New Hampshire                            202                   *BT80WE2411862*
                            Department of
                     Revenue Administration                       BET-80-WE                      BT80WE2411862

                                               BUSINESS ENTERPRISE TAX APPORTIONMENT FOR  
                                           INDIVIDUAL NEXUS MEMBERS OF A COMBINED GROUP
 Business Enterprise Name

 Taxpayer Identification #                                                              MMDDYYYY                     MMDDYYYY
                                                         For the CALENDAR year                            and ending:
                                                      or other taxable period beginning:

SECTION I - APPORTIONMENT FACTORS  TFF (FOFSBM *OTUSVDUJPOT 

                                                                                        306/% 50 5)& /&"3&45 8)0-& %0--"3 
                                                                  $0-6./ "                       $0-6./ #                 $0-6./ $
                                                             Name                       Name              Name

                                                             FEIN                       FEIN              FEIN

C0.1&/4"5*0/   8"(&4 '"$503 
1    New Hampshire Compensation and Wages Paid  
       or Accrued
2    Everywhere Compensation and Wages Paid or Accrued
3    COMPENSATION FACTOR (Line 1 divided by Line 2).      
 Enter on Line 21  & xpress to six decimal places      
I/5&3&45 '"$503 
4    Average of New Hampshire Property

5    Average of Everywhere Property
6    INTEREST FACTOR (Line 4 divided by Line 5).           
 Enter on Line 26  & xpress to TJY decimal places 
D*7*%&/% '"$503 
7     New Hampshire Sales

8     Everywhere Sales
9     Sales Factor (Line 7 divided by Line 8) &xpress to six 
 decimal places.
10  Subtotal (Sum of Lines 3, 6 and 9)
11  DIVIDEND FACTOR (Line 10 divided by number  
 of "Everywhere" factors in subtotal) Enter on 
 Line 15    & xpre TTto six decimal places.

      BET-80-WE 202                                                                                                          Page 1 of 2
      Version 1      /202 

                      New Hampshire                                     202                  *BT80WE2421862*
                          Department of
                      Revenue Administration                     BET-80-WE                       BT80WE2421862

                                      BUSINESS ENTERPRISE TAX APPORTIONMENT - continued
Business Enterprise Name

Taxpayer Identification #                                                         MMDDYYYY                           MMDDYYYY
                                                      For the CALENDAR year 202                           and ending:
                                                or other taxable period beginning:

SECTION II - BUSINESS ENTERPRISE TAX BASE APPORTIONMEN5  TFF (FOFSBM *OTUSVDUJPOT 
                                                                                  306/% 50 5)& /&"3&45 8)0-& %0--"3 
                                                                 $0-6./ "                        $0-6./ #            $0-6./ $
D*7*%&/% "11035*0/.&/5                                FEIN

12    Dividends Paid

13    LESS:   Dividend Deduction

14    Subtotal (Line 12 minus Line 13)

15    Dividend Apportionment Factor (From Line 11)
16    Taxable Dividends (Line 14 multiplied by Line 15). If 
 negative use a minus sign.
17    TOTAL TAXABLE DIVIDENDS (From Line 16). If 
 negative enter zero.
17(a)   Sum of Columns 17A, 17B, and 17C. Enter this amount on Form BET, Line 1: TOTAL 17(a) 

C0.1&/4"5*0/   8"(&4 "11035*0/.&/5 
18    Everywhere Compensation and Wages Paid  
          or Accrued
19    LESS:   Retained Compensation

20    Subtotal (Line 18 minus Line 19)
21    Compensation Apportionment Factor  
         (From Line 3)
22    Taxable Compensation (Line 20 multiplied by Line 21)

23    LESS:   Dividend Offset (See Instructions)
24    TOTAL TAXABLE COMPENSATION  
         (Line 22 minus Line 23) 
24(a)   Enter Sum of Columns 24A, 24B and 24C. Enter this amount on Form BET, Line 2: TOTAL 24(a)

I/5&3&45 "11035*0/.&/5 
25    Interest Paid or Accrued

26    Interest Apportionment Factor (From Line 6)

27    Taxable Interest (Line 25 multiplied by Line 26)

28    LESS:   Dividend Offset (See Instructions)

29    TOTAL TAXABLE INTEREST (Line 27 minus Line 28)

29(a)   Sum of Columns 29A, 29B and 29C. Enter this amount on Form BET, Line 3: TOTAL 29(a)

 BET-80-WE 202                                                                                                               Page 2 of 2
 Version 1        /202