New Hampshire                           202  
                        Department of  
                   Revenue Administration                DP-255-ES

                                            ESTIMATED UTILITY PROPERTY TAX

                             5"91":&3h4 803,4)&&5   ,&&1 '03 :063 3&$03%4

1  202  Utility Property Tax (see Notice of Value and Tax Bill, Line 3)      1

2  202  Overpayment applied to 202  taxes                                    2

3  Balance of Estimated Utility Property Tax (Line 1 minus Line 2)           3

                                  COMPUTATION AND RECORD OF PAYMENTS

                                                          202  Overpayment 
                         Amount of each Installment                                             Calendar Year 
   Date Paid                                                    Applied to   Balance Due
                            (1/4 of Line 1 of worksheet)                                            Due Dates
                                                                Installment

                                                                                                April 15, 202 

                                                                                                June 15, 202 

                                                                                                SeptFNCFS 15, 202 

                                                                                                DecFNCFS 15, 202 

                        IMPORTANT                                            .",& :063 1":.&/54 ONLINE AT 
THE PENALTY PROVISIONS OF RSA 21-J:32 WILL APPLY                             GRANITE TAX CONNECT 
IF THE ESTIMATE REQUIREMENTS HAVE NOT BEEN MET                               HUD SFWFOVF OI HPW 5"1 @ 

   DP-255-ES  202  
   7FSTJPO       0 /202 

                     New Hampshire           202                                ESTIMATED UTILITY 
                     Department of  
                                                              PROPERTY TAX -
                Revenue Administration       DP-255-ES                           1":.&/5 '03.  

                                            %6& "13*- 15, 202 
Name of Taxpayer                                                                Taxpayer Identification Number

Number & Street Address

Address (continued)

City / Town                                          State             Zip Code + 4 (or Canadian Postal Code)
                                                      
                                             Enclose, but do not staple or tape Amount of Payment
*0255ES2511862*                              your payment to this estimate.   
                                             Do not file a $0 estimate.
                     0255ES2511862                                              Make Check Payable to:  STATE OF NEW HAMPSHIRE

                                                                                .",& :063 1":.&/54 0/-*/& "5 (3"/*5& 
                                                                                5"9 $0//&$5 HUD SFWFOVF OI HPW 5"1 @ 
                                                                                0S NBJM UP           
                                                                                NH DRA  
DP-255-ES 202                                                                   PO BOX 637 
7FSTJPO     0 /                                                                 CONCORD NH 03302-0637

                     Cut along this line to submit Estimated Utility Property Tax.  Keep the Estimated Tax Worksheet for your records

                     New Hampshire  
                                             202                                ESTIMATED UTILITY 
                       Department of                          PROPERTY TAX - 1":.&/5 '03.  
                     Revenue Administration DP-255-ES

                                            D6& +6/& 15, 202 
Name of Taxpayer                                                                Taxpayer Identification Number

Number & Street Address

Address (continued)

City / Town                                          State             Zip Code + 4 (or Canadian Postal Code)
                                                      
                                             Enclose, but do not staple or tape Amount of Payment
*0255ES2511862*                              your payment to this estimate.   
                                             Do not file a $0 estimate.
                     0255ES2511862                                              Make Check Payable to:  STATE OF NEW HAMPSHIRE

                                                                                .",& :063 1":.&/54 0/-*/& "5 (3"/*5& 
                                                                                5"9 $0//&$5 HUD SFWFOVF OI HPW 5"1 @ 
                                                                                0S NBJM UP           
                                                                                NH DRA  
DP-255-ES  202                                                                  PO BOX 637 
7FSTJPO       0 /202                                                            CONCORD NH 03302-0637

                    New Hampshire            202                                ESTIMATED UTILITY 
                     Department of  
                Revenue Administration       DP-255-ES           PROPERTY TAX - 1":.&/5 '03.  

                                            D6& 4&15&.#&3 15, 202 
Name of Taxpayer                                                                Taxpayer Identification Number

Number & Street Address

Address (continued)

City / Town                                             State          Zip Code + 4 (or Canadian Postal Code)
                                                         
                                             Enclose, but do not staple or tape Amount of Payment
                                             your payment to this estimate.   
*0255ES2511862*                              Do not file a $0 estimate.
                    0255ES2511862                                               Make Check Payable to:  STATE OF NEW HAMPSHIRE

                                                                                .",& :063 1":.&/54 0/-*/& "5 (3"/*5& 
                                                                                5"9 $0//&$5 HUD SFWFOVF OI HPW 5"1 @ 
                                                                                0S NBJM UP           
                                                                                NH DRA  
DP-255-ES 202                                                                   PO BOX 637 
7FSTJPO       0 /202                                                            CONCORD NH 03302-0637

                     Cut along this line to submit Estimated Utility Property Tax.  Keep the Estimated Tax Worksheet for your records

                     New Hampshire  
                                             202                                ESTIMATED UTILITY 
                       Department of                            PROPERTY TAX - 1":.&/5 '03.  
                     Revenue Administration  DP-255-ES

                                            D6& %&$&.#&3 15, 202 
Name of Taxpayer                                                                Taxpayer Identification Number

Number & Street Address

Address (continued)

City / Town                                             State          Zip Code + 4 (or Canadian Postal Code)
                                                         
                                             Enclose, but do not staple or tape Amount of Payment
*0255ES2511862*                              your payment to this estimate.   
                                             Do not file a $0 estimate.
                     0255ES2511862                                              Make Check Payable to:  STATE OF NEW HAMPSHIRE

                                                                                .",& :063 1":.&/54 0/-*/& "5 (3"/*5& 
                                                                                5"9 $0//&$5 HUD SFWFOVF OI HPW 5"1 @ 
                                                                                0S NBJM UP           
                                                                                NH DRA  
                                                                                PO BOX 637 
DP-255-ES  202                                                                  CONCORD NH 03302-0637
7FSTJPO        /202