PDF document
- 1 -

Enlarge image
                         New Hampshire                                       202  
                             Department of                                                             *0010652411862*
                         Revenue Administration                           NH-1065                                             0010652411862

                                                             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)   Enter the amount of ordinary business income (loss) reported on Federal Form 1065, Schedule K, Line 1           1(a)

         1(b)   Enter the amount of net rental real estate income (loss) reported on Federal Form 1065, Schedule K, Line 2     1(b)

         1(c)   Enter the amount of other net rental income (loss) reported on Federal Form 1065, Schedule K, Line 3(c)          1(c)

         1(d)   Enter the amount of guaranteed payments reported on Federal Form 1065, Schedule K, Line 4(c)                  1(d)

         1(e)   Enter the amount of interest income reported on Federal Form 1065, Schedule K, Line 5                         1(e)

         1(f)    Enter the amount of dividend income reported on Federal Form 1065, Schedule K, Line 6(a)                     1(f)

         1(g)   Enter the amount of royalty income reported on Federal Form 1065, Schedule K, Line 7                          1(g)
         1(h)   Enter the net short term capital gains, but not below zero, reported on Federal Form 1065, Schedule K, 
               Line 8                                                                                                         1(h)

                     If net short term loss, enter loss here

         1(i)    Enter the net long term capital gains, but not below zero, reported on Federal Form 1065, Schedule K,  
               Line 9(a) (Net short term capital loss netted against net long term gains)                                     1(i)
         1(j)    Enter the amount of net §1231 gain (loss) reported on Federal Form 1065, Schedule K, Line 10                 1(j)

         1(k)   Enter the amount of other income (loss) reported on Federal Form 1065, Schedule K, Line 11                    1(k)
         1(l)    Enter the amount of any other item of income (loss) not reported on Federal Form 1065, Schedule K,                 1(l) 
               that should be included in gross business profits, including global intangible low-taxed income
         1(m) Enter the amount of Section 179 deduction reported on Federal Form 1065, Schedule K, Line 12                    1(m)
         1(n) Enter the amount of contributions reported on Federal Form 1065, Schedule K, Line 13(a) BOE    C  
         CVU POMZ UP UIF extent that the contributions are made for the benefit of the partnership to enhance 
         the goodwill of the partnership, and not for the benefit of a partner                                                1(n)

         1(o)  Enter the amount of investment interest expense reported on Federal Form 1065, Schedule K, Line 13(D)          1(o)

         1(p)  Enter the amount of IRC §59(e)(2) expenditures reported on Federal Form 1065, Schedule K, Line 13(E)(2)        1(p)

         1(q)  Enter the amount of other deductions reported on Federal Form 1065, Schedule K, Line 13( )F                    1(q)

         1(r)  Enter the amount of foreign taxes paid or accrued as reported on Federal Form 1065, Schedule K, Line 21         1(r)

         1(s)   Combine Lines 1(a) through 1(l) and from the result subtract Lines 1(m) through 1(r)                          1(s)

         /)          
         7FSTJPO                                                                                                                                      Page 1 of  



- 2 -

Enlarge image
                          New Hampshire                                    202  
                                Department of                                                          *0010652421862*
                                                                           NH-1065
                          Revenue Administration                                                                           0010652421862

                                                  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-1065  continued               

         2   INCREASE or DECREASE TO GROSS BUSINESS PROFITS TO RECONCILE WITH IRC                                              306/% 50 5)& /&"3&45 8)0-& %0--"3
          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(s) 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

    "%%*5*0/4 "/% %&%6$5*0/4  34"    "   
            B   %FEVDU JOUFSFTU BOE EJWJEFOET TVCKFDU UP UBY VOEFS 34"     34"    "    *                                                  6(a)

            C   %FEVDU JOUFSFTU PO EJSFDU 64 0CMJHBUJPOT  34"    "    **                                                             6(b)

            D   %FEVDU DPNQFOTBUJPO EFEVDUJPO GPS QFSTPOBM TFSWJDFT  34"    "    ***                                       6(c)

          6(d)  Add income taxes or franchise taxes measured by income (attach schedule of taxes by State) (RSA 77-A:4, VII)              6(d)

