New Hampshire
                                                                                202  
                               Department of                                               *0010412411862*
                          Revenue Administration                            NH-1041                                            0010412411862

                                                            BUSINESS PROFITS TAX RETURN
 Business Organization Name 

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

 1       GROSS BUSINESS PROFITS                                                                                                           306/% 50 5)& /&"3&45 8)0-& %0--"3
         1(a)   Interest income reported on Federal Form 1041, Line 1                                                          1(a)

         1(b)   Total Dividends reported on Federal Form 1041, Line 2(a)                                                       1(b)

         1(c)   Business income or (loss) reported on Federal Form 1041, Line 3                                                1(c)

         1(d)   Net Capital gain only reported on Federal Form 1041, Line 4                                                    1(d)

         1(e)   Rents, and royalties reported on Federal Form 1041, Line 5                                                     1(e)

         1(f)    Farm Income or (loss) reported on Federal Form 1041, Line 6                                                   1(f)

         1(g)   Ordinary gain or (loss) reported on Federal Form 1041, Line 7                                                  1(g)

         1(h)   Other income reported on Federal Form 1041, Line 8                                                             1(h)

         1(i)    Other business expenses not reported above (attach schedule)                                                  1(i)
         1(j)    Business profits from business activity of an association or trust (Combine Lines 1(a) through 1(h)  
         and from the result subtract Line 1(i))                                                                      1(j)

    INCREASE or DECREASE TO GROSS BUSINESS PROFITS TO RECONCILE WITH IRC 

         2(a)   Add amount of IRC §179 expense taken on federal return in excess of the amount permitted pursuant 
         to RSA 77-A:3-b, IV, including carryover amounts deducted in this taxable period                                            2(a) 
         2(b)   Add the amount of bonus depreciation taken on the federal return for assets placed in service this period 
         pursuant to RSA 77-A:3-b, I                                                                                           2(b) 
         2(c)   Add any other deductions or exclusions taken on the federal return that need to be eliminated or  
         adjusted pursuant to RSA 77-A:1, XX and 77-A:3-b, III.  Complete and attach Schedule IV                                   2(c)
         2(d)   Deduct regular depreciation related to IRC §179 and bonus depreciation not allowed for this taxable 
         period or for prior taxable periods                                                                                   2(d)
         2(e)   Deduct any other items included on the federal return that need to be eliminated or adjusted pursuant to 
         RSA 77-A:1, XX or RSA 77-A:4, XIX.  Complete and attach Schedule IV                                                   2(e)
         2(f)   Increase or Decrease the net gain or loss on the sale of assets used in the business that have a different  
         state basis from the tax basis reported on the federal return                                                         2(f)
         2(g)   Net Lines 2(a) through 2(f)                                                                                    2(g)

        Subtotal Line 1(j) adjusted by Line 2(g)                                                                               3

        Separate entity items of income or expense (attach schedule)                                                          4

        Gross Business Profits (combine Line 3 and Line 4)                                                                    5

         NH-1041 202                                                                                                                               Page 1 of 3
         Version 1      0 /202 

                                New Hampshire
                                                                                       202              *0010412421862*
                                     Department of
                             Revenue Administration                         NH-1041                                        0010412421862

                                                                BUSINESS PROFITS TAX RETURN 

Business Organization Name 

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

NH-1041  continued                         
6   ADDITIONS AND DEDUCTIONS (RSA 77-A:4)                                                                                                        306/% 50 5)& /&"3&45 8)0-& %0--"3

          6(a)   Deduct interest and dividends subject to tax under RSA 77 (RSA 77-A:4, I)  (no longer applies to trusts)                    6(a)

          6(b)   Deduct interest on direct US Obligations (RSA 77-A:4, II)                                                         6(b)
          6(c)   Add income taxes or franchise taxes measured by income (attach schedule of taxes by state)   
                   (RSA 77-A:4, VII)                                                                                         6(c)
          6(d)   Deduct wage adjustment required by IRC §280C (RSA 77-A:4, IX)                                               6(d)

          6(e)   Add expenses related to federal constitutionally exempt income (RSA 77-A:4, X)                                      6(e)

          6(f)    Deduct research contribution (attach computation) (RSA 77-A:4, XII)                                        6(f)
          6(g)    Adjustments to gross business profits required due to the increase in the basis of assets resulting from the sale or
                   exchange of an interest in the business organization (RSA 77-A:4, XIV)
                      Add the amount of the increase in the basis of assets federally, due to  
                      the sale or exchange of an interest in the business organization                                     6(g) - A

