ADDL INFO

	2D SPECS: ADDL INFO PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)
	LINE	FIELD NAME	FIELD IDENTIFICATION	FIELD NUMBER	MAX LENGTH	ACCEPTABLE VALUES	TYPE	FORMAT	CAN BE NEGATIVE?	CAN BE NEGATIVE?	2D BARCODE PLACEMENT
	ADDL INFO FORM									BOTTOM CENTER - PAGE 2
			HEADER FIELD	H1	2	T1 (STATIC VALUE)	ALPHA / NUMERIC	T1	N
			DEVELOPER CODE	H2	4	SAME AS VENDOR CODE (ISSUED BY NACTP)	NUMERIC	9999	N	VERSION 1 REVISED 06/2024
			STATE	H3	2	NH (STATIC VALUE)	ALPHA	NH	N
			FORM ID & YEAR	H4	8	A-Z, 0-9	ALPHA / NUMERIC	ADDINFyy	N
		PRIMNM	BUSINESS ORGANIZATION NAME	1	46	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(46)	N
		BUSIDNO	TAXPAYER IDENTIFICATION #	2	9	0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES	ALPHA / NUMERIC	999999999 SM9999999 NL9999999	N
		PERBEGDT	TAXABLE PERIOD (BEGINNING)	3	8	0-9	NUMERIC	mmddyyyy	N
		PERENDDT	TAXABLE PERIOD (ENDING)	4	8	0-9	NUMERIC	mmddyyyy	N
		*EOD*	END OF FILE	5	5	*EOD* (STATIC VALUE)	ALPHA / NUMERIC	*EOD*	N

AFFL SCHD

	2D SPECS: AFFILIATION SCHEDULE PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)
	LINE	FIELD NAME	FIELD IDENTIFICATION	FIELD NUMBER	MAX LENGTH	ACCEPTABLE VALUES	TYPE	FORMAT	CAN BE NEGATIVE?	2D BARCODE PLACEMENT
	AFFILIATION SCHEDULE FORM									BOTTOM CENTER - PAGE 1
			HEADER FIELD	H1	2	T1 (STATIC VALUE)	ALPHA / NUMERIC	T1	N
			DEVELOPER CODE	H2	4	SAME AS VENDOR CODE (ISSUED BY NACTP)	NUMERIC	9999	N	VERSION 1 REVISED 06/2024
			STATE	H3	2	NH (STATIC VALUE)	ALPHA	NH	N
			FORM ID & YEAR	H4	8	A-Z, 0-9	ALPHA / NUMERIC	AFFSCHyy	N
	PART A	PRIMNM	PRINCIPAL NEW HAMPSHIRE BUSINESS ORGANIZATION	1	46	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(46)	N
		BUSIDNO	TAXPAYER IDENTIFICATION #	2	9	0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES	ALPHA / NUMERIC	999999999 SM9999999 NL9999999	N
		PERBEGDT	TAXABLE PERIOD (BEGINNING)	3	8	0-9	NUMERIC	mmddccyy	N
		PERENDDT	TAXABLE PERIOD (ENDING)	4	8	0-9	NUMERIC	mmddccyy	N
		*EOD*	END OF FILE	5	5	*EOD* (STATIC VALUE)	ALPHA / NUMERIC	*EOD*	N

AU-22

	2D SPECS: AU-22 PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)
	LINE	FIELD NAME	FIELD IDENTIFICATION	FIELD NUMBER	MAX LENGTH	ACCEPTABLE VALUES	TYPE	FORMAT	CAN BE NEGATIVE?	2D BARCODE PLACEMENT
	AU-22 FORM									PAGE 2 - BOTTOM CENTER
			HEADER FIELD	H1	2	T1 (STATIC VALUE)	ALPHA / NUMERIC	T1	N
			DEVELOPER CODE	H2	4	SAME AS VENDOR CODE (ISSUED BY NACTP)	NUMERIC	9999	N	VERSION 1 REVISED 01/2024
			STATE	H3	2	NH (STATIC VALUE)	ALPHA	NH	N
			FORM ID & YEAR	H4	8	A-Z, 0-9	ALPHA / NUMERIC	00AU22yy	N
	STEP 1	PRIMNM	BUSINESS NAME	1	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		TXPYRIDD	TAXPAYER IDENTIFICATION NUMBER	2	9	0-9	NUMERIC	999999999	N
		STRADDR1	MAILING ADDRESS	3	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		DINID	DEPARTMENT IDENTIFICATION NUMBER (DIN)	4	9	0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES	ALPHA / NUMERIC	999999999 SM9999999 NL9999999	N
		STRADDR2	MAILING ADDRESS (CONTINUED)	5	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		SOSID	NH SECRETARY OF STATE IDENTIFICATION NUMBER	6	6	0-9	NUMERIC	999999	N
		CITY	CITY / TOWN	7	20	A-Z PLUS SPACE	ALPHA	X(20)	N
		STATE	STATE	8	2	A-Z	ALPHA	XX	N
		ZIPPSTLCD	ZIP CODE + 4	9	10	A-Z, 0-9, PLUS (-)	ALPHA / NUMERIC	99999-9999 A1A 1A1	N
		REGNO	COMMUNICATIONS SERVICE TAX REGISTRATION NUMBER	10	6	0-9	NUMERIC	999999	N
		EMAIL	EMAIL	11	40	A-Z, 0-9, PLUE SPACE, DASH, PERIOD, #, /, @, !, $, %, _, +, -, ^, {|}, ~, *	ALPHA / NUMERIC	X(40)	N	ADDITIONAL FIELD ADDED IN 2024.
		LICNO	MEALS & RENTALS TAX LICENSE NUMBER	12	6	0-9	NUMERIC	999999	N
	3	LLCCBY	LLC (CHECKBOX, YES)	13	1	X	CHECKBOX	X	N	ADDITIONAL CHECKBOXES ADDED IN 2024.
	3	LLCCBN	LLC (CHECKBOX, NO)	14	1	X	CHECKBOX	X	N
	4	PROPCB	ENTITY TYPE - PROPRIETORSHIP (CHECKBOX)	15	1	X	CHECKBOX	X	N
	4	CORPCB	ENTITY TYPE - CORPORATION (CHECKBOX)	16	1	X	CHECKBOX	X	N
	4	PARTCB	ENTITY TYPE - PARTNERSHIP (CHECKBOX)	17	1	X	CHECKBOX	X	N
	4	FIDCB	ENTITY TYPE - FIDUCIARY (CHECKBOX)	18	1	X	CHECKBOX	X	N
	STEP 2	GDSTND	REQUEST TYPE - STATEMENT OF GOOD STANDING (CHECKBOX)	19	1	X	CHECKBOX	X	N
		DISSOL	REQUEST TYPE - CERTIFICATE OF DISSOLUTION (CHECKBOX)	20	1	X	CHECKBOX	X	N
		WITHD	REQUEST TYPE - STATEMENT FOR WITHDRAWAL (CHECKBOX)	21	1	X	CHECKBOX	X	N
	STEP 3 1	SOSDATE	DATE REGISTERED WITH NH SECRETARY OF STATE	22	8	0-9	NUMERIC	99999999	N
	2A	LASTBUSDATE	LAST DAY OF BUSINESS ACTIVITY IN NH	23	8	0-9	NUMERIC	99999999	N
	4	NHTXFILINDIV	INTEREST & DIVIDENDS TAX (CHECKBOX)	24	1	X	CHECKBOX	X	N
	4	INDIVDATE	INTEREST & DIVIDENDS TAX (YEAR)	25	4	0-9	NUMERIC	9999	N
	4	NHTXFILRETT	REAL ESTATE TRANSFER TAX (CHECKBOX)	26	1	X	CHECKBOX	X	N
	4	RETTDATE	REAL ESTATE TRANSFER TAX (YEAR)	27	4	0-9	NUMERIC	9999	N
	4	NHTXFILCST	COMMUNICATIONS SERVICES TAX (CHECKBOX)	28	1	X	CHECKBOX	X	N
	4	CSTDATE	COMMUNICATIONS SERVICES TAX (YEAR)	29	4	0-9	NUMERIC	9999	N
	4	NHTXFILBUS	BUSINESS TAXES (CHECKBOX)	30	1	X	CHECKBOX	X	N
	4	BUSDATE	BUSINESS TAXES (YEAR)	31	4	0-9	NUMERIC	9999	N
	4	NHTXFILM&R	MEALS & RENTALS TAX (CHECKBOX)	32	1	X	CHECKBOX	X	N
	4	M&RDATE	MEALS & RENTALS TAX (YEAR)	33	4	0-9	NUMERIC	9999	N
	4	NHTXFILOTHR	OTHER (CHECKBOX)	34	1	X	CHECKBOX	X	N
	4	OTHERTYPE	OTHER TYPE	35	10	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(10)	N
	4	OTHERDATE	OTHER (YEAR)	36	4	0-9	NUMERIC	9999	N
	5	COMBGRNM	TAXPAYER NAME - COMBINED GROUP	37	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
	5	COMBGRID	TAXPAYER IDENTIFICATION NUMBER - COMBINED GROUP	38	9	0-9	NUMERIC	999999999	N
	6	SMLLCNM	TAXPAYER NAME - SMLLC	39	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
	6	SMLLCID	TAXPAYER IDENTIFICATION NUMBER - SMLLC	40	9	0-9	NUMERIC	999999999	N
	STEP 4 1	DISOLVLIQY	DISSOLVING (CHECKBOX, YES)	41	1	X	CHECKBOX	X	N
	1	DISOLVLIQN	DISSOLVING (CHECKBOX, NO)	42	1	X	CHECKBOX	X	N
	STEP 5	SIGNEDFLG	SIGNATURE	43	1	X	CHECKBOX	X	N
		SIGNNAME	PRINT SIGNATORY NAME	44	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		*EOD*	END OF FILE	45	5	*EOD* (STATIC VALUE)	ALPHA / NUMERIC	*EOD*	N

