DO NOT STAPLE

                        New Hampshire                           202  
                        Department of                                                        *0BTSUM2411862*
                       Revenue Administration                BT-SUMMARY                                            0BTSUM2411862

                                                      BUSINESS TAX RETURN SUMMARY
STEP 1  -  PRINT OR TYPE                                        MMDDYYYY                                           MMDDYYYY
For the CALENDAR year 202  or other taxable period beginning:                                and ending:

    Check box if there has been a name change since last filing.  List former name.

Proprietor's Last Name
                                                                                                                                   If issued a DIN,  
                                                                                                                               use the DIN in the 
First Name                                                   MI            Social Security Number                              appropriate taxpayer 
                                                                                                                               identification box. 
                                                                                                                     DO NOT enter SSN or FEIN if 
                                                                                                                                   you have a DIN
Corporate, Partnership, Estate, Trust, Non-Profit or LLC Name

Taxpayer Identification Number           Principal Business Activity Code (Federal)

Number & Street Address

Address (continued)                                                                                                                Unit Type      Unit #
                                                                                                                                     
City / Town                                                                State             Zip Code + 4 (or Canadian Postal Code)
                                                                            
STEP 2  -  Return Type and Federal Information                  Are you required to file a BET Return (Gross Business Receipts 
                                                                                                                                             Yes            No
                                                                over $2  ,000, or Enterprise Value Tax Base over $2  ,000)? 
If  you checked "yes" to one or both of the first two           Are you required to file a BPT Return (Gross Business Income over $   ,000)? Yes            No
questions, you must file the completed corresponding 
return(s) with this BT-Summary.                                 Do you file a Form 990/990T?                                                 Yes            No
                                                                Do you file a Federal Form 8023, Federal Form 8883 and/or have checked box 
                                                                10b on Schedule B of Federal Form 1065?                                      Yes            No

                                                                Is the business organization filing its return on an IRS approved 52/53 week 
                                                                                                                                             Yes            No
                                                                tax year?

            CORPORATION                     PARTNERSHIP                    PROPRIETORSHIP                            AMENDED RETURN                  LLC
OR
            COMBINED GROUP                  NON-PROFIT                     FIDUCIARY                                 FINAL RETURN                    %"0

    5IJT TVCNJTTJPO JT UIF SFTVMU PG BO *34 "EKVTUNFOU GPS UIJT GPSN ZFBS  " DPNQMFUF GFEFSBM 3FWFOVF "HFOU 3FQPSU  3"3  XJUI BMM BQQMJDBCMF 4DIFEVMFT NVTU 
    CF JODMVEFE XJUI B DPNQMFUF BNFOEFE /) UBY SFUVSO  'PS UBYBCMF QFSJPET FOEJOH PO PS CFGPSF %FDFNCFS           ZPV NVTU VTF 'PSN %1       FOUJUZ 
    TQFDJGJD  UP SFQPSU *34 BEKVTUNFOUT  

    BT-SVNNBSZ 202                                                                                                                           Page 1 of 3
    Version      0 /202 

                           New Hampshire                                   202  
                            Department of                                                           *0BTSUM2421862*
                       Revenue Administration                          BT-SUMMARY                                    0BTSUM2421862

                                              BUSINESS TAX RETURN SUMMARY  D ontinued                                

STEP 3  -  Complete the BET and / or BPT return(s) and then complete the BT-Summary and attach return(s)

STEP 4  -  Calculate Your Balance Due or Overpayment                                                                 306/% 50 5)& /&"3&45 8)0-& %0--"3

 1   (a)  Business Enterprise Tax Net of Statutory Credits         1(a)

   (b) Business Profits Tax Net of Statutory Credits               1(b)

   (c) Subtotal of Business Tax Due (Line 1(b) plus Line 1(a))                                              1(c)

 2   PAYMENTS      

   (a) Tax paid with application for extension                         2(a)

   (b) Total of taxable period's estimated tax payments                2(b)

   (c) Credit carryover from prior tax period                          2(c)

   (d) Tax paid with original return (Amended returns only)            2(d)

   (e) Total of Lines 2(a) through 2(d)                                                                   2(e)

3   TAX DUE: (Line 1(c) minus Line 2(e))                                                                       3

4   ADDITIONS TO TAX

   (a) Interest (See instructions)                                     4(a)

   (b) Failure to Pay (See instructions)                               4(b)

   (c) Failure to File (See instructions)                              4(c)

   (d) Underpayment of Estimated Tax (See instructions)                4(d)

   (e) Total of Lines 4(a) through 4(d)                                                                   4(e)

5  (a) Subtotal of Amount Due (Line 3 plus Line 4(e))                                                     5(a)

 (b) Return Payment Made Electronically                                5(b)
   (c) BALANCE DUE:  Line 5(a) minus 5(b).  Make your payment online at HUD SFWFOVF OI HPW 5"1 @  
   or make check payable to:   STATE OF NEW HAMPSHIRE                            PAY THIS AMOUNT           5(c)

6  OVERPAYMENT:  If balance due is less than zero, enter on Line 6              6

 (a) Any amount of overpayment in excess of 500% of Line 1(c) shall be
      refunded (Line 1(c) X 500%).                                         6(a)
7  Apply overpayment amount on Line 6 to:                                                               DO NOT PAY
   (a) Credit - Next Year's Tax Liability (amount entered shall not exceed Line 6(a))(Not available for Federal RAR) 7(a) 

   (b) Refund (Only option available for Federal RAR)                                                   DO NOT PAY  7(b)

       BT-SVNNBSZ 202  
       Version 1     0 /202                                                                                                       Page 2 of 3

                      New Hampshire                     202  
                               Department of                                                     *0BTSUM2431862*
                      Revenue Administration BT-SUMMARY                                                   0BTSUM2431862

                               BUSINESS TAX RETURN SUMMARY  D ontinued                                    
   STEP 5
   Under penalties of perjury, I declare that I have examined this BT-Summary and the attached returns, and to the best of my belief they are 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. If a combined group, I also certify 
   that all affiliated companies are included in the appropriate group described in this return. 
        POA:  By checking this box and signing below, you authorize us to discuss this return with the preparer listed below.

   TAXPAYER'S SIGNATURE & INFORMATION
   Signature (in ink)                                                                            MMDDYYYY

   Print Signatory Name & Title

   Email Address

   Phone Number
                               Check this box if you are filing as a surviving spouse

   PAID PREPARER'S SIGNATURE & INFORMATION
   Signature of Preparer                                                                         MMDDYYYY

   Printed Name of Preparer

   Email Address

   Phone Number                Preparer Identification Number

   Preparer's Address

   Address (continued)

   City / Town                                                        State                      Zip Code + 4 (or Canadian Postal Code)
                                                                       
   Mail to:                    Make Check Payable to:   
                                                                                                 FILE ONLINE AT GRANITE TAX CONNECT 
   NH DRA                      STATE OF NEW HAMPSHIRE 
   PO Box 637                  Enclose but DO NOT staple or tape your                            HUD SFWFOVF OI HPW 5"1 @ 
   Concord NH 03302-0637                     attachments

   THIS RETURN MUST BE ACCOMPANIED BY COMPLETE AND LEGIBLE COPIES OF THE APPROPRIATE FEDERAL FORMS AND SCHEDULES͘

        BT-SVNNBSZ 202  
        Version 1  0 /                                                                                                                 Page 3 of 3