                                    3             *DP22102311862*
                                                                     DP-2210/2220
                                       Revenue Administration                                                              DP22102311862

                                              EXCEPTIONS AND PENALTY FOR THE UNDERPAYMENT OF ESTIMATED TAX
Taxpayer Name
MERRIC MANOR ENTERPRISE
Taxpayer Identification Number                                                                      MMDDYYYY                                MMDDYYYY
                                                                     For the CALENDAR year 202  or 
6         5 4 3     2                  1 9    8 7                                            3      0  1 0   1 2 0 2     3 and ending:      1 2     3 1 2      0 2 3
                                                                     other taxable period beginning:

Check One:                                    Business Tax Return(s) Interest & Dividends Tax Return             Other

PART I - CALCULATE YOUR UNDERPAYMENT                                                                                                        Round to the nearest whole dollar
1  Current year tax                                                                                                                       $         5 8 4      1 2 0

2   90% of Line 1 (Line 1 x .90)                                                                                                          $         5 2 5      7 0 8

3(a)  Enter in Columns A through D the installment dates                                   A                 B                C                         D
          that correspond to the 15th of the 4th, 6th, 9th, and 
          12th months of your tax period or specify statutory  
          due dates. (I&D filers see instructions)                   0 2 1 5 2 0 2 3                   0 5 1 5 2 0 2 3   0 8 1 5 2 0 2 3            1 1 3 0 2 0 2 3
3(b)   Applicable percentages                                                              25%               25%           25%                          25%
3(c)   Enter Line 2 multiplied by Line 3(b) for Columns A  
          through D                                                                       1 3 1 4 2 7      1 3 1 4 2 7     1 3 1 4 2 7                  1 3 1 4 2 7

4       Amount paid timely or credited for each period                                     1 4 5 0 0         1 6 7 5 0                    1 1 0 0 0     1 4 6 4 9
5       Overpayment of previous installment calculated on Line 7 

6       Total (Line 4 plus Line 5)                                                         1 4 5 0 0         1 6 7 5 0                    1 1 0 0 0     1 4 6 4 9
7       Overpayment (Line 6 minus Line 3(c)). Enter in Line 5 of  
          next column
8       Underpayment (Line 3(c) minus Line 6)                                              1 1 6 9 2 7       1 1 4 6 7 7   1 2 0 4 2 7                  1 1 6 7 7 8

PART II - EXCEPTIONS TO PENALTY   - See Instructions

9       Cumulative amount paid or credited from the beginning                              A                 B                C                         D
          of the tax year through the installment dates  
          (see instructions)                                                               6 5 4 2 1             4 5 0                      6 5 8 0
10     Applicable percentages                                                              25%               50%           75%                          100%
11     Exception, prior period’s tax (prior year must be  
          12 full months) (RSA 21-J:32, IV(a))                                             1 5 0 0 0                          4 5 0 0 0
12     Applicable percentages                                                              25%               50%           75%                          100%
13     Exception, prior period’s tax base and facts using 
          current years tax rate (RSA 21-J:32, IV(b))                                      1 5 0 0 0                          4 5 0 0 0                        5 4 1 2
14     Applicable percentages                                                             22.5%              45%           67.5%                        90%
15     Exception, tax on annualized income  
          (RSA 21-J:32, IV(c)) (Attach schedule)                                           1 4 7 5 0                          4 5 0 0 0

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          VersionDP-2210/2220 1 07 /202202 3 3

                                   New Hampshire                                     202  
                                          Department of                               3              *DP22102321862*
                                                                           DP-2210/2220
                                   Revenue Administration                                                          DP22102321862

              EXCEPTIONS AND PENALTY FOR THE UNDERPAYMENT OF ESTIMATED TAX - Continued
Taxpayer Name
MERRIC MANOR ENTERPRISE
Taxpayer Identification Number                                                            MMDDYYYY                     MMDDYYYY
                                                           For the CALENDAR year 202  or 
6     5 4     3   2                1 9    8 7                                        3      0   1 0  1 2 0 2   3     and ending: 1 2 3 1 2      0 2 3
                                                           other taxable period beginning:

PART III - CALCULATE THE PENALTY

                                                                                       A                 B           C                 D

16    Amount of underpayment from Part I, Line 8                                     1 1 6 9 2 7     1 1 4 6 7 7     1 2 0 4 2 7       1 1 6 7 7 8
17    Enter the date of payment or statutory due date of tax,     
         whichever is earlier                                                        0 6 1 5 2 0 2 3 0 7 1 8 2 0 2 3 1 0 1 5 2 0 2 3 1 2 0 2 2 0 2 3
18   Enter the number of days from installment date (Line 3(a)) 
        to date shown on Line 17                                                            1 2 1              6 5               6 2                3

19   Interest due through   Number of Days            x  % 7  x      Underpayment 
  12/31/2 3 at  %:                7           365                   amount (Line 16)      2 7 1 3          1 4 3 0     1 4 3 2                    6 7
  (see instructions)
20   Interest due after                   Number of Days  9  xx  %  Underpayment
  12/31/2 3 at  %:         9                  365                   amount (Line 16)      3 4 8 9          1 8 3 8     1 8 4 1                    8 6
  (see instructions)
21   Penalty for Underpayment of Estimated Tax (Line 19 plus Line 20)                     6 2 0 2        3 2 6 8       3 2 7 3

22   Total Penalty for Underpayment of Estimated Tax (Total of Columns A through D, Line 21).                                              1 2 7 4 2

Note:  For interest rate in other years see instructions

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