AU-201

	2D SPECS: AU-201 PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)
	LINE	FIELD NAME	IDENTIFICATION	FIELD NUMBER	MAX LENGTH	ACCEPTABLE VALUES	TYPE	FORMAT	CAN BE NEGATIVE?	2D BARCODE PLACEMENT
	AU-201 FORM									BOTTOM CENTER - PAGE 1
			HEADER FIELD	H1	2	T1 (STATIC VALUE)	ALPHA / NUMERIC	T1	N
			DEVELOPER CODE	H2	4	SAME AS VENDOR CODE (ISSUED BY NACTP)	NUMERIC	9999	N
			STATE	H3	2	NH (STATIC VALUE)	ALPHA	NH	N
			FORM ID & YEAR	H4	8	A-Z, 0-9	ALPHA / NUMERIC	0AU201yy	N
	STEP 1	PERIOD	FOR THE ACCOUNTING QUARTER ENDING	1	6	0-9	NUMERIC	mmddyyyy	N
		AMENDCB	AMENDED (CHECKBOX)	2	1	X	CHECKBOX	X	N
		PRIMNM	WHOLESALER	3	46	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(46)	N
		LICNO	LICENSE NUMBER	4	6	0-9	NUMERIC	9(6)	N
	STEP 2 1A	S21A	STAMPED CIGARETTES DAMAGED (NH STAMPS) (TABLE 1 - LINE 1A)	5	16	0-9	NUMERIC	9(16)	N
	1B	S21B	STAMPED CIGARETTES DAMAGED (NH STAMPS) (TABLE 1 - LINE 1B)	6	16	0-9	NUMERIC	9(16)	N
	1C	S21C	STAMPED CIGARETTES DAMAGED (NH STAMPS) (TABLE 1 - LINE 1C)	7	16	0-9	NUMERIC	9(16)	N
	1D	S21D	STAMPED CIGARETTES DAMAGED (NH STAMPS) (TABLE 1 - LINE 1D)	8	16	0-9	NUMERIC	9(16)	N
	2A	S22A	STAMPED CIGARETTES RETURNED FOR CREDIT (NH STAMPS) (TABLE 1 - LINE 2A)	9	16	0-9	NUMERIC	9(16)	N
	2B	S22B	STAMPED CIGARETTES RETURNED FOR CREDIT (NH STAMPS) (TABLE 1 - LINE 2B)	10	16	0-9	NUMERIC	9(16)	N
	2C	S22C	STAMPED CIGARETTES RETURNED FOR CREDIT (NH STAMPS) (TABLE 1 - LINE 2C)	11	16	0-9	NUMERIC	9(16)	N
	2D	S22D	STAMPED CIGARETTES RETURNED FOR CREDIT (NH STAMPS) (TABLE 1 - LINE 2D)	12	16	0-9	NUMERIC	9(16)	N
	3A	S23A	STAMPED CIGARETTES SALEABLE (NH STAMPS) (TABLE 1 - LINE 3A)	13	16	0-9	NUMERIC	9(16)	N
	3B	S23B	STAMPED CIGARETTES SALEABLE (NH STAMPS) (TABLE 1 - LINE 3B)	14	16	0-9	NUMERIC	9(16)	N
	3C	S23C	STAMPED CIGARETTES SALEABLE (NH STAMPS) (TABLE 1 - LINE 3C)	15	16	0-9	NUMERIC	9(16)	N
	3D	S23D	STAMPED CIGARETTES SALEABLE (NH STAMPS) (TABLE 1 - LINE 3D)	16	16	0-9	NUMERIC	9(16)	N
	4A	S24A	STAMPED CIGARETTES SOLD INTO NH (TABLE 1 - LINE 4A)	17	16	0-9	NUMERIC	9(16)	N
	4B	S24B	STAMPED CIGARETTES SOLD INTO NH (TABLE 1 - LINE 4B)	18	16	0-9	NUMERIC	9(16)	N
	4C	S24C	STAMPED CIGARETTES SOLD INTO NH (TABLE 1 - LINE 4C)	19	16	0-9	NUMERIC	9(16)	N
	4D	S24D	STAMPED CIGARETTES SOLD INTO NH (TABLE 1 - LINE 4D)	20	16	0-9	NUMERIC	9(16)	N
	5A	S25A	NON-TAXABLE CIGARETTES SOLD INTO NH (TABLE 1 - LINE 5A)	21	16	0-9	NUMERIC	9(16)	N
	5B	S25B	NON-TAXABLE CIGARETTES SOLD INTO NH (TABLE 1 - LINE 5B)	22	16	0-9	NUMERIC	9(16)	N
	5C	S25C	NON-TAXABLE CIGARETTES SOLD INTO NH (TABLE 1 - LINE 5C)	23	16	0-9	NUMERIC	9(16)	N
	5D	S25D	NON-TAXABLE CIGARETTES SOLD INTO NH (TABLE 1 - LINE 5D)	24	16	0-9	NUMERIC	9(16)	N
	STEP 3	MANUFACTURER1	MANUFACTURER 1	25	46	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(46)	N
	1A	BF1A1	STAMPED CIGARETTES DAMAGED (NH STAMPS) (TABLE 2 - LINE 1A)	26	16	0-9	NUMERIC	9(16)	N
	1B	BF1B1	STAMPED CIGARETTES DAMAGED (NH STAMPS) (TABLE 2 - LINE 1B)	27	16	0-9	NUMERIC	9(16)	N
	1C	BF1C1	STAMPED CIGARETTES DAMAGED (NH STAMPS) (TABLE 2 - LINE 1C)	28	16	0-9	NUMERIC	9(16)	N
	1D	BF1D1	STAMPED CIGARETTES DAMAGED (NH STAMPS) (TABLE 2 - LINE 1D)	29	16	0-9	NUMERIC	9(16)	N
	2A	BF1A2	STAMPED CIGARETTES RETURNED FOR CREDIT (NH STAMPS) (TABLE 2 - LINE 2A)	30	16	0-9	NUMERIC	9(16)	N
	2B	BF1B2	STAMPED CIGARETTES RETURNED FOR CREDIT (NH STAMPS) (TABLE 2 - LINE 2B)	31	16	0-9	NUMERIC	9(16)	N
	2C	BF1C2	STAMPED CIGARETTES RETURNED FOR CREDIT (NH STAMPS) (TABLE 2 - LINE 2C)	32	16	0-9	NUMERIC	9(16)	N
	2D	BF1D2	STAMPED CIGARETTES RETURNED FOR CREDIT (NH STAMPS) (TABLE 2 - LINE 2D)	33	16	0-9	NUMERIC	9(16)	N
	3A	BF1A3	STAMPED CIGARETTES SALEABLE (NH STAMPS) (TABLE 2 - LINE 3A)	34	16	0-9	NUMERIC	9(16)	N
	3B	BF1B3	STAMPED CIGARETTES SALEABLE (NH STAMPS) (TABLE 2 - LINE 3B)	35	16	0-9	NUMERIC	9(16)	N
	3C	BF1C3	STAMPED CIGARETTES SALEABLE (NH STAMPS) (TABLE 2 - LINE 3C)	36	16	0-9	NUMERIC	9(16)	N
	3D	BF1D3	STAMPED CIGARETTES SALEABLE (NH STAMPS) (TABLE 2 - LINE 3D)	37	16	0-9	NUMERIC	9(16)	N
	4A	BF1A4	STAMPED CIGARETTES SOLD INTO NH (TABLE 2 - LINE 4A)	38	16	0-9	NUMERIC	9(16)	N
	4B	BF1B4	STAMPED CIGARETTES SOLD INTO NH (TABLE 2 - LINE 4B)	39	16	0-9	NUMERIC	9(16)	N
	4C	BF1C4	STAMPED CIGARETTES SOLD INTO NH (TABLE 2 - LINE 4C)	40	16	0-9	NUMERIC	9(16)	N
	4D	BF1D4	STAMPED CIGARETTES SOLD INTO NH (TABLE 2 - LINE 4D)	41	16	0-9	NUMERIC	9(16)	N
	5A	BF1A5	NON-TAXABLE CIGARETTES SOLD INTO NH (TABLE 2 - LINE 5A)	42	16	0-9	NUMERIC	9(16)	N
	5B	BF1B5	NON-TAXABLE CIGARETTES SOLD INTO NH (TABLE 2 - LINE 5B)	43	16	0-9	NUMERIC	9(16)	N
	5C	BF1C5	NON-TAXABLE CIGARETTES SOLD INTO NH (TABLE 2 - LINE 5C)	44	16	0-9	NUMERIC	9(16)	N
	5D	BF1D5	NON-TAXABLE CIGARETTES SOLD INTO NH (TABLE 2 - LINE 5D)	45	16	0-9	NUMERIC	9(16)	N
		MANUFACTURER2	MANUFACTURER 2	46	46	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(46)	N
	1A	BF2A1	STAMPED CIGARETTES DAMAGED (NH STAMPS) (TABLE 3 - LINE 1A)	47	16	0-9	NUMERIC	9(16)	N
	1B	BF2B1	STAMPED CIGARETTES DAMAGED (NH STAMPS) (TABLE 3 - LINE 1B)	48	16	0-9	NUMERIC	9(16)	N
	1C	BF2C1	STAMPED CIGARETTES DAMAGED (NH STAMPS) (TABLE 3 - LINE 1C)	49	16	0-9	NUMERIC	9(16)	N
	1D	BF2D1	STAMPED CIGARETTES DAMAGED (NH STAMPS) (TABLE 3 - LINE 1D)	50	16	0-9	NUMERIC	9(16)	N
	2A	BF2A2	STAMPED CIGARETTES RETURNED FOR CREDIT (NH STAMPS) (TABLE 3 - LINE 2A)	51	16	0-9	NUMERIC	9(16)	N
	2B	BF2B2	STAMPED CIGARETTES RETURNED FOR CREDIT (NH STAMPS) (TABLE 3 - LINE 2B)	52	16	0-9	NUMERIC	9(16)	N
	2C	BF2C2	STAMPED CIGARETTES RETURNED FOR CREDIT (NH STAMPS) (TABLE 3 - LINE 2C)	53	16	0-9	NUMERIC	9(16)	N
	2D	BF2D2	STAMPED CIGARETTES RETURNED FOR CREDIT (NH STAMPS) (TABLE 3 - LINE 2D)	54	16	0-9	NUMERIC	9(16)	N
	3A	BF2A3	STAMPED CIGARETTES SALEABLE (NH STAMPS) (TABLE 3 - LINE 3A)	55	16	0-9	NUMERIC	9(16)	N
	3B	BF2B3	STAMPED CIGARETTES SALEABLE (NH STAMPS) (TABLE 3 - LINE 3B)	56	16	0-9	NUMERIC	9(16)	N
	3C	BF2C3	STAMPED CIGARETTES SALEABLE (NH STAMPS) (TABLE 3 - LINE 3C)	57	16	0-9	NUMERIC	9(16)	N
	3D	BF2D3	STAMPED CIGARETTES SALEABLE (NH STAMPS) (TABLE 3 - LINE 3D)	58	16	0-9	NUMERIC	9(16)	N
	4A	BF2A4	STAMPED CIGARETTES SOLD INTO NH (TABLE 3 - LINE 4A)	59	16	0-9	NUMERIC	9(16)	N
	4B	BF2B4	STAMPED CIGARETTES SOLD INTO NH (TABLE 3 - LINE 4B)	60	16	0-9	NUMERIC	9(16)	N
	4C	BF2C4	STAMPED CIGARETTES SOLD INTO NH (TABLE 3 - LINE 4C)	61	16	0-9	NUMERIC	9(16)	N
	4D	BF2D4	STAMPED CIGARETTES SOLD INTO NH (TABLE 3 - LINE 4D)	62	16	0-9	NUMERIC	9(16)	N
	5A	BF2A5	NON-TAXABLE CIGARETTES SOLD INTO NH (TABLE 3 - LINE 5A)	63	16	0-9	NUMERIC	9(16)	N
	5B	BF2B5	NON-TAXABLE CIGARETTES SOLD INTO NH (TABLE 3 - LINE 5B)	64	16	0-9	NUMERIC	9(16)	N
	5C	BF2C5	NON-TAXABLE CIGARETTES SOLD INTO NH (TABLE 3 - LINE 5C)	65	16	0-9	NUMERIC	9(16)	N
	5D	BF2D5	NON-TAXABLE CIGARETTES SOLD INTO NH (TABLE 3 - LINE 5D)	66	16	0-9	NUMERIC	9(16)	N
	STEP 4 1A	S4A1	BEGINNING TOBACCO TAX NH STAMP INVENTORY (TABLE 4 - LINE 1A)	67	16	0-9	NUMERIC	9(16)	N
	1B	S4B1	BEGINNING TOBACCO TAX NH STAMP INVENTORY (TABLE 4 - LINE 1B)	68	16	0-9	NUMERIC	9(16)	N
	1C	S4C1	BEGINNING TOBACCO TAX NH STAMP INVENTORY (TABLE 4 - LINE 1C)	69	16	0-9	NUMERIC	9(16)	N
	2A	S4A2	TOBACCO TAX NH STAMP PURCHASES (TABLE 4 - LINE 2A)	70	16	0-9	NUMERIC	9(16)	N
	2B	S4B2	TOBACCO TAX NH STAMP PURCHASES (TABLE 4 - LINE 2B)	71	16	0-9	NUMERIC	9(16)	N
	2C	S4C2	TOBACCO TAX NH STAMP PURCHASES (TABLE 4 - LINE 2C)	72	16	0-9	NUMERIC	9(16)	N
	3A	S4A3	ENDING TOBACCO TAX NH STAMP INVENTORY (TABLE 4 - LINE 3A)	73	16	0-9	NUMERIC	9(16)	N
	3B	S4B3	ENDING TOBACCO TAX NH STAMP INVENTORY (TABLE 4 - LINE 3B)	74	16	0-9	NUMERIC	9(16)	N
	3C	S4C3	ENDING TOBACCO TAX NH STAMP INVENTORY (TABLE 4 - LINE 3C)	75	16	0-9	NUMERIC	9(16)	N
		SIGNFLG	SIGNATURE OF COMPANY OFFICER (IN INK)	76	1	X	ALPHA	X	N
		SIGNNAME	PRINTED NAME OF COMPANY OFFICER & TITLE	77	42	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(42)	N
		*EOD*	TRAILER FIELD	78	5	*EOD* (STATIC VALUE)	ALPHA / NUMERIC	*EOD*	N

