New Hampshire                              202  
                              Department of
                                                         NH-1041-ES
                   Revenue Administration

                                             ESTIMATED FIDUCIARY BUSINESS TAX
1     ESTIMATED TAX BASE AND/OR TAXABLE BUSINESS PROFITS                              BET (a)                  BPT (b)
  (a) BET Taxable Base After Apportionment

  (b) New Hampshire Taxable Business Profits After Apportionment
2    TAX 
  (a) Line 1(a) x .0055

  (b) Line 1(b) x .075
3    CREDITS 
  (a) RSA 162-L:10 (CDFA Investment Tax Credit)

  (b) RSA 162-N (Economic Revitalization Zone Tax Credit)

  (c) RSA 162-P (Research & Development Tax Credit)

  (d) RSA 162-Q (Coos County Job Creation Tax Credit)

  (e) RSA 77-G (Education Tax Credit)

  (f) RSA 400-A (Insurance Tax Credit)

  (g) RSA 77-A:5, X (BET Credit)

  (h) RSA 188-E:9-a (CTE Centers Tax Credit) 
  (i) RSA 21-I:103 (Granite State Paid Family and Medical Leave Plan
  Tax Credit)
  (j) Total Credits (Sum of Lines 3(a) through 3(i))

4    ESTIMATED TAX FOR THE CURRENT YEAR (Line 2 minus Line 3(j))

5    OVERPAYMENT FROM PREVIOUS TAXABLE PERIOD

6    BALANCE OF BUSINESS TAXES DUE (Line 4 minus Line 5)

                                             COMPUTATION AND RECORD OF PAYMENTS
         Date Paid                                  Amount of Each Installment                Total Due           Calendar  
                                      BET           (1/4 of Line 6 above)         BPT         (BET and/or BPT)    Year Dates
1                                                                                                                 April 15, 202 
2                                                                                                                 June 15, 202 
3                                                                                                                 Sept. 15, 202 
4                                                                                                                 Dec. 15, 202 

                              IMPORTANT                                                MAKE YOUR PAYMENTS 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 @ 

         NH-1041-ES  202  
         Version 1     0 /202 

                         New Hampshire                         202        ESTIMATED FIDUCIARY  
                         Department of               NH-1041-ES      BUSINESS TAX   1":.&/5 '03.  
                        Revenue Administration
For the CALENDAR year 202    or other taxable period beginning:
MMDDYYYY                                   MMDDYYYY                 Taxpayer Identification Number
                                and ending:
                                                                     If issued a DIN, use DIN in ID box. 
Name of Estate or Trust                                                   DO NOT use FEIN

Number & Street Address

Address (continued)

City / Town                                                         State Zip Code + 4 (or Canadian Postal Code)
                                                                     
                                                               Enclose, but do not staple or tape  
                                                                    your payment to this estimate.            1/4 BET     1    
    *1041ES2511862*                                                 Do not file a $0 estimate.
                         1041ES2511862
                                                                                                              1/4 BPT     2
                                                                                                          Amount of 
                                                                                                              Payment   3

                                                                                              .",& $)&$, 1":"#-& 50  4UBUF PG /FX )BNQTIJSF
    NH-1041-ES  202                                                                           MAIL TO:        NH DRA, PO Box 1265, Concord, NH 03302-1265
    Version 1     0 /202 
                         .",& :063 1":.&/54 0/-*/& "5 (3"/*5& 5"9 $0//&$5 HUD SFWFOVF OI HPW 5"1 @  
                         Cut along this line to submit Estimated Fiduciary Business Tax.  Keep the Estimated Tax Worksheet for your records 

                         New Hampshire                         202        ESTIMATED FIDUCIARY 
                         Department of               NH-1041-ES           BUSINESS TAX   1":.&/5 '03.  
                        Revenue Administration
For the CALENDAR year 202    or other taxable period beginning:
MMDDYYYY                                   MMDDYYYY                  Taxpayer Identification Number
                                and ending:
                                                                    If issued a DIN, use DIN in ID box. 
                                                                          DO NOT use FEIN
Name of Estate or Trust

