DO NOT STAPLE

                   New Hampshire  
                        Department of                        DP-135                *0DP1352411862*
             Revenue Administration                                                             0DP1352411862

                                  COMMUNICATIONS SERVICES TAX RETURN
                                               MMDDYYYY                                         MMDDYYYY
                        Tax Period Begin Date                                Tax Period End Date

STEP 1 - PRINT OR TYPE
Company Name                                                                                    Registration Number

Number & Street Address                                                                         Taxpayer Identification Number

Address (continued)

City / Town                                                                  State            Zip Code + 4 (or Canadian Postal Code)
                                                                              
STEP 2 - Type of Return (check if applicable)
  Initial Return (1st filing)   Amended Return                 Final Return

STEP 3 - Calculate Your Balance Due or Overpayment                                            Round to the nearest whole dollar
1. Total amount of gross charges billed during the month                                    1 

2. Deductions: 
(a) Gross charges billed to federal government                     2(a)  
(b) Gross charges billed to state and local government             2(b)

(c) Gross charges billed to reseller with certificate                2(c)

(d) Other (Attach explanation)                                    2(d)

           Total Deductions (Sum of Lines 2(a) through 2(d))                                2

3. Gross charges upon which tax is imposed (Line 1 minus Line 2)                            3

4. Amount of tax (Line 3 multiplied by applicable rate)                                     4

5. Gross charges from coin operated telephones                                              5

6. Tax on cash receipts multiplied by applicable rate                                       6

7. NH Communications Services Tax (Sum of Lines 4 and 6)                            7
8. Payments:

(a) Payments from estimated taxes                               8(a)

(b) Credits carried over from prior return                           8(b)
(c) Tax payments made to another reseller 
            (Line 8(c) amount cannot exceed the amount on Line 7)        8(c)
(d) Paid with original return (Amended returns only)                 8(d)

         Total Payments and Credits (Sum of Lines 8(a) through 8(d))               8

DP-135                         ."*- 50   NH DRA,  PO BOX 637, CONCORD, NH 03302-0637 
7FSTJPO                        Enclose, but do not staple or tape your payment with the return                                      Page 1 of  

                    New Hampshire  
                       Department of               DP-135                         *0DP1352421862*
       Revenue Administration                                                                                      0DP1352421862

                             COMMUNICATIONS SERVICES TAX RETURN - continued

9. Balance of Tax Due (Line 7 minus Line 8)                                       9
10.  Additions to tax: 
    (a) Interest                                   10(a)
    (b) Failure to Pay                             10(b)

    (c) Failure to File                               10(c)

    (d) Underpayment of Estimated Tax              10(d)

         Total  (Sum of Lines 10(a) through 10(d))                                10
11. Balance Due: (Sum of Lines 9 and 10) 
                      Make check payable to: State of New Hampshire               11
12. Overpayment: (Line 8 minus Lines 7 and 10) 
                      If applicable, to be applied to next month's return         12 

STEP 4 - Signatures
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 
communications services provider, this declaration is based on all information of which the preparer has knowledge.
    POA:  By checking this box and signing below, you authorize us to discuss this return with the preparer listed below.

Signature of Authorized Proprietor, Partner, Corporate Officer, or Representative MMDDYYYY

Print Signatory Name & Title                                                      Phone Number

Signature of Paid Preparer Other Than Taxpayer     MMDDYYYY                               Preparer's Address, City, State, Zip Code

Print Preparer's Name                              Preparer's Tax ID Number

DP-135                       ."*- 50   NH DRA, PO BOX 637, CONCORD, NH 03302-0637 
                                                                                                                                   Page 2 of  
7FSTJPO                      Enclose, but do not staple or tape your payment with the return