AU-202

	2D SPECS: AU-202 PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)
	LINE	FIELD NAME	IDENTIFICATION	FIELD NUMBER	MAX LENGTH	ACCEPTABLE VALUES	TYPE	FORMAT	CAN BE NEGATIVE?	2D BARCODE PLACEMENT
	AU-202 FORM									BOTTOM CENTER - PAGE 3
			HEADER FIELD	H1	2	T1 (STATIC VALUE)	ALPHA / NUMERIC	T1	N
			DEVELOPER CODE	H2	4	SAME AS VENDOR CODE (ISSUED BY NACTP)	NUMERIC	9999	N
			STATE	H3	2	NH (STATIC VALUE)	ALPHA	NH	N
			FORM ID & YEAR	H4	8	A-Z, 0-9	ALPHA / NUMERIC	0AU202yy	N
	STEP 1	PERIOD	FOR THE ACCOUNTING QUARTER ENDING	1	6	0-9	NUMERIC	999999	N
		AMENDCB	AMENDED CHECKBOX	2	1	X	CHECKBOX	X	N
		PRIMNM	WHOLESALER	3	46	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(46)	N
		LICNO	LICENSE NUMBER	4	6	0-9	NUMERIC	9(6)	N
	STEP 2 1A	S21A	UNSTAMPED CIGARETTES PURCHASED (TABLE 1 - LINE 1A)	5	16	0-9	NUMERIC	9(16)	N
	1B	S21B	UNSTAMPED CIGARETTES PURCHASED (TABLE 1 - LINE 1B)	6	16	0-9	NUMERIC	9(16)	N
	1C	S21C	UNSTAMPED CIGARETTES PURCHASED (TABLE 1 - LINE 1C)	7	16	0-9	NUMERIC	9(16)	N
	1D	S21D	UNSTAMPED CIGARETTES PURCHASED (TABLE 1 - LINE 1D)	8	16	0-9	NUMERIC	9(16)	N
	2A	S22A	UNSTAMPED CIGARETTES DAMAGED (TABLE 1 - LINE 2A)	9	16	0-9	NUMERIC	9(16)	N
	2B	S22B	UNSTAMPED CIGARETTES DAMAGED (TABLE 1 - LINE 2B)	10	16	0-9	NUMERIC	9(16)	N
	2C	S22C	UNSTAMPED CIGARETTES DAMAGED (TABLE 1 - LINE 2C)	11	16	0-9	NUMERIC	9(16)	N
	2D	S22D	UNSTAMPED CIGARETTES DAMAGED (TABLE 1 - LINE 2D)	12	16	0-9	NUMERIC	9(16)	N
	3A	S23A	UNSTAMPED CIGARETTES RETURNED FOR CREDIT (TABLE 1 - LINE 3A)	13	16	0-9	NUMERIC	9(16)	N
	3B	S23B	UNSTAMPED CIGARETTES RETURNED FOR CREDIT (TABLE 1 - LINE 3B)	14	16	0-9	NUMERIC	9(16)	N
	3C	S23C	UNSTAMPED CIGARETTES RETURNED FOR CREDIT (TABLE 1 - LINE 3C)	15	16	0-9	NUMERIC	9(16)	N
	3D	S23D	UNSTAMPED CIGARETTES RETURNED FOR CREDIT (TABLE 1 - LINE 3D)	16	16	0-9	NUMERIC	9(16)	N
	4A	S24A	UNSTAMPED CIGARETTES SALEABLE (TABLE 1 - LINE 4A)	17	16	0-9	NUMERIC	9(16)	N
	4B	S24B	UNSTAMPED CIGARETTES SALEABLE (TABLE 1 - LINE 4B)	18	16	0-9	NUMERIC	9(16)	N
	4C	S24C	UNSTAMPED CIGARETTES SALEABLE (TABLE 1 - LINE 4C)	19	16	0-9	NUMERIC	9(16)	N
	4D	S24D	UNSTAMPED CIGARETTES SALEABLE (TABLE 1 - LINE 4D)	20	16	0-9	NUMERIC	9(16)	N
	5A	S25A	STAMPED CIGARETTES PURCHASED (NH STAMPS) (TABLE 1 - LINE 5A)	21	16	0-9	NUMERIC	9(16)	N
	5B	S25B	STAMPED CIGARETTES PURCHASED (NH STAMPS) (TABLE 1 - LINE 5B)	22	16	0-9	NUMERIC	9(16)	N
	5C	S25C	STAMPED CIGARETTES PURCHASED (NH STAMPS) (TABLE 1 - LINE 5C)	23	16	0-9	NUMERIC	9(16)	N
	5D	S25D	STAMPED CIGARETTES PURCHASED (NH STAMPS) (TABLE 1 - LINE 5D)	24	16	0-9	NUMERIC	9(16)	N
	6A	S26A	STAMPED CIGARETTES DAMAGED (NH STAMPS) (TABLE 1 - LINE 6A)	25	16	0-9	NUMERIC	9(16)	N
	6B	S26B	STAMPED CIGARETTES DAMAGED (NH STAMPS) (TABLE 1 - LINE 6B)	26	16	0-9	NUMERIC	9(16)	N
	6C	S26C	STAMPED CIGARETTES DAMAGED (NH STAMPS) (TABLE 1 - LINE 6C)	27	16	0-9	NUMERIC	9(16)	N
	6D	S26D	STAMPED CIGARETTES DAMAGED (NH STAMPS) (TABLE 1 - LINE 6D)	28	16	0-9	NUMERIC	9(16)	N
	7A	S27A	STAMPED CIGARETTES RETURNED FOR CREDIT (NH STAMPS) (TABLE 1 - LINE 7A)	29	16	0-9	NUMERIC	9(16)	N
	7B	S27B	STAMPED CIGARETTES RETURNED FOR CREDIT (NH STAMPS) (TABLE 1 - LINE 7B)	30	16	0-9	NUMERIC	9(16)	N
	7C	S27C	STAMPED CIGARETTES RETURNED FOR CREDIT (NH STAMPS) (TABLE 1 - LINE 7C)	31	16	0-9	NUMERIC	9(16)	N
	7D	S27D	STAMPED CIGARETTES RETURNED FOR CREDIT (NH STAMPS) (TABLE 1 - LINE 7D)	32	16	0-9	NUMERIC	9(16)	N
	8A	S28A	STAMPED CIGARETTES SALEABLE (NH STAMPS) (TABLE 1 - LINE 8A)	33	16	0-9	NUMERIC	9(16)	N
	8B	S28B	STAMPED CIGARETTES SALEABLE (NH STAMPS) (TABLE 1 - LINE 8B)	34	16	0-9	NUMERIC	9(16)	N
	9A	S29A	STAMPED CIGARETTES PURCHASED (OTHER STATE STAMPS) (TABLE 1 - LINE 9A)	35	16	0-9	NUMERIC	9(16)	N
	9B	S29B	STAMPED CIGARETTES PURCHASED (OTHER STATE STAMPS) (TABLE 1 - LINE 9B)	36	16	0-9	NUMERIC	9(16)	N
	9C	S29C	STAMPED CIGARETTES PURCHASED (OTHER STATE STAMPS) (TABLE 1 - LINE 9C)	37	16	0-9	NUMERIC	9(16)	N
	9D	S29D	STAMPED CIGARETTES PURCHASED (OTHER STATE STAMPS) (TABLE 1 - LINE 9D)	38	16	0-9	NUMERIC	9(16)	N
	10A	S210A	STAMPED CIGARETTES DAMAGED (OTHER STATE STAMPS) (TABLE 1 - LINE 10A)	39	16	0-9	NUMERIC	9(16)	N
	10B	S210B	STAMPED CIGARETTES DAMAGED (OTHER STATE STAMPS) (TABLE 1 - LINE 10B)	40	16	0-9	NUMERIC	9(16)	N
	10C	S210C	STAMPED CIGARETTES DAMAGED (OTHER STATE STAMPS) (TABLE 1 - LINE 10C)	41	16	0-9	NUMERIC	9(16)	N
	10D	S210D	STAMPED CIGARETTES DAMAGED (OTHER STATE STAMPS) (TABLE 1 - LINE 10D)	42	16	0-9	NUMERIC	9(16)	N
	11A	S211A	STAMPED CIGARETTES RETURNED FOR CREDIT (OTHER STATE STAMPS) (TABLE 1 - LINE 11A)	43	16	0-9	NUMERIC	9(16)	N
	11B	S211B	STAMPED CIGARETTES RETURNED FOR CREDIT (OTHER STATE STAMPS) (TABLE 1 - LINE 11B)	44	16	0-9	NUMERIC	9(16)	N
	11C	S211C	STAMPED CIGARETTES RETURNED FOR CREDIT (OTHER STATE STAMPS) (TABLE 1 - LINE 11C)	45	16	0-9	NUMERIC	9(16)	N
	11D	S211D	STAMPED CIGARETTES RETURNED FOR CREDIT (OTHER STATE STAMPS) (TABLE 1 - LINE 11D)	46	16	0-9	NUMERIC	9(16)	N
	12A	S212A	STAMPED CIGARETTES SALEABLE (OTHER STATE STAMPS) (TABLE 1 - LINE 12A)	47	16	0-9	NUMERIC	9(16)	N
	12B	S212B	STAMPED CIGARETTES SALEABLE (OTHER STATE STAMPS) (TABLE 1 - LINE 12B)	48	16	0-9	NUMERIC	9(16)	N
	13A	S213A	STAMPED CIGARETTES SOLD IN NH (TABLE 1 - LINE 13A)	49	16	0-9	NUMERIC	9(16)	N
	13B	S213B	STAMPED CIGARETTES SOLD IN NH (TABLE 1 - LINE 13B)	50	16	0-9	NUMERIC	9(16)	N
	13C	S213C	STAMPED CIGARETTES SOLD IN NH (TABLE 1 - LINE 13C)	51	16	0-9	NUMERIC	9(16)	N
	13D	S213D	STAMPED CIGARETTES SOLD IN NH (TABLE 1 - LINE 13D)	52	16	0-9	NUMERIC	9(16)	N
	14A	S214A	STAMPED CIGARETTES SOLD INTO OTHER STATES (TABLE 1 - LINE 14A)	53	16	0-9	NUMERIC	9(16)	N
	14B	S214B	STAMPED CIGARETTES SOLD INTO OTHER STATES (TABLE 1 - LINE 14B)	54	16	0-9	NUMERIC	9(16)	N
	14C	S214C	STAMPED CIGARETTES SOLD INTO OTHER STATES (TABLE 1 - LINE 14C)	55	16	0-9	NUMERIC	9(16)	N
	14D	S214D	STAMPED CIGARETTES SOLD INTO OTHER STATES (TABLE 1 - LINE 14D)	56	16	0-9	NUMERIC	9(16)	N
	15A	S215A	NON-TAXABLE CIGARETTES SOLD IN NH (TABLE 1 - LINE 15A)	57	16	0-9	NUMERIC	9(16)	N
	15B	S215B	NON-TAXABLE CIGARETTES SOLD IN NH (TABLE 1 - LINE 15B)	58	16	0-9	NUMERIC	9(16)	N
	15C	S215C	NON-TAXABLE CIGARETTES SOLD IN NH (TABLE 1 - LINE 15C)	59	16	0-9	NUMERIC	9(16)	N
	15D	S215D	NON-TAXABLE CIGARETTES SOLD IN NH (TABLE 1 - LINE 15D)	60	16	0-9	NUMERIC	9(16)	N
	16A	S216A	NON-TAXABLE CIGARETTES SOLD INTO OTHER STATES (TABLE 1 - LINE 16A)	61	16	0-9	NUMERIC	9(16)	N
	16B	S216B	NON-TAXABLE CIGARETTES SOLD INTO OTHER STATES (TABLE 1 - LINE 16B)	62	16	0-9	NUMERIC	9(16)	N
	16C	S216C	NON-TAXABLE CIGARETTES SOLD INTO OTHER STATES (TABLE 1 - LINE 16C)	63	16	0-9	NUMERIC	9(16)	N
	16D	S216D	NON-TAXABLE CIGARETTES SOLD INTO OTHER STATES (TABLE 1 - LINE 16D)	64	16	0-9	NUMERIC	9(16)	N
	STEP 3	MANUFACTURER1	MANUFACTURER 1	65	46	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(46)	N
	1A	S31A	UNSTAMPED CIGARETTES PURCHASED (TABLE 2 - LINE 1A)	66	16	0-9	NUMERIC	9(16)	N
	1B	S31B	UNSTAMPED CIGARETTES PURCHASED (TABLE 2 - LINE 1B)	67	16	0-9	NUMERIC	9(16)	N
	1C	S31C	UNSTAMPED CIGARETTES PURCHASED (TABLE 2 - LINE 1C)	68	16	0-9	NUMERIC	9(16)	N
	1D	S31D	UNSTAMPED CIGARETTES PURCHASED (TABLE 2 - LINE 1D)	69	16	0-9	NUMERIC	9(16)	N
	2A	S32A	UNSTAMPED CIGARETTES DAMAGED (TABLE 2 - LINE 2A)	70	16	0-9	NUMERIC	9(16)	N
	2B	S32B	UNSTAMPED CIGARETTES DAMAGED (TABLE 2 - LINE 2B)	71	16	0-9	NUMERIC	9(16)	N
	2C	S32C	UNSTAMPED CIGARETTES DAMAGED (TABLE 2 - LINE 2C)	72	16	0-9	NUMERIC	9(16)	N
