DO NOT STAPLE                                                                      Print Form               Reset Form
                      New Hampshire  
                      Department of                         CD-57-S                    *0CD57S2311862*
                 Revenue Administration                                                                   0CD57S2311862
 REAL ESTATE TRANSFER TAX DECLARATION OF CONSIDERATION REAL ESTATE SELLER (GRANTOR)
STEP 1 - SELLER                Grantor / Assignor / Transferor            (use new mailing address)
                                                                                                                         Original Return
Entity Type - (Check One):      Individual     Joint        Partnership     Corporation     Trust             LLC
                                                                                                                         Amended Return
Seller 1 - Last Name / Entity                                               First Name                        FEIN / SSN

Seller 2 - Last Name / Entity                                               First Name                        FEIN / SSN

Street No.            Street Name                                           Apt / Unit                    Phone Number 

City                                                       State    Zip Code + 4 (or Canadian Postal Code)
                                                            
STEP 2 - PURCHASER               Grantee / Assignee / Transferee            
Last Name / Entity                                                          First Name

Last Name / Entity                                                          First Name

STEP 3 - REAL ESTATE
Municipality                                   County
 
Street No.            Street Name                                           Apt / Unit

Multi Town Sale?               If Yes, list municipalities:
     Yes         No

STEP 4 - DEED         Transfer Date                        Recording Date               Book No.                 Page No.

                      Warranty       Quitclaim             Mortgage         Sheriffs    Tax                   Foreclosure
Deed Type 
(Check one):                                                                Probate     In Lieu of Foreclosure
                      Commissioner's                       Fiduciary

     CD-57-S 
     Rev  3.5 03/2023                                                                                                    Page 1 of 5

                   New Hampshire  
                     Department of                           CD-57-S                              *0CD57S2321862*
                Revenue Administration                                                                            0CD57S2321862
REAL ESTATE TRANSFER TAX DECLARATION OF CONSIDERATION REAL ESTATE SELLER (GRANTOR)
STEP 5 - TAX AMOUNT
a) Full price or consideration for the real estate

b) Divide Line 5(a) by $100

c) Tax rate per $100 at time of transfer                                                                                       0                   . 7 5

d) Subtotal of Seller's tax (Minimum of $20 for all considerations $4,000 or less, per RSA 78-B:1)

e) Total tax paid to County on behalf of Seller and Purchaser

Are you claiming tax 
                                         DO NOT file form CD-57-S for transfers specifically exempted from taxation under RSA 78-B:2, EXCEPT transfers exempted 
exemption under      Yes   No            by RSA 78-B:2, IX. Form CD-57-S must be filed for non-contractual transfers exempted under RSA 78-B:2, IX.
RSA 78-B:2?

STEP 6 - TAXPAYER'S SIGNATURE & INFORMATION (Seller's Signature is Required) 
Under penalties of perjury, I declare that I have examined this return and to the best of my belief it is true, correct and complete.  I also agree and affirm that the full 
price or consideration paid for the real estate transferred by this deed is as reported in Step 5(a) of this form.
Seller 1 Signature                                                                                MMDDYYYY

Seller 1 Printed Name

Seller 2 Signature                                                                                MMDDYYYY

Seller 2 Printed Name

CD-57-S 
Rev  3.5 03/2023                                                                                                               Page 2 of 5

                      New Hampshire  
                      Department of                     CD-57-S                               *0CD57S2331862*
             Revenue Administration                                                                          0CD57S2331862

REAL ESTATE TRANSFER TAX DECLARATION OF CONSIDERATION REAL ESTATE SELLER (GRANTOR) 
                                                        SIGNATURE PAGE
STEP 7 - PREPARER'S SIGNATURE & INFORMATION (If prepared by someone other than the Seller)
     Power of Attorney (POA): By checking this box and signing Step 6, you authorize the preparer listed on this return to act on your behalf for this return 
     only, including entering the book and page numbers and filing this return electronically.

Under penalties of perjury, I declare that I have examined this return and to the best of my belief it is true, correct and complete. (If prepared by a person other 
than the taxpayer, this declaration is based on all information of which the preparer has knowledge.)
Preparer's Signature (if other than taxpayer)                                                        MMDDYYYY

Preparer's Printed Name (required if POA box is checked)

Entity

Last Name                                                       First Name

Street No.            Street Name                               Apt / Unit                                   Phone Number 

City                                                    State Zip Code + 4 (or Canadian Postal Code)
                                                         
     CD-57-S 
     Rev  3.5 03/2023                                                                                                     Page 3 of 5

                 New Hampshire  
                       Department of             CD-57-S                           General Questions
           Revenue Administration

WHAT IS REAL ESTATE TRANSFER TAX?  
It is a tax on the transfer, sale, or granting of real property or an interest in real property. Where the price or consideration is $4,000 or less there 
is a minimum tax of $20 to both, the purchaser and the seller. The tax rate from 7/1/99 to present is $0.75 per $100 . 

WHAT IS FAIR MARKET VALUE?  
Rev 801.04 "Fair market value" means the price property would command in an arms length transaction if sold by a seller who is willing, but not 
compelled, to sell and purchased by a purchaser who is willing, but not compelled, to purchase. 

