New Hampshire                               ESTIMATED COMMUNICATIONS 
                      Department of                   DP-135-ES   SERVICES TAX   1":.&/5 '03.
             Revenue Administration

                                                          MMDDYYYY
                                    Tax Period End Date

Company Name                                                                                   Registration Number

Number & Street Address                                                                        Taxpayer Identification Number

Address (continued)

City / Town                                               State                            Zip Code + 4 (or Canadian Postal Code)
                                                           
*0135ES2411862*                                                   Total Estimated Tax GPS UIF Month . . . .  1
                      0135ES2411862                               Amount of Credit . . . . . . . . . . . . . . . . . . . .  2

                                                                  Amount of this Payment . . . . . . . . . . . . . . 3

                        &ODMPTF  CVU EP OPU TUBQMF PS UBQF ZPVS QBZNFOU UP UIJT FTUJNBUF   Do not file a $0 estimate.

.",& $)&$, 1":"#-& 50  45"5& 0' /&8 )".14)*3&              MAIL TO: NH DRA, PO BOX 637 CONCORD, NH 03302-0637 

                        $ut along this line to submit UIF Estimated Communications Services Tax 1BZNFOU 'PSN   

                                     IMPORTANT:

            THE PENALTY PROVISIONS OF RSA 21-J:32 WILL APPLY IF THE MONTHLY 
                      ESTIMATED TAX PAYMENT REQUIREMENTS HAVE NOT BEEN MET

DP-135-ES                                                                                                                        1BHF   PG    
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