	2D	S32D	UNSTAMPED CIGARETTES DAMAGED (TABLE 2 - LINE 2D)	73	16	0-9	NUMERIC	9(16)	N
	3A	S33A	UNSTAMPED CIGARETTES RETURNED FOR CREDIT (TABLE 2 - LINE 3A)	74	16	0-9	NUMERIC	9(16)	N
	3B	S33B	UNSTAMPED CIGARETTES RETURNED FOR CREDIT (TABLE 2 - LINE 3B)	75	16	0-9	NUMERIC	9(16)	N
	3C	S33C	UNSTAMPED CIGARETTES RETURNED FOR CREDIT (TABLE 2 - LINE 3C)	76	16	0-9	NUMERIC	9(16)	N
	3D	S33D	UNSTAMPED CIGARETTES RETURNED FOR CREDIT (TABLE 2 - LINE 3D)	77	16	0-9	NUMERIC	9(16)	N
	4A	S34A	UNSTAMPED CIGARETTES SALEABLE (TABLE 2 - LINE 4A)	78	16	0-9	NUMERIC	9(16)	N
	4B	S34B	UNSTAMPED CIGARETTES SALEABLE (TABLE 2 - LINE 4B)	79	16	0-9	NUMERIC	9(16)	N
	4C	S34C	UNSTAMPED CIGARETTES SALEABLE (TABLE 2 - LINE 4C)	80	16	0-9	NUMERIC	9(16)	N
	4D	S34D	UNSTAMPED CIGARETTES SALEABLE (TABLE 2 - LINE 4D)	81	16	0-9	NUMERIC	9(16)	N
	5A	S35A	STAMPED CIGARETTES PURCHASED (NH STAMPS) (TABLE 2 - LINE 5A)	82	16	0-9	NUMERIC	9(16)	N
	5B	S35B	STAMPED CIGARETTES PURCHASED (NH STAMPS) (TABLE 2 - LINE 5B)	83	16	0-9	NUMERIC	9(16)	N
	5C	S35C	STAMPED CIGARETTES PURCHASED (NH STAMPS) (TABLE 2 - LINE 5C)	84	16	0-9	NUMERIC	9(16)	N
	5D	S35D	STAMPED CIGARETTES PURCHASED (NH STAMPS) (TABLE 2 - LINE 5D)	85	16	0-9	NUMERIC	9(16)	N
	6A	S36A	STAMPED CIGARETTES DAMAGED (NH STAMPS) (TABLE 2 - LINE 6A)	86	16	0-9	NUMERIC	9(16)	N
	6B	S36B	STAMPED CIGARETTES DAMAGED (NH STAMPS) (TABLE 2 - LINE 6B)	87	16	0-9	NUMERIC	9(16)	N
	6C	S36C	STAMPED CIGARETTES DAMAGED (NH STAMPS) (TABLE 2 - LINE 6C)	88	16	0-9	NUMERIC	9(16)	N
	6D	S36D	STAMPED CIGARETTES DAMAGED (NH STAMPS) (TABLE 2 - LINE 6D)	89	16	0-9	NUMERIC	9(16)	N
	7A	S37A	STAMPED CIGARETTES RETURNED FOR CREDIT (NH STAMPS) (TABLE 2 - LINE 7A)	90	16	0-9	NUMERIC	9(16)	N
	7B	S37B	STAMPED CIGARETTES RETURNED FOR CREDIT (NH STAMPS) (TABLE 2 - LINE 7B)	91	16	0-9	NUMERIC	9(16)	N
	7C	S37C	STAMPED CIGARETTES RETURNED FOR CREDIT (NH STAMPS) (TABLE 2 - LINE 7C)	92	16	0-9	NUMERIC	9(16)	N
	7D	S37D	STAMPED CIGARETTES RETURNED FOR CREDIT (NH STAMPS) (TABLE 2 - LINE 7D)	93	16	0-9	NUMERIC	9(16)	N
	8A	S38A	STAMPED CIGARETTES SALEABLE (NH STAMPS) (TABLE 2 - LINE 8A)	94	16	0-9	NUMERIC	9(16)	N
	8B	S38B	STAMPED CIGARETTES SALEABLE (NH STAMPS) (TABLE 2 - LINE 8B)	95	16	0-9	NUMERIC	9(16)	N
	9A	S39A	STAMPED CIGARETTES PURCHASED (OTHER STATE STAMPS) (TABLE 2 - LINE 9A)	96	16	0-9	NUMERIC	9(16)	N
	9B	S39B	STAMPED CIGARETTES PURCHASED (OTHER STATE STAMPS) (TABLE 2 - LINE 9B)	97	16	0-9	NUMERIC	9(16)	N
	9C	S39C	STAMPED CIGARETTES PURCHASED (OTHER STATE STAMPS) (TABLE 2 - LINE 9C)	98	16	0-9	NUMERIC	9(16)	N
	9D	S39D	STAMPED CIGARETTES PURCHASED (OTHER STATE STAMPS) (TABLE 2 - LINE 9D)	99	16	0-9	NUMERIC	9(16)	N
	10A	S310A	STAMPED CIGARETTES DAMAGED (OTHER STATE STAMPS) (TABLE 2 - LINE 10A)	100	16	0-9	NUMERIC	9(16)	N
	10B	S310B	STAMPED CIGARETTES DAMAGED (OTHER STATE STAMPS) (TABLE 2 - LINE 10B)	101	16	0-9	NUMERIC	9(16)	N
	10C	S310C	STAMPED CIGARETTES DAMAGED (OTHER STATE STAMPS) (TABLE 2 - LINE 10C)	102	16	0-9	NUMERIC	9(16)	N
	10D	S310D	STAMPED CIGARETTES DAMAGED (OTHER STATE STAMPS) (TABLE 2 - LINE 10D)	103	16	0-9	NUMERIC	9(16)	N
	11A	S311A	STAMPED CIGARETTES RETURNED FOR CREDIT (OTHER STATE STAMPS) (TABLE 2 - LINE 11A)	104	16	0-9	NUMERIC	9(16)	N
	11B	S311B	STAMPED CIGARETTES RETURNED FOR CREDIT (OTHER STATE STAMPS) (TABLE 2 - LINE 11B)	105	16	0-9	NUMERIC	9(16)	N
	11C	S311C	STAMPED CIGARETTES RETURNED FOR CREDIT (OTHER STATE STAMPS) (TABLE 2 - LINE 11C)	106	16	0-9	NUMERIC	9(16)	N
	11D	S311D	STAMPED CIGARETTES RETURNED FOR CREDIT (OTHER STATE STAMPS) (TABLE 2 - LINE 11D)	107	16	0-9	NUMERIC	9(16)	N
	12A	S312A	STAMPED CIGARETTES SALEABLE (OTHER STATE STAMPS) (TABLE 2 - LINE 12A)	108	16	0-9	NUMERIC	9(16)	N
	12B	S312B	STAMPED CIGARETTES SALEABLE (OTHER STATE STAMPS) (TABLE 2 - LINE 12B)	109	16	0-9	NUMERIC	9(16)	N
	13A	S313A	STAMPED CIGARETTES SOLD IN NH (TABLE 2 - LINE 13A)	110	16	0-9	NUMERIC	9(16)	N
	13B	S313B	STAMPED CIGARETTES SOLD IN NH (TABLE 2 - LINE 13B)	111	16	0-9	NUMERIC	9(16)	N
	13C	S313C	STAMPED CIGARETTES SOLD IN NH (TABLE 2 - LINE 13C)	112	16	0-9	NUMERIC	9(16)	N
	13D	S313D	STAMPED CIGARETTES SOLD IN NH (TABLE 2 - LINE 13D)	113	16	0-9	NUMERIC	9(16)	N
	14A	S314A	STAMPED CIGARETTES SOLD INTO OTHER STATES (TABLE 2 - LINE 14A)	114	16	0-9	NUMERIC	9(16)	N
	14B	S314B	STAMPED CIGARETTES SOLD INTO OTHER STATES (TABLE 2 - LINE 14B)	115	16	0-9	NUMERIC	9(16)	N
	14C	S314C	STAMPED CIGARETTES SOLD INTO OTHER STATES (TABLE 2 - LINE 14C)	116	16	0-9	NUMERIC	9(16)	N
	14D	S314D	STAMPED CIGARETTES SOLD INTO OTHER STATES (TABLE 2 - LINE 14D)	117	16	0-9	NUMERIC	9(16)	N
	15A	S315A	NON-TAXABLE CIGARETTES SOLD IN NH (TABLE 2 - LINE 15A)	118	16	0-9	NUMERIC	9(16)	N
	15B	S315B	NON-TAXABLE CIGARETTES SOLD IN NH (TABLE 2 - LINE 15B)	119	16	0-9	NUMERIC	9(16)	N
	15C	S315C	NON-TAXABLE CIGARETTES SOLD IN NH (TABLE 2 - LINE 15C)	120	16	0-9	NUMERIC	9(16)	N
	15D	S315D	NON-TAXABLE CIGARETTES SOLD IN NH (TABLE 2 - LINE 15D)	121	16	0-9	NUMERIC	9(16)	N
	16A	S316A	NON-TAXABLE CIGARETTES SOLD INTO OTHER STATES (TABLE 2 - LINE 16A)	122	16	0-9	NUMERIC	9(16)	N
	16B	S316B	NON-TAXABLE CIGARETTES SOLD INTO OTHER STATES (TABLE 2 - LINE 16B)	123	16	0-9	NUMERIC	9(16)	N
	16C	S316C	NON-TAXABLE CIGARETTES SOLD INTO OTHER STATES (TABLE 2 - LINE 16C)	124	16	0-9	NUMERIC	9(16)	N
	16D	S316D	NON-TAXABLE CIGARETTES SOLD INTO OTHER STATES (TABLE 2 - LINE 16D)	125	16	0-9	NUMERIC	9(16)	N
	STEP 4 1A	S41A	BEGINNING TOBACCO TAX NH STAMP INVENTORY (TABLE 3 - LINE 1A)	126	16	0-9	NUMERIC	9(16)	N
	1B	S41B	BEGINNING TOBACCO TAX NH STAMP INVENTORY (TABLE 3 - LINE 1B)	127	16	0-9	NUMERIC	9(16)	N
	1C	S41C	BEGINNING TOBACCO TAX NH STAMP INVENTORY (TABLE 3 - LINE 1C)	128	16	0-9	NUMERIC	9(16)	N
	2A	S42A	TOBACCO TAX NH STAMP PURCHASES (TABLE 3 - LINE 2A)	129	16	0-9	NUMERIC	9(16)	N
	2B	S42B	TOBACCO TAX NH STAMP PURCHASES (TABLE 3 - LINE 2B)	130	16	0-9	NUMERIC	9(16)	N
	2C	S42C	TOBACCO TAX NH STAMP PURCHASES (TABLE 3 - LINE 2C)	131	16	0-9	NUMERIC	9(16)	N
	3A	S43A	ENDING TOBACCO TAX NH STAMP INVENTORY (TABLE 3 - LINE 3A)	132	16	0-9	NUMERIC	9(16)	N
	3B	S43B	ENDING TOBACCO TAX NH STAMP INVENTORY (TABLE 3 - LINE 3B)	133	16	0-9	NUMERIC	9(16)	N
	3C	S43C	ENDING TOBACCO TAX NH STAMP INVENTORY (TABLE 3 - LINE 3C)	134	16	0-9	NUMERIC	9(16)	N
	4A	S44A	BEGINNING TOBACCO TAX OTHER STATES STAMP INVENTORY (TABLE 3 - LINE 4A)	135	16	0-9	NUMERIC	9(16)	N
	4B	S44B	BEGINNING TOBACCO TAX OTHER STATES STAMP INVENTORY (TABLE 3 - LINE 4B)	136	16	0-9	NUMERIC	9(16)	N
	4C	S44C	BEGINNING TOBACCO TAX OTHER STATES STAMP INVENTORY (TABLE 3 - LINE 4C)	137	16	0-9	NUMERIC	9(16)	N
	5A	S45A	TOBACCO TAX OTHER STATES STAMP PURCHASES (TABLE 3 - LINE 5A)	138	16	0-9	NUMERIC	9(16)	N
	5B	S45B	TOBACCO TAX OTHER STATES STAMP PURCHASES (TABLE 3 - LINE 5B)	139	16	0-9	NUMERIC	9(16)	N
	5C	S45C	TOBACCO TAX OTHER STATES STAMP PURCHASES (TABLE 3 - LINE 5C)	140	16	0-9	NUMERIC	9(16)	N
	6A	S46A	ENDING TOBACCO TAX OTHER STATES STAMP INVENTORY (TABLE 3 - LINE 6A)	141	16	0-9	NUMERIC	9(16)	N
	6B	S46B	ENDING TOBACCO TAX OTHER STATES STAMP INVENTORY (TABLE 3 - LINE 6B)	142	16	0-9	NUMERIC	9(16)	N
	6C	S46C	ENDING TOBACCO TAX OTHER STATES STAMP INVENTORY (TABLE 3 - LINE 6C)	143	1	0-9	NUMERIC	9(16)	N
		SIGNFLG	SIGNATURE OF COMPANY OFFICER (IN INK)	144	42	X	ALPHA	X	N
		SIGNNAME	PRINTED NAME OF COMPANY OFFICER & TITLE	145	8	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @	ALPHA / NUMERIC	X(42)	N
		*EOD*	END OF FILE	146	5	*EOD* (STATIC VALUE)	ALPHA / NUMERIC	*EOD*	N