WHAT IS PRICE OR CONSIDERATION?  
Price or consideration means the amount of money, other property and services, or property or services valued in money which is given in 
exchange for real estate and measured at a time immediately after the transfer of the real estate. 

WHEN TO FILE  
A Declaration of Consideration (Form CD-57-S) must be filed with the NH Department of Revenue Administration (NH DRA) within 30 days of 
recording the deed. 

WHO MUST FILE 
For all contractual transfers, and non-contractual transfers under RSA 78-B:2, IX, the purchaser, grantee, assignee, or transferee must file and 
sign the Declaration CD-57-S. 

ARE THERE EXEMPTIONS FOR PAYMENT OF THE TAX? 
Every transfer, sale or granting of real property or an interest in real property is taxable unless exempted by statute. Please refer to the list of 
exemptions under RSA 78-B:2. Please note that the Form CD-57-S is not required for transfers exempted by RSA 78-B:2, except transfers 
exempted by RSA 78-B:2, IX. 

WHO MUST PAY? 
The tax is assessed on both the purchaser and the seller, with a minimum charge of $20 each. The tax is paid at the Register of Deeds office in 
the county where the property is located. DO NOT send the tax payment with this Declaration. 

WHERE TO FILE 
File online at Granite Tax Connect www.revenue.nh.gov/gtc or mail to NH DRA, Taxpayer Services Division, PO Box 3308, Concord,  NH 
03302-3308 

PENALTIES 
FAILURE TO FILE: If a return is not filed on a timely basis, a failure to file penalty equal to 5% of the outstanding balance, with a minimum of $10 
per month, is  charged for each of the first five months or parts thereof after the return is due.  The total amount of this penalty shall not exceed 
25% of the balance of tax due or $50, whichever is greater. 

FAILURE TO PAY: A penalty equal to 10% of any nonpayment or underpayment of taxes shall be imposed if the taxpayer fails to pay when due.  If 
the failure to pay is due to fraud, the penalty shall be 50% of the amount of nonpayment or under payment. 

In addition, there is a penalty equal to 100% of the additional tax due if either the buyer or seller makes a false statement on either the
transfer tax form or deed that no tax is due, or pays tax on less than the actual price or consideration for the transfer. The 100% false
statement penalty is in lieu of the 10% late payment penalty. 

NEED FORMS? 
To obtain additional forms please visit our website www.revenue.nh.gov/ or call the Forms Line at (603) 230-5001. 

NEED HELP? 
Questions not covered here may be answered in our Frequently Asked Questions (FAQ) 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.

CD-57-S 
Rev  3.5 03/2023                                                                                                       Page 4 of 5

                 New Hampshire  
                      Department of                    CD-57-S                         Line-By-Line Instructions
                 Revenue Administration
First select the applicable Entity Type of the seller and identify if the return is original or amended. 

STEP 1  - Seller 
Enter the full name, address (use new mailing address, if applicable), phone number and the taxpayer identification number(s) of the seller(s), 
grantor(s), assignor(s), or transferor(s).  Each seller or group of joint sellers must file a CD-57-S. Please file an additional CD-57-S for two or more 
joint sellers. 

STEP 2  - Purchaser 
Enter the full name of the purchaser(s), grantee(s), assignee(s), or transferee(s).    

STEP 3  - Real Estate 
Property Location and Description: Enter the municipality, county, street number, street name, and apartment/unit number where the property 
is located.  Provide the tax map, block, and lot (parcel identification number) used by the municipality to identify the parcel.  If the sale is a multi-
town sale, please enter all of the municipalities where parcels are located. 

STEP 4  - Deed 
Enter the transfer date, recording date and Book and Page numbers assigned by the County Register of deeds.  Please indicate the deed type for 
the transactions (only one deed type may be selected). 

STEP 5  - Tax Amount 
  (a): Enter the full price or consideration paid for the real estate transferred.  
  (b): Divide the amount on (a) by $100. 
  (c): Enter the tax rate in effect as of the date of transfer.  Tax rate from 7/1/99  - Present is $0.75 per $100.  Please contact the  
         NH DRA for rates prior to 7/1/99. 
  (d): Enter the subtotal of the tax for the Seller by multiplying (b) by (c), rounding to the nearest whole dollar. 
  (e): Enter the total tax paid to the County on behalf of the Seller and Purchaser.  Multiply 5(d) by 2. 

Check the appropriate box as to whether or not the Purchaser is claiming tax exemption under RSA 78-B:2. 

STEP 6  - Signatures (Paper Form) 
Seller's Signature and Information:  The Form must be signed in ink and dated by the Seller(s). 

STEP 7  - Preparer 
Power of Attorney (POA): By checking the POA box and signing Step 6, the taxpayer authorizes the preparer listed in Step 7 to act on the Seller's 
behalf for this return only, including entering the Book and Page numbers and filing this return.  This is a limited POA for this return only.   
Preparer's Signature and Information: If this Form was filled out by someone other than the Seller, please enter the full name, entity, address, 
and phone number of the preparer.

CD-57-S 
Rev  3.5 03/2023                                                                                                                         Page 5 of 5