Number & Street Address

Address (continued)

City / Town                                                         State Zip Code + 4 (or Canadian Postal Code)
                                                                     
                                                               Enclose, but do not staple or tape  
                                                                    your payment to this estimate.            1/4 BET     1    
    *1041ES2511862*                                                 Do not file a $0 estimate.
                         1041ES2511862
                                                                                                              1/4 BPT     2
                                                                                                          Amount of 
                                                                                                              Payment  3
                                                                                                     .",& $)&$, 1":"#-& 50  4UBUF PG /FX )BNQTIJSF
    NH-1041-ES  202                                                                                  MAIL TO: NH DRA, PO Box 1265, Concord, NH 03302-1265
    Version 1     0 /202 
                             .",& :063 1":.&/54 0/-*/& "5 (3"/*5& 5"9 $0//&$5 HUD SFWFOVF OI HPW 5"1 @  

                         New Hampshire                         202                            ESTIMATED FIDUCIARY  
                         Department of               NH-1041-ES           BUSINESS TAX   1":.&/5 '03.  
                        Revenue Administration
For the CALENDAR year 202    or other taxable period beginning:
MMDDYYYY                                   MMDDYYYY                  Taxpayer Identification Number
                                and ending:
                                                                    If issued a DIN, use DIN in ID box. 
                                                                          DO NOT use FEIN
Name of Estate or Trust

Number & Street Address

Address (continued)

City / Town                                                         State Zip Code + 4 (or Canadian Postal Code)
                                                                     
                                                               Enclose, but do not staple or tape             1/4 BET     1    
    *1041ES2511862*                                                 your payment to this estimate.   
                                                                    Do not file a $0 estimate.
                         1041ES2511862                                                                        1/4 BPT     2

                                                                                                          Amount of 
                                                                                                              Payment  3
                                                                                              .",& $)&$, 1":"#-& 50  4UBUF PG /FX )BNQTIJSF
    NH-1041-ES  202                                                                           MAIL TO:        NH DRA, PO Box 1265, Concord, NH 03302-1265
    Version 1     0 /202 
                         .",& :063 1":.&/54 0/-*/& "5 (3"/*5& 5"9 $0//&$5 HUD SFWFOVF OI HPW 5"1 @  
                         Cut along this line to submit Estimated Fiduciary Business Tax.  Keep the Estimated Tax Worksheet for your records 

                         New Hampshire                         202                            ESTIMATED FIDUCIARY  
                         Department of               NH-1041-ES           BUSINESS TAX   1":.&/5 '03.  
                        Revenue Administration
For the CALENDAR year 202    or other taxable period beginning:
MMDDYYYY                                   MMDDYYYY                 Taxpayer Identification Number
                                and ending:
                                                                    If issued a DIN, use DIN in ID box. 
                                                                          DO NOT use FEIN
Name of Estate or Trust

Number & Street Address

Address (continued)

City / Town                                                         State Zip Code + 4 (or Canadian Postal Code)
                                                                     
                                                               Enclose, but do not staple or tape             1/4 BET     1    
    *1041ES2511862*                                                 your payment to this estimate.   
                                                                    Do not file a $0 estimate.
                         1041ES2511862                                                                        1/4 BPT     2

                                                                                                          Amount of 
                                                                                                              Payment  3
                                                                                                     .",& $)&$, 1":"#-& 50  4UBUF PG /FX )BNQTIJSF
    NH-1041-ES  202                                                                                  MAIL TO: NH DRA, PO Box 1265, Concord, NH 03302-1265
    Version 1     0 /202 
                             .",& :063 1":.&/54 0/-*/& "5 (3"/*5& 5"9 $0//&$5 HUD SFWFOVF OI HPW 5"1 @