AU-207

	2D SPECS: AU-207 PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)
	LINE	FIELD NAME	IDENTIFICATION	FIELD NUMBER	MAX LENGTH	ACCEPTABLE VALUES	TYPE	FORMAT	CAN BE NEGATIVE?	2D BARCODE PLACEMENT
	AU-207 FORM									BOTTOM CENTER
			HEADER FIELD	H1	2	T1 (STATIC VALUE)	ALPHA / NUMERIC	T1	N
			DEVELOPER CODE	H2	4	SAME AS VENDOR CODE (ISSUED BY NACTP)	NUMERIC	9999	N
			STATE	H3	2	NH (STATIC VALUE)	ALPHA	NH	N
			FORM ID & YEAR	H4	8	A-Z, 0-9	ALPHA / NUMERIC	0AU207yy	N
		PERBEGDT	TAXABLE PERIOD (BEGINNING)	1	8	0-9	NUMERIC	mmddyyyy	N
		PERENDDT	TAXABLE PERIOD (ENDING)	2	8	0-9	NUMERIC	mmddyyyy	N
		CORPCB	COPORATION (CHECKBOX)	3	1	X	CHECKBOX	X	N
		FIDCB	FIDUCIARY (CHECKBOX)	6	1	X	CHECKBOX	X	N
		PARTCB	PARTNERSHIP (CHECKBOX)	4	1	X	CHECKBOX	X	N
		PROPCB	PROPRIETORSHIP (CHECKBOX)	5	1	X	CHECKBOX	X	N
		PRIMNM1	NAME OF BUSINESS ORGANIZATION	7	46	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(46)	N
		BUSIDNO1	TAXPAYER IDENTIFICATION #	8	9	0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES	ALPHA / NUMERIC	999999999 SM9999999 NL9999999	N
		ADDR1	NUMBER & STREET ADDRESS	9	40	A-Z, 0-9, PLUS SPACE, DASH, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		ADDR2	ADDRESS (CONTINUED)	10	40	A-Z, 0-9, PLUS SPACE, DASH, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		City	CITY / TOWN	11	20	A-Z PLUS SPACE	ALPHA / NUMERIC	X(20)	N
		STATE	STATE	12	2	A-Z	ALPHA	XX	N
		ZIPPSTLCD	ZIP CODE + 4	13	10	0-9, A-Z, PLUS SPACE	ALPHA / NUMERIC	99999-9999 A1A 1A1	N
		SIGNEDFLG	SIGNATURE OF AUTHORIZED PROPRIETOR, PARTNER, CORPORATE OFFICER, OR REPRESENTATIVE	14	1	X	ALPHA	X	N
		*EOD*	END OF FILE	15	5	*EOD* (STATIC VALUE)	ALPHA / NUMERIC	*EOD*	N

AU-208

	2D SPECS: AU-208 PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)
	LINE	FIELD NAME	IDENTIFICATION	FIELD NUMBER	MAX LENGTH	ACCEPTABLE VALUES	TYPE	FORMAT	CAN BE NEGATIVE?	2D BARCODE PLACEMENT
	AU-208 FORM									BOTTOM CENTER - PAGE 2
			HEADER FIELD	H1	2	T1 (STATIC VALUE)	ALPHA / NUMERIC	T1	N
			DEVELOPER CODE	H2	4	SAME AS VENDOR CODE (ISSUED BY NACTP)	NUMERIC	9999	N
			STATE	H3	2	NH (STATIC VALUE)	ALPHA	NH	N
			FORM ID & YEAR	H4	8	A-Z, 0-9	ALPHA / NUMERIC	0AU208yy	N
	STEP 1	PERBEGDT	TAXABLE PERIOD (BEGINNING)	1	8	0-9	NUMERIC	mmddyyyy	N
		PERENDDT	TAXABLE PERIOD (ENDING)	2	8	0-9	NUMERIC	mmddyyyy	N
		PRIMNM1	NAME OF BUSINESS ENTITY	3	46	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(46)	N
		BUSIDNO1	TAXPAYER IDENTIFICATION #	4	9	0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES	ALPHA / NUMERIC	999999999 SM9999999 NL9999999	N
		ADDR1	NUMBER & STREET ADDRESS	5	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		ADDR2	ADDRESS (CONTINUED)	6	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		CITY	CITY / TOWN	7	20	A-Z PLUS SPACE	ALPHA / NUMERIC	X(20)	N
		STATE	STATE	8	2	A-Z	ALPHA	XX	N
		ZIPPSTLCD	ZIP CODE + 4	9	10	0-9, A-Z, PLUS SPACE	ALPHA / NUMERIC	99999-9999 A1A 1A1	N
	STEP 2	AGAMT	AGGREGATE AMOUNT OF FUNDS INVESTED AS OF PERIOD END	10	15	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9(12).99	N
		QICINTHLR1	INDIVIDUAL OR BUSINESS NAME (PERSON 1)	11	46	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(46)	N
		QICINTHLRNO1	TAXPAYER IDENTIFICATION # (PERSON 1)	12	9	0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES	ALPHA / NUMERIC	999999999 SM9999999 NL9999999	N
		QIC1ADDR1	NUMBER & STREET ADDRESS (PERSON 1)	13	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		INCSHARE1	PROPORTIONAL SHARE OF INCOME (PERSON 1)	14	11	0-9	NUMERIC	9(11)	N
		QIC1CITY	CITY / TOWN (PERSON 1)	15	20	A-Z PLUS SPACE	ALPHA / NUMERIC	X(20)	N
		QIC1STATE	STATE (PERSON 1)	16	2	A-Z	ALPHA	XX	N
		QIC1ZIPPSTLCD	ZIP CODE + 4 (PERSON 1)	17	10	0-9, A-Z, PLUS SPACE	ALPHA / NUMERIC	99999-9999 A1A 1A1	N
		QICINTHLR2	INDIVIDUAL OR BUSINESS NAME (PERSON 2)	18	46	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(46)	N
		QICINTHLRNO2	TAXPAYER IDENTIFICATION # (PERSON 2)	19	9	0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES	ALPHA / NUMERIC	999999999 SM9999999 NL9999999	N
		QIC2ADDR1	NUMBER & STREET ADDRESS (PERSON 2)	20	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		INCSHARE2	PROPORTIONAL SHARE OF INCOME (PERSON 2)	21	11	0-9	NUMERIC	9(11)	N
		QIC2CITY	CITY / TOWN (PERSON 2)	22	20	A-Z PLUS SPACE	ALPHA / NUMERIC	X(20)	N
		QIC2STATE	STATE (PERSON 2)	23	2	A-Z	ALPHA	XX	N
		QIC2ZIPPSTLCD	ZIP CODE + 4 (PERSON 2)	24	10	0-9, A-Z, PLUS SPACE	ALPHA / NUMERIC	99999-9999 A1A 1A1	N
		QICINTHLR3	INDIVIDUAL OR BUSINESS NAME (PERSON 3)	25	46	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(46)	N
		QICINTHLRNO3	TAXPAYER IDENTIFICATION # (PERSON 3)	26	9	0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES	ALPHA / NUMERIC	999999999 SM9999999 NL9999999	N
		QIC3ADDR1	NUMBER & STREET ADDRESS (PERSON 3)	27	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		INCSHARE3	PROPORTIONAL SHARE OF INCOME (PERSON 3)	28	11	0-9	NUMERIC	9(11)	N
		QIC3CITY	CITY / TOWN (PERSON 3)	29	20	A-Z PLUS SPACE	ALPHA / NUMERIC	X(20)	N
		QIC3STATE	STATE (PERSON 3)	30	2	A-Z	ALPHA	XX	N
		QIC3ZIPPSTLCD	ZIP CODE + 4 (PERSON 3)	31	10	0-9, A-Z, PLUS SPACE	ALPHA / NUMERIC	99999-9999 A1A 1A1	N
		QICINTHLR4	INDIVIDUAL OR BUSINESS NAME (PERSON 4)	32	46	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(46)	N
		QICINTHLRNO4	TAXPAYER IDENTIFICATION # (PERSON 4)	33	9	0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES	ALPHA / NUMERIC	999999999 SM9999999 NL9999999	N
		QIC4ADDR1	NUMBER & STREET ADDRESS (PERSON 4)	34	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		INCSHARE4	PROPORTIONAL SHARE OF INCOME (PERSON 4)	35	11	0-9	NUMERIC	9(11)	N
		QIC4CITY	CITY / TOWN (PERSON 4)	36	20	A-Z PLUS SPACE	ALPHA / NUMERIC	X(20)	N
		QIC4STATE	STATE (PERSON 4)	37	2	A-Z	ALPHA	XX	N
		QIC4ZIPPSTLCD	ZIP CODE + 4 (PERSON 4)	38	10	0-9, A-Z, PLUS SPACE	ALPHA / NUMERIC	99999-9999 A1A 1A1	N
		QICINTHLR5	INDIVIDUAL OR BUSINESS NAME (PERSON 5)	39	46	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(46)	N
		QICINTHLRNO5	TAXPAYER IDENTIFICATION # (PERSON 5)	40	9	0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES	ALPHA / NUMERIC	999999999 SM9999999 NL9999999	N
		QIC5ADDR1	NUMBER & STREET ADDRESS (PERSON 5)	41	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		INCSHARE5	PROPORTIONAL SHARE OF INCOME (PERSON 5)	42	11	0-9	NUMERIC	9(11)	N
		QIC5CITY	CITY / TOWN (PERSON 5)	43	20	A-Z PLUS SPACE	ALPHA / NUMERIC	X(20)	N
		QIC5STATE	STATE (PERSON 5)	44	2	A-Z	ALPHA	XX	N
		QIC5ZIPPSTLCD	ZIP CODE + 4 (PERSON 5)	45	10	0-9, A-Z, PLUS SPACE	ALPHA / NUMERIC	99999-9999 A1A 1A1	N
	STEP 3	QICMGRNM	QIC MANAGER NAME	46	46	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(46)	N
		QICMGRNO	TAXPAYER IDENTIFICATION #	47	9	0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES	ALPHA / NUMERIC	999999999 SM9999999 NL9999999	N
		MGRADDR1	NUMBER & STREET ADDRESS	48	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		MGRADDR2	ADDRESS (CONTINUED)	49	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		MGRCITY	CITY / TOWN	50	20	A-Z PLUS SPACE	ALPHA / NUMERIC	X(20)	N
		MGRSTATE	STATE	51	2	A-Z	ALPHA	XX	N
		MGRZIPPSTLCD	ZIP CODE + 4	52	10	0-9, A-Z, PLUS SPACE	ALPHA / NUMERIC	99999-9999 A1A 1A1	N
	STEP 4	INCRECVD	INCOME RECEIVED IN THE TAXABLE PERIOD	53	15	0-9	NUMERIC	9(15)	N
		EXPINC	EXPENSES INCURRED IN THE TAXABLE PERIOD	54	15	0-9	NUMERIC	9(15)	N
	STEP 5	FEDCB	CHECK THIS BOX IF A COPY OF THE FEDERAL TAX RETURN… (CHECKBOX)	55	1	X	CHECKBOX	X	N
		FEDRTNDATE	DATE THE FEDERAL TAX RETURN WAS FILED WITH THE IRS	56	8	0-9	NUMERIC	mmddyyyy	N
	STEP 6	SIGNEDFLG	SIGNATURE (IN INK) OF DUTY AUTHORIZED REPRESENTATIVE	57	1	X	ALPHA	X	N
		SIGNNAME	PRINT SIGNATORY NAME & TITLE	58	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		SIGNDATE	SIGNATURE DATE	59	8	0-9	NUMERIC	9(8)	N
		PREPSIGNFLG	SIGNATURE (IN INK) OF PAID PREPARER OTHER THAN AUTHORIZED REPRESENTATIVE	60	1	X	ALPHA	X	N
		PREPRID	PREPARER'S TAX ID NUMBER	61	9	0-9 AND P PERMITTED IN THE FIRST SPACE	ALPHA / NUMERIC	999999999 P99999999	N
		PREPSIGNDATE	PREPARER'S SIGNATURE DATE	62	8	0-9	NUMERIC	9(8)	N
		PREPARNAME	PRINT PREPARER'S NAME	63	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		PRSTRADDR1	PREPARER'S NUMBER & STREET ADDRESS	64	50	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(50)	N
		PRSTRADDR2	PREPARER'S ADDRESS (CONTINUED)	65	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		PREPCITY	PREPARER'S CITY / TOWN	66	20	A-Z PLUS SPACE	ALPHA / NUMERIC	X(20)	N
		PREPSTATE	PREPARER'S STATE	67	2	A-Z	ALPHA	XX	N
		PRZIPPSTLCD	PREPARER'S ZIP CODE + 4	68	10	A-Z, 0-9, PLUS (-)	ALPHA / NUMERIC	XXXXX-XXXX A1A-1A1	N
		*EOD*	END OF FILE	69	5	*EOD* (STATIC VALUE)	ALPHA / NUMERIC	*EOD*	N

