New Hampshire  
                               Department of               TY2024 - LETTER OF INTENT (LOI)                        Print Form
                                                           TO PRODUCE SUBSTITUTE OR REPRODUCED FORMS
                          Revenue Administration

   COMPANY NAME                                                    DBA NAME

   agrees to abide by the New Hampshire Department of Revenue Administration (NHDRA) requirements for substituting or 
   reproducing TY202 4forms, as follows:
   Companies or individuals who develop substitute tax forms or products shall follow the NHDRA's established guidelines
   established in “General Instructions and Requirements for Reproducing New Hampshire Tax Forms – TY202 ,"4including but not 
   limited to, the following: 
   2D barcodes are mandated on all forms substituting or reproducing official forms that require 2D barcodes. In addition, all 
   1D barcodes must be reproduced as a "Code 39 Barcode."

   Companies or individuals shall be able to print a banner on all affected “returns/voucher” forms, where incorrect variable data 
   has been entered in a format other than what was specified by the NHDRA. The banner must be in 18pt font, bold, and be
   printed on the return/voucher to alert the user that incorrectly formatted data has been entered. The NHDRA recommends
   using: “INCOMPLETE DATA: DO NOT FILE.” This banner is to allow the NHDRA to readily identify these forms. 

   Do not sell, release, license, or distribute tax packages to customers or clients prior to receiving approval for each tax form
   included in the package. Un-approved and/or non-submitted forms are not to be included in the release of any software 
   package. 

   Notify customers/clients of the computer hardware requirements, including printers, printer fonts, font cartridges, specialty
   fonts, etc., necessary to produce your company’s scannable/substitute tax forms that were approved by the NHDRA. Notify the 
   NHDRA and your customers/clients immediately if computation errors or other variable data errors are found.  

   Promptly correct errors in the company’s products and substitute tax forms. Provide the NHDRA with written proof(s) showing 
   the company has corrected all the errors and has notified customers/clients of the corrections. 

   Authorize the NHDRA to include the name of your company in various public information materials designed to inform the
   public and practitioners about software developers who have agreed, complied or failed to comply with the specifications for 
   reproducing tax forms.  

   Failure to meet these requirements may result in your company being removed as an approved software vendor. All 
   returns submitted using your products will be rejected.

        Check this box if this is an amended LOI. 

   Reason for amendment:

                     SIGNATURE                                  TITLE                              DATE

                     Please submit the completed LOI, to E-FormsDevelopment@dra.nh.gov,no later than November 1 ,5202 .          4  
                                       Your substitute forms will not be tested until the LOI is received.
                          For any general questions about this LOI, please contact Britni Amrol at E-FormsDevelopment@dra.nh.gov.

TY2024 Letter of I  ntent                                                                                                           Page 1 of 4
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                          New Hampshire  
                          Department of                 TY2024 - LETTER OF INTENT 
                          Revenue Administration        TO PRODUCE SUBSTITUTE OR REPRODUCED FORMS

COMPANY CONTACT INFORMATION
Information here must be completed for each contact handling NHDRA tax forms within the company.  If a Company has multiple 
products that are developed independently of one another, please complete a separate “Letter of Intent” for each product.  If multiple 
products within a Company are developed jointly (ex. same product with different logos), only one “Letter of Intent” is necessary. 

                    COMPANY NAME                                                                    NACTP VENDOR ID

                    MAILING ADDRESS                          CITY               STATE               ZIP CODE

                    PRODUCT NAME(S)                          WEBSITE ADDRESS

                    PRIMARY CONTACT NAME                          E-MAIL ADDRESS

                    TELEPHONE NUMBER         FAX NUMBER           TECHNICAL SUPPORT TELEPHONE NUMBER

                    SECONDARY CONTACT NUMBER                      E-MAIL ADDRESS

                    TELEPHONE NUMBER         FAX NUMBER           TECHNICAL SUPPORT TELEPHONE NUMBER

              ADDITIONAL CONTACTS (OPTIONAL)