                    Check yes if an election is being made to recognize the basis increase for any sale or exchange reported above        Yes     Multiple Transactions Yes
                                                                                                                                                  (schedule attached)
                   If not making an election, deduct the basis increase associated with the sale or exchange(s). If making 
                   an election, enter zero.  If reporting multiple transactions, please attach a schedule reporting the 
                   details for each transaction.                                                                           6(g) - B
                   Add the amount of depreciation/amortization on the federal return attributable to 
                   an increase in the basis of assets not recognized for NH purposes                                       6(g) - C
                   6QPO UIF TBMF PG BTTFUT  BEKVTU UIF OFU HBJO PS MPTT UP SFNPWF BOZ CBTJT JODSFBTF SFDPHOJ[FE GPS
                   GFEFSBM JODPNF UBY QVSQPTFT UIBU XBT OPU SFDPHOJ[FE GPS /) QVSQPTFT                                     6(g) - D

                       Net Lines 6(g) - A through 6(g) - D                                                                           6(g) 

          6(h)     Add Qualified Investment Company (QIC) holders' proportional share of QIC profits (RSA 77-A:4, XV)               6(h)

          6(i)     Deduct assistance payments under 12 USC § 1823 (RSA 77-A:4, XVI)                                        6(i)

      6(j)   'PS UBY ZFBST DPNNFODJOH PO PS BGUFS +BOVBSZ         
                   %FEVDU DVSSFOU ZFBS CVTJOFTT JOUFSFTU FYQFOTF EJTBMMPXFE VOEFS *3$ f    K   34"    "    99              6( )K    "

                   "EE UIF BNPVOU PG EJTBMMPXFE CVTJOFTT JOUFSFTU FYQFOTF DBSSZGPSXBSE EFEVDUFE GFEFSBMMZ VOEFS            6(K ) - #
                   *3$ f    K   BOE BMSFBEZ EFEVDUFE GPS /) QVSQPTFT JO QSJPS ZFBST VOEFS -JOF   K    " 
                   %FEVDU     PG UIF UPUBM EJTBMMPXFE CVTJOFTT JOUFSFTU FYQFOTF DBSSZGPSXBSE VOEFS *3$ f    K  
                   BT PG UIF UBY ZFBS FOEJOH CFGPSF +BOVBSZ          34"    "    99                                        6(K ) - $

                   /FU -JOFT   K    " UISPVHI   K    $                                                                         6(K 

          6(L )    Net Lines 6(a) through 6( )K                                                                        6(L)

            NH-1041 202                                                                                                                                  Page 2 of 3
            Version 1     0 /202 

                             New Hampshire
                                                                            202                       *0010412431862*
                              Department of
                         Revenue Administration                        NH-1041                                               0010412431862

                                                             BUSINESS PROFITS TAX RETURN 
Business Organization Name 

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

NH-1041  continued                  

        Adjusted Gross Business Profits (Sum of Lines 5 and 6(L ))                                                 7
        New Hampshire Apportionment (If other than 100%, complete Form DP-80 BPT Apportionment Schedule. 
         Enter percentage from Form DP-80, Line 1(c))                                                                              8  
                                                                            Exempt      under    P.L. 86-272                 

      New Hampshire Business Profits before NOL (Line 7 multiplied by  Line 8. If negative, enter zero.)                      9

        Deduct New Hampshire Net Operating Loss Deduction (NOLD) (attach Form DP-132) (RSA-77-A:4, XIII) 

         NOLD available                                                                                                      10 - A

          Less NOLD used this tax period                                                                                     10

          NOLD to be carried forward                                                                                         10 - B

       New Hampshire Taxable Business Profits (Line 9 minus Line 10. If negative, enter zero.)                                11

       Compute tax (Line 11 multiplied by 7. %)                                                                               12

       (a) BET Credit only  attach BET Credit Worksheet                                                     13(a)
               -OR-
                                                                                                                                   13(b)
         (b) Other credits including BET  (attach Form DP-160) 
      New Hampshire Business Profits Tax Net of Statutory Credits (Line 12 minus Line 13(a) or 13(b),   
   BT BQQMJDBCMF  Fannot be less than zero) Report on BT-Summary, Line 1(b)                                       14

         This return must be accompanied by complete and legible copies of the appropriate federal forms and schedules. 

         NH-1041 202                                                                                                                                  Page 3 of 3
         Version 1     0 /202