AU-215

	2D SPECS: AU-215 PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)
	LINE	FIELD NAME	IDENTIFICATION	FIELD NUMBER	MAX LENGTH	ACCEPTABLE VALUES	TYPE	FORMAT	CAN BE NEGATIVE?	2D BARCODE PLACEMENT
	AU-215 FORM									BOTTOM CENTER - PAGE 2
			HEADER FIELD	H1	2	T1 (STATIC VALUE)	ALPHA / NUMERIC	T1	N
			DEVELOPER CODE	H2	4	SAME AS VENDOR CODE (ISSUED BY NACTP)	NUMERIC	9999	N
			STATE	H3	2	NH (STATIC VALUE)	ALPHA	NH	N
			FORM ID & YEAR	H4	8	A-Z, 0-9	ALPHA / NUMERIC	0AU215yy	N
	STEP 1	FIRSTNM	FIRST NAME	1	30	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(30)	N
		LASTNM	LAST NAME	2	15	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(15)	N
		ADDR1	MAILING ADDRESS	3	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		CITY	CITY / TOWN	4	20	A-Z PLUS SPACE	ALPHA / NUMERIC	X(20)	N
		STATE	STATE	5	2	A-Z	ALPHA	XX	N
		ZIPPSTLCD	ZIP CODE + 4	6	10	A-Z, 0-9, PLUS (-)	ALPHA / NUMERIC	99999-9999 A1A 1A1	N
		PERIOD	MONTH & YEAR ACQUIRED (MMYYYY)	7	6	0-9	NUMERIC	MMYYYY	N
		SSN	SOCIAL SECURITY NUMBER	8	9	0-9	NUMERIC	999999999	N
		PHONE	TELEPHONE NUMBER	9	10	0-9	NUMERIC	9(10)	N
	SUBTOTAL	N127	SUBTOTAL - CIGARETTES / LITTLE CIGARS (TAX DUE)	10	11	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9(8).99	N
	SUBTOTAL	N128	SUBTOTAL - ROLL-YOUR-OWN (TAX DUE)	11	11	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9(8).99	N
	SUBTOTAL	N129	SUBTOTAL - OTHER TOBACCO PRODUCTS (TAX DUE)	12	11	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9(8).99	N
	SUBTOTAL	N130	SUBTOTAL - E-CIGARETTES CLOSED SYSTEM (TAX DUE)	13	11	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9(8).99	N
	SUBTOTAL	N131	SUBTOTAL - E-CIGARETTES OPEN SYSTEM (TAX DUE)	14	11	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9(8).99	N
		TOTALTAX	TOTAL TAX DUE ALL CATEGORIES	15	13	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9(10).99	N
		INTEREST	INTEREST	16	13	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9(10).99	N
		FAILPAY	FAILURE TO PAY PENALTY	17	13	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9(10).99	N
		FAILFILE	FAILURE TO FILE PENALTY	18	13	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9(10).99	N
		TOTALDUE	TOTAL	19	13	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9(10).99	N
		*EOD*	END OF FILE	20	5	*EOD* (STATIC VALUE)	ALPHA / NUMERIC	*EOD*	N

BET

	2D SPECS: BET PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)
	LINE	FIELD NAME	IDENTIFICATION	FIELD NUMBER	MAX LENGTH	ACCEPTABLE VALUES	TYPE	FORMAT	CAN BE NEGATIVE?	2D BARCODE PLACEMENT
	BET FORM									BOTTOM CENTER
			HEADER FIELD	H1	2	T1 (STATIC VALUE)	ALPHA / NUMERIC	T1	N
			DEVELOPER CODE	H2	4	SAME AS VENDOR CODE (ISSUED BY NACTP)	NUMERIC	9999	N	VERSION 1 REVISED 04/2024
			STATE	H3	2	NH (STATIC VALUE)	ALPHA	NH	N
			FORM ID & YEAR	H4	8	A-Z, 0-9	ALPHA / NUMERIC	000BETyy	N
		PRIMNM	TAXPAYER NAME	1	46	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(46)	N
		BUSIDNO	TAXPAYER IDENTIFICATION NUMBER	2	9	0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES	ALPHA / NUMERIC	999999999 SM9999999 NL9999999	N
		PERBEGDT	TAXABLE PERIOD (BEGINNING)	3	8	0-9	NUMERIC	mmddyyyy	N
		PERENDDT	TAXABLE PERIOD (ENDING)	4	8	0-9	NUMERIC	mmddyyyy	N
		BET80FLG	CHECK HERE IF REQUIRED TO FILE FORM BET-80 (CHECKBOX)	5	1	X	CHECKBOX	X	N
		TOTGRSREC	TOTAL GROSS BUSINESS RECEIPTS FOR THIS BUSINESS ORGANIZATION	6	11	0-9	NUMERIC	9(11)	N
	1	DIV	DIVIDENDS PAID	7	11	0-9	NUMERIC	9(11)	Y
	2	COMPWAG	COMPENSATION & WAGES PAID OR ACCRUED	8	11	0-9	NUMERIC	9(11)	Y
	3	INT	INTEREST PAID OR ACCRUED	9	11	0-9	NUMERIC	9(11)	Y
	4	NHINCTAX	TAXABLE ENTERPRISE VALUE TAX BASE	10	13	0-9	NUMERIC	9(13)	Y
	5	TAXAMT	NH BUSINESS ENTERPRISE TAX (BEFORE CREDITS)	11	11	0-9	NUMERIC	9(11)	Y
	6	CRTOTAL	ENTER CREDITS AGAINST BET. USE DP-160 TO DETERMINE CREDIT AGAINST BET	12	11	0-9	NUMERIC	9(11)	Y
	7	CRSUB	ENTER TAX DUE	13	13	0-9	NUMERIC	9(13)	Y
		*EOD*	END OF FILE	14	5	*EOD* (STATIC VALUE)	ALPHA / NUMERIC	*EOD*	N

BET CW

	2D SPECS: BET CREDIT WORKSHEET PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)
	LINE	FIELD NAME	IDENTIFICATION	FIELD NUMBER	MAX LENGTH	ACCEPTABLE VALUES	TYPE	FORMAT	CAN BE NEGATIVE?	2D BARCODE PLACEMENT
	BET CREDIT WORKSHEET									BOTTOM CENTER - PAGE 1
			HEADER FIELD	H1	2	T1 (STATIC VALUE)	ALPHA / NUMERIC	T1	N
			DEVELOPER CODE	H2	4	SAME AS VENDOR CODE (ISSUED BY NACTP)	NUMERIC	9999	N	VERSION 1 REVISED 04/2024
			STATE	H3	2	NH (STATIC VALUE)	ALPHA	NH	N
			FORM ID & YEAR	H4	8	A-Z, 0-9	ALPHA / NUMERIC	0BETCWyy	N
		PRIMNM	TAXPAYER NAME	1	46	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(46)	N
		BUSIDNO	TAXPAYER IDENTIFICATION NUMBER	2	9	0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES	ALPHA / NUMERIC	999999999 SM9999999 NL9999999	N
		PERBEGDT	TAXABLE PERIOD (BEGINNING)	3	8	0-9	NUMERIC	mmddyyyy	N
		PERENDDT	TAXABLE PERIOD (ENDING)	4	8	0-9	NUMERIC	mmddyyyy	N
	1	BCWBPTTAX	LINE 1	5	11	0-9	NUMERIC	9(11)	Y
	2	BCWBETCRED	LINE 2	6	11	0-9	NUMERIC	9(11)	Y
	3A	BCWBETPAID	LINE 3a (AVAILABLE CREDITS)	7	11	0-9	NUMERIC	9(11)	Y
	3B	BCWBPTCRDP	LINE 3b (CREDIT APPLIED TO BPT)	8	11	0-9	NUMERIC	9(11)	Y
	3C	BCWEXCRDP	LINE 3c (EXCESS CREDITS)	9	11	0-9	NUMERIC	9(11)	Y
	4A	BCWCRYOVER10	LINE 4a (AVAILABLE CREDITS)	10	11	0-9	NUMERIC	9(11)	Y	NEW FIELDS ADDED IN TY 2024.
	4B	BCWBPTCRD10	LINE 4b (CREDIT APPLIED TO BPT)	11	11	0-9	NUMERIC	9(11)	Y
	4C	BCWEXCRD10	LINE 4c (EXCESS CREDITS)	12	11	0-9	NUMERIC	9(11)	Y
	5A	BCWCRYOVER9	LINE 5a (AVAILABLE CREDITS)	13	11	0-9	NUMERIC	9(11)	Y
	5B	BCWBPTCRD9	LINE 5b (CREDIT APPLIED TO BPT)	14	11	0-9	NUMERIC	9(11)	Y
	5C	BCWEXCRD9	LINE 5c (EXCESS CREDITS)	15	11	0-9	NUMERIC	9(11)	Y
	6A	BCWCRYOVER8	LINE 6a (AVAILABLE CREDITS)	16	11	0-9	NUMERIC	9(11)	Y
	6B	BCWBPTCRD8	LINE 6b (CREDIT APPLIED TO BPT)	17	11	0-9	NUMERIC	9(11)	Y
	6C	BCWEXCRD8	LINE 6c (EXCESS CREDITS)	18	11	0-9	NUMERIC	9(11)	Y
	7A	BCWCRYOVER7	LINE 7a (AVAILABLE CREDITS)	19	11	0-9	NUMERIC	9(11)	Y
	7B	BCWBPTCRD7	LINE 7b (CREDIT APPLIED TO BPT)	20	11	0-9	NUMERIC	9(11)	Y
	7C	BCWEXCRD7	LINE 7c (EXCESS CREDITS)	21	11	0-9	NUMERIC	9(11)	Y
	8A	BCWCRYOVR6	LINE 8a (AVAILABLE CREDITS)	22	11	0-9	NUMERIC	9(11)	Y
	8B	BCWBPTCRD6	LINE 8b (CREDIT APPLIED TO BPT)	23	11	0-9	NUMERIC	9(11)	Y
	8C	BCWEXCRD6	LINE 8c (EXCESS CREDITS)	24	11	0-9	NUMERIC	9(11)	Y
	9A	BCWCRYOVR5	LINE 9a (AVAILABLE CREDITS)	25	11	0-9	NUMERIC	9(11)	Y
	9B	BCWBPTCRD5	LINE 9b (CREDIT APPLIED TO BPT)	26	11	0-9	NUMERIC	9(11)	Y
	9C	BCWEXCRD5	LINE 9c (EXCESS CREDITS)	27	11	0-9	NUMERIC	9(11)	Y
	10A	BCWCRYOVR4	LINE 10a (AVAILABLE CREDITS)	28	11	0-9	NUMERIC	9(11)	Y
	10B	BCWBPTCRD4	LINE 10b (CREDIT APPLIED TO BPT)	29	11	0-9	NUMERIC	9(11)	Y
	10C	BCWEXCRD4	LINE 10c (EXCESS CREDITS)	30	11	0-9	NUMERIC	9(11)	Y
	11A	BCWCRYOVR3	LINE 11a (AVAILABLE CREDITS)	31	11	0-9	NUMERIC	9(11)	Y
	11B	BCWBPTCRD3	LINE 11b (CREDIT APPLIED TO BPT)	32	11	0-9	NUMERIC	9(11)	Y
	11C	BCWEXCRD3	LINE 11c (EXCESS CREDITS)	33	11	0-9	NUMERIC	9(11)	Y
	12A	BCWCRYOVR2	LINE 12a (AVAILABLE CREDITS)	34	11	0-9	NUMERIC	9(11)	Y
	12B	BCWBPTCRD2	LINE 12b (CREDIT APPLIED TO BPT)	35	11	0-9	NUMERIC	9(11)	Y
	12C	BCWEXCRD2	LINE 12c (EXCESS CREDITS)	36	11	0-9	NUMERIC	9(11)	Y
	13A	BCWCRYOVR1	LINE 13a (AVAILABLE CREDITS)	37	11	0-9	NUMERIC	9(11)	Y
	13B	BCWBPTCRD1	LINE 13b (CREDIT APPLIED TO BPT)	38	11	0-9	NUMERIC	9(11)	Y
	13C	BCWEXCRD1	LINE 13c (EXCESS CREDITS)	39	11	0-9	NUMERIC	9(11)	Y
		*EOD*	END OF FILE	40	5	*EOD* (STATIC VALUE)	ALPHA / NUMERIC	*EOD*	N

