New Hampshire
                                                            202  
                               Department of                                                       *DP131A2411862*
                                                            DP-131-A
                    Revenue Administration                                                                           DP131A2411862

                               WORKSHEET FOR APPORTIONMENT OF NET OPERATING LOSS (NOL)
                                                            (SEE RSA 77-A:4, XIII)

 Business Organization Name 

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

 1  The amount of the current period NOL (See entity type line references below)                         1

                            July 1, 2005 - Tax Year 2010    Tax Year 2011                          Tax Year 2012 - Present 
   Proprietorship:          Line 6 of NH-1040               Line 3 adjusted by Line 4 of NH-1040   Line 5 of NH-1040 
   Fiduciary:               Line 6 of NH-1041               Line 3 adjusted by Line 4 of NH-1041   Line 5 of NH-1041 
   Partnership:             Line 5 of NH-1065               Line 3 adjusted by Line 4 of NH-1065   Line 5 of NH-1065 
   Corporation:             Line 1(c) of NH-1120            Line 3 adjusted by Line 4 of NH-1120   Line 5 of NH-1120 
   Combined:                Line 1(c) of NH-1120-WE         Line 1(c) of NH-1120-WE                Line 11(c) of NH-1120-WE

2  Current period apportionment percentage from Form DP-80, expressed to six decimal places             2

3  Apportionment limitations (Line 1 multiplied by Line 2)                                              3

4  Statutory limitations (T ee instructions)                                                            4

5  New Hampshire NOL available for carryforward (the lesser amount of Line 3 or Line 4)                 5

   DP-131-A 202                                                                                                                         1BHF   PG  
   Version 1     0 /202