Enlarge image | DO NOT STAPLE New Hampshire Department of DP-151 *0DP1512411862* Revenue Administration 0DP1512411862 WHOLESALERS' OTHER TOBACCO PRODUCTS TAX RETURN STEP 1 - PRINT OR TYPE Type of Return (check if applicable) MMYYYY Amended Return Final Return Tax Period Tobacco Tax from returned product taken as a credit in this return STEP 2 - PRINT OR TYPE Wholesaler License Number Number & Street Address (Mailing Address) Taxpayer Identification Number Address (continued) City / Town State Zip Code + 4 (or Canadian Postal Code) STEP 3 - Calculate Your Balance Due or Overpayment Round to the nearest whole dollar 1. Smokeless Tobacco sold or distributed in New Hampshire 1 2. Loose Tobacco other than RYO sold or distributed in New Hampshire 2 3. Smokeless and Loose Tobacco (Line 1 plus Line 2) 3 4. Total Smokeless and Loose Tobacco Tax (Line 3 multiplied by applicable tax rate) 4 5.QSPQPSUJPOBM UBY SBUF Little cigars as defined in RSA 78:1, V (not stamped) (number sold multiplied by applicable 5 6. Total weight in ounces of RYO sold or distributed in New Hampshire 6 7. Total RYO Tax (see instructions) 7 8. Total wholesale sales price of all cigars not meeting the definition of a DJHBSFUUF PS MJUUMF 8 cigar (RSA 78:1, I & V) 9. Total wholesale sales price of all premium cigars (RSA 78:1, IX) sold or EJTUSJCVUF JO /FX )BNQTIJSF 9 10. Total wholesale sales price of all taxable cigars (Line 8 minus Line 9) 10 11. Calculate cigar tax (Line 10 multiplied by applicable tax rate) 11 12. Total volume in milliliters for closed system e-cigarettes FMFDUSPOJD DJHBSFUUFT BT EFGJOFE 12 in RSA 78:1, III-a) 13. Total closed system e-cigarette Tax (see instructions) 13 14. Total wholesale sales price of all open system e-cigarettes TFF JOTUSVDUJPOT 14 15. Total open system e-cigarette Tax (see instructions) 15 16. Total tax liability (Add lines 4, 5, 7, 11, 13, & 15) 16 DP-151 Page 1 of 7FSTJPO |
Enlarge image | New Hampshire *0DP1512421862* Department of DP-151 0DP1512421862 Revenue Administration WHOLESALERS' OTHER TOBACCO PRODUCTS TAX RETURN continued Credits: 17(a) Advance payments 17(a) 17(b) Credit carried over from prior period 17(b) 17(c) Paid with original return (Amended return only) 17(c) 18. Enter the sum of Lines 17(a) through 17(c) 18 19. Enter the balance of Line 16 minus Line 18 19 Additions to tax: 20(a) 20(a) Interest 20(b) Failure to Pay 20(b) 20(c) Failure to File 20(c) 21. Enter the sum of Lines 20(a) through 20(c) 21 22. Balance due with this return (Line 19 plus Line 21) Make check payable to: State of New Hampshire PAY THIS AMOUNT 22 23. Overpayment (If balance due is less than zero, enter on Line 23) 23 Apply Overpayment to: 24(a) 24(a) Credit applied to next tax period 24(b) Refund DO NOT PAY 24(b) 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 taxpayer 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. 4JHOBUVSF PG 8IPMFTBMFS JO JOL ..%%:::: 1IPOF /VNCFS Print Signatory Name & Title Signature of Paid Preparer Other Than Taxpayer JO JOL MMDDYYYY Preparer's Address, City, State, Zip Code Print Preparer's Name Preparer's Tax ID Number File online at Granite Tax Connect HUD SFWFOVF OI HPW 5"1 @ or mail to NH DRA, PO Box 637, Concord, NH 03302-0637 DP-151 Page 2 of 7FSTJPO Enclose, but do not staple or tape your payment with the return |