BET-80

	2D SPECS: BET-80 PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)
	LINE	FIELD NAME	IDENTIFICATION	FIELD NUMBER	MAX LENGTH	ACCEPTABLE VALUES	TYPE	FORMAT	CAN BE NEGATIVE?	2D BARCODE PLACEMENT
	BET-80 FORM									BOTTOM CENTER - PAGE 1
			HEADER FIELD	H1	2	T1 (STATIC VALUE)	ALPHA / NUMERIC	T1	N
			DEVELOPER CODE	H2	4	SAME AS VENDOR CODE (ISSUED BY NACTP)	NUMERIC	9999	N	VERSION 1 REVISED 04/2024
			STATE	H3	2	NH (STATIC VALUE)	ALPHA	NH	N
			FORM ID & YEAR	H4	8	A-Z, 0-9	ALPHA / NUMERIC	0BET80yy	N
		PRIMNM	BUSINESS ENTERPRISE NAME	1	46	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(46)	N
		BUSIDNO	TAXPAYER IDENTIFICATION #	2	9	0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES	ALPHA / NUMERIC	999999999 SM9999999 NL9999999	N
		PERBEGDT	TAXABLE PERIOD (BEGINNING)	3	8	0-9	NUMERIC	mmddyyyy	N
		PERENDDT	TAXABLE PERIOD (ENDING)	4	8	0-9	NUMERIC	mmddyyyy	N
	12	DIVPD	LINE 12 - DIVIDENDS PAID	5	11	0-9	NUMERIC	9(11)	Y
	13	DIVDED	LINE 13 - LESS: DIVIDEND DEDUCTION	6	11	0-9	NUMERIC	9(11)	Y
	15	DIVAPPTN	LINE 15 - DIVIDEND APPORTIONMENT FACTOR	7	9	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9.999999	N
	16	DIVTAX	LINE 16 - TAXABLE DIVIDENDS	8	11	0-9	NUMERIC	9(13)	Y
	17	DIV	LINE 17 - TOTAL TAXABLE DIVIDENDS	9	11	0-9	NUMERIC	9(11)	Y
	18	COMPPD	LINE 18 - EVERYWHERE COMPENSATION & WAGES PAID OR ACCRUED	10	11	0-9	NUMERIC	9(11)	Y
	19	COMPRET	LINE 19 - LESS: RETAINED COMPENSATION	11	11	0-9	NUMERIC	9(11)	Y
	21	COMPAPPTN	LINE 21 - COMPENSATION APPORTIONMENT FACTOR	12	9	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9.999999	N
	23	DIVOFFSET1	LINE 23 - LESS: DIVIDEND OFFSET	13	11	0-9	NUMERIC	9(11)	Y
	24	COMPWAG	LINE 24 - TOTAL TAXABLE COMPENSATION	14	11	0-9	NUMERIC	9(11)	Y
	25	INTPD	LINE 25 - INTEREST PAID OR ACCRUED	15	11	0-9	NUMERIC	9(11)	Y
	26	INTAPPTN	LINE 26 - INTEREST APPORTIONMENT FACTOR	16	9	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9.999999	N
	27	INTTAX	LINE 27 - TAXABLE INTEREST	17	11	0-9	NUMERIC	9(11)	Y
	28	DIVOFFSET2	LINE 28 - LESS: DIVIDEND OFFSET	18	11	0-9	NUMERIC	9(11)	Y
	29	INT	LINE 29 - TOTAL TAXABLE INTEREST	19	11	0-9	NUMERIC	9(11)	Y
		*EOD*	END OF FILE	20	5	*EOD* (STATIC VALUE)	ALPHA / NUMERIC	*EOD*	N

BET-80-WE

	2D SPECS: BET-80-WE PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)
	LINE	FIELD NAME	IDENTIFICATION	FIELD NUMBER	MAX LENGTH	ACCEPTABLE VALUES	TYPE	FORMAT	CAN BE NEGATIVE?	2D BARCODE PLACEMENT
	BET-80-WE FORM									BOTTOM CENTER - PAGE 1
			HEADER FIELD	H1	2	T1 (STATIC VALUE)	ALPHA / NUMERIC	T1	N
			DEVELOPER CODE	H2	4	SAME AS VENDOR CODE (ISSUED BY NACTP)	NUMERIC	9999	N	VERSION 1 REVISED 06/2024
			STATE	H3	2	NH (STATIC VALUE)	ALPHA	NH	N
			FORM ID & YEAR	H4	8	A-Z, 0-9	ALPHA / NUMERIC	BT80WEyy	N
		PRIMNM	BUSINESS ENTERPRISE NAME	1	46	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(46)	N
		BUSIDNO	TAXPAYER IDENTIFICATION #	2	9	0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES	ALPHA / NUMERIC	999999999 SM9999999 NL9999999	N
		PERBEGDT	TAXABLE PERIOD (BEGINNING)	3	8	0-9	NUMERIC	mmddyyyy	N
		PERENDDT	TAXABLE PERIOD (ENDING)	4	8	0-9	NUMERIC	mmddyyyy	N
		*EOD*	END OF FILE	5	5	*EOD* (STATIC VALUE)	ALPHA / NUMERIC	*EOD*	N

BT-EXT

	2D SPECS: BT-EXT PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)
	LINE	FIELD NAME	IDENTIFICATION	FIELD NUMBER	MAX LENGTH	ACCEPTABLE VALUES	TYPE	FORMAT	CAN BE NEGATIVE?	2D BARCODE PLACEMENT
	BT-EXT FORM									BOTTOM CENTER - PAGE 1
			HEADER FIELD	H1	2	T1 (STATIC VALUE)	ALPHA / NUMERIC	T1	N
			DEVELOPER CODE	H2	4	SAME AS VENDOR CODE (ISSUED BY NACTP)	NUMERIC	9999	N	VERSION 1 REVISED 07/2024
			STATE	H3	2	NH (STATIC VALUE)	ALPHA	NH	N
			FORM ID & YEAR	H4	8	A-Z, 0-9	ALPHA / NUMERIC	BETEXTyy	N
		PERBEGDT	TAXABLE PERIOD (BEGINNING)	1	8	0-9	NUMERIC	mmddyyyy	N
		PERENDDT	TAXABLE PERIOD (ENDING)	2	8	0-9	NUMERIC	mmddyyyy	N
		PROPCB	PROPRIETORSHIP (CHECKBOX)	3	1	X	CHECKBOX	X	N
		CORPCB	CORPORATION (CHECKBOX)	4	1	X	CHECKBOX	X	N
		PARTCB	PARTNERSHIP (CHECKBOX)	5	1	X	CHECKBOX	X	N
		FIDCB	FIDUCIARY (CHECKBOX)	6	1	X	CHECKBOX	X	N
		NPCB	NON-PROFIT (CHECKBOX)	7	1	X	CHECKBOX	X	N
		COMBCB	COMBINED GROUP (CHECKBOX)	8	1	X	CHECKBOX	X	N
		INDVIDNO1	SOCIAL SECURITY NUMBER	9	9	0-9	NUMERIC	999999999	N
		BUSIDNO1	TAXPAYER IDENTIFICATION NUMBER	10	9	0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES	ALPHA / NUMERIC	999999999 SM9999999 NL9999999	N
		LASTNM1	PROPRIETOR'S LAST NAME	11	30	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(30)	N
		FIRSTNM1	FIRST NAME	12	15	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(15)	N
		MIDINIT1	MIDDLE INITIAL	13	1	A-Z	ALPHA	X	N
		PRIMNM	CORPORATE, PARTNERSHIP, ESTATE, TRUST, NON-PROFIT, OR LLC NAME	14	46	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(46)	N
		PIACODE	PRINCIPAL BUSINESS ACTIVITY CODE	15	6	0-9	NUMERIC	9(6)	N
		ADDR1	NUMBER & STREET ADDRESS	16	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		ADDR2	ADDRESS (CONTINUED)	17	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		CITY	CITY / TOWN	18	20	A-Z PLUS SPACE	ALPHA / NUMERIC	X(20)	N
		STATE	STATE	19	2	A-Z	ALPHA	XX	N
		ZIPPSTLCD	ZIP CODE + 4	20	10	0-9, A-Z, PLUS (-), PLUS SPACE	ALPHA / NUMERIC	99999-9999 A1A 1A1	N
	1	TAXDUEBE	ENTER 100% OF THE BUSINESS ENTERPRISE TAX (BET) DETERMINED TO BE DUE (NET OF CREDIT)	21	11	0-9	NUMERIC	9(11)	Y
	2	TAXDUEBP	ENTER 100% OF THE BUSINESS PROFITS TAX (BPT) DETERMINED TO BE DUE (NET OF CREDIT)	22	11	0-9	NUMERIC	9(11)	Y
	3	TAXDUESUB	SUBTOTAL (LINE 1 PLUS LINE 2)	23	11	0-9	NUMERIC	9(11)	Y
	4	CRPYMT	LESS: CREDIT CARRIED OVER FROM PRIOR YEAR AND TOTAL ESTIMATED TAX PAYMENTS	24	11	0-9	NUMERIC	9(11)	Y
	5	BALANCE1	BALANCE DUE	25	11	0-9	NUMERIC	9(11)	Y
		*EOD*	END OF FILE	26	5	*EOD* (STATIC VALUE)	ALPHA / NUMERIC	*EOD*	N