                    ADDITIONAL CONTACT NAME                       E-MAIL ADDRESS

                    TELEPHONE NUMBER         FAX NUMBER           TECHNICAL SUPPORT TELEPHONE NUMBER

                    ADDITIONAL CONTACT NAME                       E-MAIL ADDRESS

                    TELEPHONE NUMBER         FAX NUMBER           TECHNICAL SUPPORT TELEPHONE NUMBER

TY2024 Letter of I  ntent                                                                                                          Page  2of 4
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                          New Hampshire  
                           Department of                   TY2024 - LETTER OF INTENT 
                          Revenue Administration     TO PRODUCE SUBSTITUTE OR REPRODUCED FORMS

COMPANY INFORMATION

Your company:
   Develops substitute forms and/or software and sells to secondary companies.

   Develops substitute tax forms, using your own software program in order to submit your form(s) to the NHDRA. 

   Purchases tax form software from another company in order to print the variable data on forms. 

   Offers over-the-counter/off-the-shelf software.

                          Substitute forms must be submitted for approval testing by April 1 of the tax year.

                          PLEASE CHECK THE BOX NEXT TO THE FORM(S) YOUR COMPANY WILL BE REPRODUCING FOR
                          THE 2024 TAX YEAR:

                                                  DP 10
                           ADDL INFO                 -              DP-132-WE           NH-1120
                           AFFL SCHD             DP-14              DP-160              NH-1120-ES
                           BET                    DP-59-A           DP-2210/2220        NH-1120-WE
                           BET CREDIT WRKSHT      DP-80             NH-1040             NH-PYT
                           BET-80                 DP-120            NH-1040-ES          SCHEDULE II
                           BET-80-WE              DP-120-P          NH-1041             SCHEDULE III

                           BT-EXT                 DP-121            NH-1041-ES          SCHEDULE IV
                                                                    NH 1065
                           BT-SUMMARY            DP-131-A           -
                           DP-9                   DP-132            NH-1065-ES

                          ADDITIONAL 2D FORMS: 

                           CD-3             DP-135-ES      DP-153         CD-57-P
                                                           DP 156
                           DP-31            DP-139         -              CD-57-S
                           DP-110-ES        DP-143         DP-255-ES      CD-57-HC-P
                           DP-111-ES        DP-144         DP-2848        CD-57-HC-S
                           DP-135           DP-151         PA-34

TY2024 Letter of I  ntent                                                                                       Page  3of 4
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                          New Hampshire  
                          Department of          TY2024 - LETTER OF INTENT 
                          Revenue Administration TO PRODUCE SUBSTITUTE OR REPRODUCED FORMS

AUTHORIZED ACCESS TO THE STATE EXCHANGE SYSTEM 

Access to the State Exchange System should be limited to those with a business need. You are allowed up to 10 users. 
Note: Include all authorized individuals, even if listed previously on this form. 

FIRST AND LAST NAME                              TELEPHONE NUMBER                 E-MAIL ADDRESS

FIRST AND LAST NAME                              TELEPHONE NUMBER                 E-MAIL ADDRESS

FIRST AND LAST NAME                              TELEPHONE NUMBER                 E-MAIL ADDRESS

FIRST AND LAST NAME                              TELEPHONE NUMBER                 E-MAIL ADDRESS

FIRST AND LAST NAME                              TELEPHONE NUMBER                 E-MAIL ADDRESS

FIRST AND LAST NAME                              TELEPHONE NUMBER                 E-MAIL ADDRESS

FIRST AND LAST NAME                              TELEPHONE NUMBER                 E-MAIL ADDRESS

FIRST AND LAST NAME                              TELEPHONE NUMBER                 E-MAIL ADDRESS

FIRST AND LAST NAME                              TELEPHONE NUMBER                 E-MAIL ADDRESS

FIRST AND LAST NAME                              TELEPHONE NUMBER                 E-MAIL ADDRESS

TY2024 Letter of I  ntent                                                                                            Page  4of 4
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