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New Hampshire
Department of ED-06
Revenue Administration
COMPLAINT FORM INSTRUCTIONS
WHO MUST FILE? LINE-BY-LINE INSTRUCTIONS CONTINUED
Anyone who alleges a violation
of RSA 77-G and Rev 3200 should file an Education STEP 2
Tax Credit Complaint Form (Form ED-06).
LINE 7
WHEN TO FILE? Enter the name of the party against whom the
Form ED-06 should be sent as soon as a violation of complaint is alleged.
RSA 77-G has occurred or is known to have occurred.
LINE 8
WHERE TO FILE? Enter the street address of the party against
Form ED-06 may be mailed to: whom the complaint is alleged.
NH DRA LINE 9
Education Tax Credit Enter the city, state, and zip code of the party
PO Box 637 against whom the complaint is alleged.
Concord, NH 03302-0637
LINE 10
Or may be hand-delivered to the Department of Enter the telephone number of the party
Revenue Administration during business hours against whom the complaint is alleged.
(Monday through Friday, 8:00 a.m. to 4:30 p.m.) at:
STEP 3
Governor Hugh J. Gallen Office Park South
109 Pleasant Street LINE 11
Medical and Surgical Building Provide a summary statement about the
Concord, NH 03301 alleged violation including citation of applicable
section of RSA 77-G and/or Rev 3200.
NEED HELP?
Call the Department at (603) 230-5920, Monday LINE 12
through Friday, 8:00am to 4:30pm. For more Provide all the details about the alleged
information visit us on the web at: www.revenue.nh.gov. violation and why you believe the action or inaction
Hearing or speech impaired individuals may call TDD violated RSA 77-G and/or Rev 3200.
Access: Relay NH 1-800-735-2964.
LINE 13
LINE-BY-LINE INSTRUCTIONS If you know of anyone who also witnessed
the alleged violation, provide their names and phone
STEP 1 numbers .
LINE 1 STEP 4
Enter the complainant's name.
The complaint must be dated and signed in ink by the
LINE 2 complainant per RSA 77-G:6. In addition, print the
Enter the complainant's street address. name and title of the complainant signing the
application.
LINE 3
Enter the complainant's city, state and zip code.
LINE 4
Enter the complainant's home telephone number.
LINE 5
Enter the complainant's work telephone number.
LINE 6
Enter the complainant's email address.
ED-06
Version 1.4 05/2022
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