          6(e)  Deduct wage adjustment required by IRC §280C (RSA 77-A:4, IX)                                                            6(e)

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

          6(g)  Deduct research contribution (attach computation) (RSA 77-A:4, XII)                                        6(g)

             /)           
             7FSTJPO                                                                                                                                  Page 2 of  



- 3 -

Enlarge image
                New Hampshire                                          202  
                           Department of                                                             *0010652431862*
                Revenue Administration                            NH-1065
                                                                                                                                    0010652431862

                                                        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-1065  continued               

          6(h)  Adjustments to gross business profits required due to the increase in the basis of assets resulting 
          GSPN UIF TBMF PS exchange of an interest in the business organization (RSA 77-A:4, XIV)                                                306/% 50 5)& /&"3&45 8)0-& %0--"3
          Add the amount of the increase in the basis of assets federally, due to  the sale or exchange of                   6(h) - A
          interest in the business organization
          Check yes if an election is being made to recognize the basis increase for any sale or exchange                    Yes                Multiple Transactions Yes
          reported above                                                                                                                         (schedule attached)

          *G OPU NBLJOH BO FMFDUJPO  EFEVDU UIF CBTJT JODSFBTF BTTPDJBUFE XJUI UIF TBMF PS FYDIBOHF T   *G NBLJOH 
          BO FMFDUJPO  FOUFS [FSP  *G SFQPSUJOH NVMUJQMF USBOTBDUJPOT  QMFBTF BUUBDI B TDIFEVMF SFQPSUJOH UIF                6(h) - #
          EFUBJMT GPS FBDI USBOTBDUJPO  

              Add the amount of depreciation/amortization on the federal return attributable                                 6(h) - C
              to an increase in the basis of assets not recognized for NH purposes

          6QPO UIF TBMF PG BTTFUT  BEKVTU UIF OFU HBJO PS MPTT UP SFNPWF BOZ CBTJT JODSFBTF SFDPHOJ[FE GPS                   6(h) - D
          GFEFSBM JODPNF UBY QVSQPTFT UIBU XBT OPU SFDPHOJ[FE GPS /) QVSQPTFT 

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

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

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

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

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

  L  /FU -JOFT   B  UISPVHI   K                                                                                                  6(L)

       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))                                        Exempt  under         P.L. 86-272                  8

       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) 
                                                                                                                             10 - A
   NOLD available

    Less NOLD used this tax period                                                                                               10

  NH-1065 202 
  Version        0 /202                                                                                                                                             Page 3 of  



- 4 -

Enlarge image
                   New Hampshire                                      202  
                       Department of                                                           *0010652441862*
                   Revenue Administration                        NH-1065
                                                                                                                  0010652441862

                                                         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-1065  continued          
                                                                                                                         306/% 50 5)& /&"3&45 8)0-& %0--"3
-JOF     DPOUJOVFE 
     /0-% UP CF DBSSJFE GPSXBSE                                                                                         #

       /FX )BNQTIJSF 5BYBCMF #VTJOFTT 1SPGJUT  -JOF   NJOVT -JOF     *G OFHBUJWF  FOUFS [FSP                        

       $PNQVUF UBY  -JOF    NVMUJQMJFE CZ                                                                           

       B  #&5 $SFEJU POMZ  BUUBDI #&5 $SFEJU 8PSLTIFFU                                                      B 
    03 
    C  0UIFS DSFEJUT JODMVEJOH #&5   BUUBDI 'PSN %1                                                                         C 

       /FX )BNQTIJSF #VTJOFTT 1SPGJUT 5BY /FU PG 4UBUVUPSZ $SFEJUT  -JOF    NJOVT -JOF    B  PS    C   BT         
          BQQMJDBCMF   DBOOPU CF MFTT UIBO [FSP  3FQPSU PO #5 4VNNBSZ  -JOF   C    

   5IJT SFUVSO NVTU CF BDDPNQBOJFE CZ DPNQMFUF BOE MFHJCMF DPQJFT PG UIF BQQSPQSJBUF GFEFSBM GPSNT BOE TDIFEVMFT  

   /)          
   7FSTJPO                                                                                                                            Page   of  






PDF file checksum: 2678042855

(Plugin #1/10.13/13.0)