BT-SUM

	2D SPECS: BT-SUMMARY PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)
	LINE	FIELD NAME	IDENTIFICATION	FIELD NUMBER	MAX LENGTH	ACCEPTABLE VALUES	TYPE	FORMAT	CAN BE NEGATIVE?	2D BARCODE PLACEMENT
	BT-SUMMARY									BOTTOM CENTER - PAGE 3
			HEADER FIELD	H1	2	T1 (STATIC VALUE)	ALPHA / NUMERIC	T1	N
			DEVELOPER CODE	H2	4	SAME AS VENDOR CODE (ISSUED BY NACTP)	NUMERIC	9999	N	VERSION 1 REVISED 05/2024
			STATE	H3	2	NH (STATIC VALUE)	ALPHA	NH	N
			FORM ID & YEAR	H4	8	A-Z, 0-9	ALPHA / NUMERIC	0BTSUMyy	N
	STEP 1	PERBEGDT	TAXABLE PERIOD (BEGINNING)	1	8	0-9	NUMERIC	mmddyyyy	N
		PERENDDT	TAXABLE PERIOD (ENDING)	2	8	0-9	NUMERIC	mmddyyyy	N
		FORMERNAMECB	NAME CHANGE (CHECKBOX)	3	1	X	CHECKBOX	X	N
		FORMERNAME	FORMER NAME	4	46	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(46)	N
		INDVIDNO1	SOCIAL SECURITY NUMBER	5	9	0-9	NUMERIC	999999999	N
		BUSIDNO	TAXPAYER IDENTIFICATION NUMBER	6	9	0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES	ALPHA / NUMERIC	999999999 SM9999999 NL9999999	N
		LASTNM1	PROPRIETORSHIP LAST NAME	7	30	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(30)	N
		FIRSTNM1	FIRST NAME	8	15	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(15)	N
		MIDINIT1	MIDDLE INITIAL	9	1	A-Z	ALPHA	X(1)	N
		PRIMNM	CORPORATE, PARTNERSHIP, ESTATE, TRUST, NON-PROFIT OR LLC NAME	10	46	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(46)	N
		STRADDR1	NUMBER & STREET ADDRESS	11	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		STRADDR2	ADDRESS (CONTINUED)	12	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		UNITTYPE	UNIT TYPE	13	12	A-Z PLUS SPACE, #	ALPHA / NUMERIC	X(12)	N
		UNITNO	UNIT #	14	7	0-9	NUMERIC	X(7)	N
		CITY	CITY / TOWN	15	20	A-Z, PLUS SPACE	ALPHA / NUMERIC	X(20)	N
		STATE	STATE	16	2	A-Z	ALPHA	XX	N
		ZIPPSTLCD	ZIP CODE + 4	17	10	0-9, A-Z, PLUS SPACE, PLUS (-)	ALPHA / NUMERIC	99999-9999 A1A 1A1	N
		PIACODE	PRINCIPAL BUSINESS ACTIVITY CODE	18	6	0-9	NUMERIC	9(6)	N
	STEP 2	BETCBY	REQUIRED TO FILE A BET RETURN (CHECKBOX, YES)	19	1	X	CHECKBOX	X	N
		BETCBN	REQUIRED TO FILE A BET RETURN (CHECKBOX, NO)	20	1	X	CHECKBOX	X	N
		BPTCBY	REQUIRED TO FILE A BPT RETURN (CHECKBOX, YES)	21	1	X	CHECKBOX	X	N
		BPTCBN	REQUIRED TO FILE A BPT RETURN (CHECKBOX, NO)	22	1	X	CHECKBOX	X	N
		NP990TFLGY	DO YOU FILE A FORM 990/990T (CHECKBOX, YES)	23	1	X	CHECKBOX	X	N
		NP990TFLGN	DO YOU FILE A FORM 990/990T (CHECKBOX, NO)	24	1	X	CHECKBOX	X	N
		FEDFORMFLGY	DO YOU FILE A FEDERAL FORM 8023 (CHECKBOX, YES)	25	1	X	CHECKBOX	X	N
		FEDFORMFLGN	DO YOU FILE A FEDERAL FORM 8023 (CHECKBOX, NO)	26	1	X	CHECKBOX	X	N
		5253WKFLY	DO YOU FILE IRS APPROVED 52/53 WEEK YEAR (CHECKBOX, YES)	27	1	X	CHECKBOX	X	N
		5253WKFLN	DO YOU FILE IRS APPROVED 52/53 WEEK YEAR (CHECKBOX, NO)	28	1	X	CHECKBOX	X	N
		CORPCB	CORPORATION (CHECKBOX)	29	1	X	CHECKBOX	X	N
		COMBCB	COMBINED GROUP (CHECKBOX)	30	1	X	CHECKBOX	X	N
		PARTCB	PARTNERSHIP (CHECKBOX)	31	1	X	CHECKBOX	X	N
		NPCB	NON-PROFIT (CHECKBOX)	32	1	X	CHECKBOX	X	N
		PROPCB	PROPRIETORSHIP (CHECKBOX)	33	1	X	CHECKBOX	X	N
		FIDCB	FIDUCIARY (CHECKBOX)	34	1	X	CHECKBOX	X	N
		AMNDRTNFLG	AMENDED RETURN (CHECKBOX)	35	1	X	CHECKBOX	X	N
		FINLRTNFLG	FINAL RETURN (CHECKBOX)	36	1	X	CHECKBOX	X	N
		LLCFLAG	LLC (CHECKBOX)	37	1	X	CHECKBOX	X	N
		DAOFLAG	DAO (CHECKBOX)	38	1	X	CHECKBOX	X	N	NEW FIELD ADDED IN TY 2024.
		RP87FLAG	IRS ADJUSTMENT (CHECKBOX)	39	1	X	CHECKBOX	X	N
	STEP 4 1A	CRSUB	LINE 1a - BUSINESS ENTERPRISE TAX NET OF STATUTORY CREDITS	40	13	0-9	NUMERIC	9(13)	Y
	1B	TAXNETSTCR	LINE 1b - BUSINESS PROFITS TAX NET OF STATUTORY CREDITS	41	13	0-9	NUMERIC	9(13)	Y
	1C	TOTTAXNET	LINE 1c - SUBTOTAL OF BUSINESS TAX DUE	42	13	0-9	NUMERIC	9(13)	Y
	2A	TOTEXTN	LINE 2a - TAX PAID WITH APPLICATION FOR EXTENSION	43	11	0-9	NUMERIC	9(11)	Y
	2B	TOTESTIM	LINE 2b - TOTAL OF TAXABLE PERIODS ESTIMATED TAX PAYMENTS	44	11	0-9	NUMERIC	9(11)	Y
	2C	TOTPREVYR	LINE 2c - TAX PAID WITH ORIGINAL RETURN (AMENDED RETURNS ONLY)	45	11	0-9	NUMERIC	9(11)	Y
	2D	TOTPDORIG	LINE 2d - CREDIT CARRYOVER FROM PRIOR YEAR TAX RETURN	46	11	0-9	NUMERIC	9(11)	Y
	2E	TOTPYMT	LINE 2e - TOTAL OF LINES 2(A) THROUGH 2(D)	47	13	0-9	NUMERIC	9(13)	Y
	3	BALTAXDUE	LINE 3 - TAX DUE	48	13	0-9	NUMERIC	9(13)	Y
	4A	TOTINT	LINE 4a - INTEREST	49	11	0-9	NUMERIC	9(11)	Y
	4B	TOTFP	LINE 4b - FAILURE TO PAY	50	11	0-9	NUMERIC	9(11)	Y
	4C	TOTFF	LINE 4c - FAILURE TO FILE	51	11	0-9	NUMERIC	9(11)	Y
	4D	TOTUND	LINE 4d - UNDERPAYMENT OF ESTIMATED TAX	52	11	0-9	NUMERIC	9(11)	Y
	4E	TOTADDTN	LINE 4e - TOTAL OF LINES 4(A) THROUGH 4(D)	53	13	0-9	NUMERIC	9(13)	Y
	5A	SUBTOTAL5(a)	LINE 5a - SUBTOTAL OF AMOUNT DUE	54	13	0-9	NUMERIC	9(13)	Y
	5B	EFTFETPYT	LINE 5b - RETURN PAYMENT MADE ELECTRONICALLY	55	11	0-9	NUMERIC	9(11)	Y
	5C	BALANCEDUE	LINE 5c - BALANCE DUE	56	11	0-9	NUMERIC	9(11)	Y
	6	OVRPYMT	LINE 6 - OVERPAYMENT	57	9	0-9	NUMERIC	9(9)	Y	COMMENT: LINE 6A OVERPAYMENT LIMIT IS NOT IN 2D BARCODE.
	7A	OVRPYMTCR	LINE 7a - APPLY OVERPAYMENT TO CREDIT	58	9	0-9	NUMERIC	9(9)	Y
	7B	OVRPYMTRFD	LINE 7b - APPLY OVERPAYMENT TO REFUND	59	9	0-9	NUMERIC	9(9)	Y
	STEP 5	POAFLG	POWER OF ATTORNEY (POA) (CHECKBOX)	60	1	X	CHECKBOX	X	N
		SIGNEDFLG	TAXPAYER SIGNATURE	61	1	X	ALPHA	X	N
		SIGNNAME	PRINT SIGNATORY NAME & TITLE	62	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		SIGNEMAIL	TAXPAYER EMAIL	63	50	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, @, !, $, %, _, +, -, ^, {|}, ~, *	ALPHA / NUMERIC	X(50)	N
		SIGNTELE	TAXPAYER PHONE #	64	10	0-9	NUMERIC	9999999999	N
		SURVSPSFLG	SURVIVING SPOUSE (CHECKBOX)	65	1	X	CHECKBOX	X	N
		PREPARNAME	PREPARER PRINTED NAME	66	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		PREPREMAIL	PREPARER EMAIL ADDRESS	67	50	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, @, !, $, %, _, +, -, ^, {|}, ~, *	ALPHA / NUMERIC	X(50)	N
		PREPRTELE	PREPARER PHONE NUMBER	68	10	0-9	NUMERIC	9999999999	N
		PREPRID	PREPARER IDENTIFICATION NUMBER	69	9	0-9 AND P IS PERMITTED IN THE FIRST SPACE	ALPHA / NUMERIC	999999999 P99999999	N
		STRADDR1P	PREPARER ADDRESS	70	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		STRADDR2P	PREPARER ADDRESS (CONTINUED)	71	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		CITYP	PREPARER CITY / TOWN	72	20	A-Z, PLUS SPACE	ALPHA / NUMERIC	X(20)	N
		STATEP	PREPARER STATE	73	2	A-Z	ALPHA	XX	N
		ZIPPSTLCDP	PREPARER ZIP CODE + 4	74	10	0-9, A-Z, PLUS SPACE	ALPHA / NUMERIC	99999-9999 A1A 1A1	N
		*EOD*	END OF FILE	75	5	*EOD* (STATIC VALUE)	ALPHA / NUMERIC	*EOD*	N

CD-3

	2D SPECS: CD-3 PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)					cd-
	LINE	FIELD NAME	IDENTIFICATION	FIELD NUMBER	MAX LENGTH	ACCEPTABLE VALUES	TYPE	FORMAT	CAN BE NEGATIVE?	2D BARCODE PLACEMENT
	CD-3 FORM									BOTTOM CENTER - PAGE 2
			HEADER FIELD	H1	2	T1 (STATIC VALUE)	ALPHA / NUMERIC	T1	N
			DEVELOPER CODE	H2	4	SAME AS VENDOR CODE (ISSUED BY NACTP)	NUMERIC	9999	N
			STATE	H3	2	NH (STATIC VALUE)	ALPHA	NH	N
			FORM ID & YEAR	H4	8	A-Z, 0-9	ALPHA / NUMERIC	000CD3yy	N
	1	BUSNMDBA	BUSINESS NAME (DBA)	1	46	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(46)	N
	2	ADDR1	MAILING ADDRESS	2	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
	3	ADDR2	MAILING ADDRESS (CONTINUED)	3	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
	5	CITY	CITY / TOWN	4	20	A-Z PLUS SPACE	ALPHA / NUMERIC	X(20)	N
	5	ZIPPSTLCD	ZIP CODE + 4	5	10	A-Z, 0-9, PLUS (-), PLUS SPACE	ALPHA / NUMERIC	99999-9999 A1A 1A1	N
	2	SOSID	SECRETARY OF STATE BUSINESS ID #	6	6	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(6)	N
	4	BUSEMAIL	EMAIL ADDRESS	7	34	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, @, !, $, %, _, +, -, ^, {|}, ~, *	ALPHA / NUMERIC	X(50)	N
	6(a)	PROP	PROPRIETORSHIP (CHECKBOX)	8	1	X	CHECKBOX	X	N
	6(a)	CORP	CORPORATION (CHECKBOX)	9	1	X	CHECKBOX	X	N
	6(a)	PART	PARTNERSHIP (CHECKBOX)	10	1	X	CHECKBOX	X	N
	6(a)	FIDU	FIDUCIARY (CHECKBOX)	11	1	X	CHECKBOX	X	N
	6(a)	NONPROF	NON-PROFIT (CHECKBOX)	12	1	X	CHECKBOX	X	N
	6(b)	LLCYES	LLC (CHECKBOX, YES)	13	1	X	CHECKBOX	X	N
	6(b)	LLCNO	LLC (CHECKBOX, NO)	14	1	X	CHECKBOX	X	N
	6(c)	OWNERNAME	NAME OF OWNER/ENTITY	15	42	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(42)	N
	7	OWNFEIN	FEIN	16	9	0-9	NUMERIC	999999999	N
	8	FILFEIN	FEIN (CHECKBOX)	17	1	X	CHECKBOX	X	N
	8	FILSSN	SSN (CHECKBOX)	18	1	X	CHECKBOX	X	N
	8	FILINGID	FEIN OR SSN #	19	9	0-9	NUMERIC	999999999	N
	8	FILDIN	DIN #	20	9	0-9	NUMERIC	999999999	N
	9A	LASTNM9A	LAST NAME (PERSON 1)	21	30	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(30)	N
	9A	FIRSTNM9A	FIRST NAME (PERSON 1)	22	15	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(15)	N
	9A	MIDINIT9A	MIDDLE INITIAL (PERSON 1)	23	1	A-Z	ALPHA	x(1)	N
	9A	TITLE9A	TITLE (PERSON 1)	24	15	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(15)	N
	9A	ADDR9A	RESIDENCE ADDRESS - NO PO BOXES (PERSON 1)	25	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
	9A	INDVID9A	SOCIAL SECURITY NUMBER (PERSON 1)	26	9	0-9	NUMERIC	999999999	N
	9A	CITY9A	CITY / TOWN (PERSON 1)	27	20	A-Z PLUS SPACE	ALPHA / NUMERIC	X(20)	N
	9A	STATE9A	STATE (PERSON 1)	28	2	A-Z	ALPHA	XX	N
	9A	ZIPCD9A	ZIP CODE + 4 (PERSON 1)	29	10	A-Z 0-9 PLUS (-)	ALPHA / NUMERIC	99999-9999 A1A 1A1	N
	9A	PHONE9A	PHONE NUMBER (PERSON 1)	30	10	0-9	NUMERIC	X(10)	N
	9B	LASTNM9B	LAST NAME (PERSON 2)	31	30	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(30)	N
	9B	FIRTSNM9B	FIRST NAME (PERSON 2)	32	15	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(15)	N
	9B	MIDINIT9B	MIDDLE INITIAL (PERSON 2)	33	1	A-Z	ALPHA	X(1)	N
	9B	TITLE9B	TITLE (PERSON 2)	34	15	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(15)	N
	9B	INDVID9B	SOCIAL SECURITY NUMBER (PERSON 2)	35	9	0-9	NUMERIC	999999999	N
	9B	ADDR9B	RESIDENCE ADDRESS - NO PO BOXES (PERSON 2)	36	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
	9B	CITY9B	CITY / TOWN (PERSON 2)	37	20	A-Z PLUS SPACE	ALPHA / NUMERIC	X(20)	N
	9B	STATE9B	STATE (PERSON 2)	38	2	A-Z	ALPHA	XX	N
	9B	ZIPCD9B	ZIP CODE + 4 (PERSON 2)	39	10	A-Z, 0-9, PLUS (-)	ALPHA / NUMERIC	99999-9999 A1A 1A1	N
	9B	PHONE9B	PHONE NUMBER (PERSON 2)	40	10	0-9	NUMERIC	X(10)	N
	9C	LASTNM9C	LAST NAME (PERSON 3)	41	30	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(30)	N
	9C	FIRTSNM9C	FIRST NAME (PERSON 3)	42	15	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(15)	N
	9C	MIDINIT9C	MIDDLE INITIAL (PERSON 3)	43	1	A-Z	ALPHA	X(1)	N
	9C	TITLE9C	TITLE (PERSON 3)	44	15	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(15)	N
	9C	INDVID9C	SOCIAL SECURITY NUMBER (PERSON 3)	45	9	0-9	NUMERIC	999999999	N
	9C	ADDR9C	RESIDENCE ADDRESS - NO PO BOXES (PERSON 3)	46	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
	9C	CITY9C	CITY / TOWN (PERSON 3)	47	20	A-Z PLUS SPACE	ALPHA / NUMERIC	X(20)	N
	9C	STATE9C	STATE (PERSON 3)	48	2	A-Z	ALPHA	XX	N
	9C	ZIPCD9C	ZIP CODE + 4 (PERSON 3)	49	10	A-Z, 0-9, PLUS (-)	ALPHA / NUMERIC	99999-9999 A1A 1A1	N
	9C	PHONE9C	PHONE NUMBER (PERSON 3)	50	10	0-9	NUMERIC	X(10)	N
	10	CONTACTNMLAS	CONTACT PERSON LAST NAME	51	30	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(30)	N
	10	CONTACTNMFIRST	CONTACT PERSON FIRST NAME	52	15	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(15)	N
	10	CONTACTTITLE	TITLE	53	20	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(20)	N
	10	CONTACTPHONE	PHONE NUMBER	54	10	0-9	NUMERIC	X(10)
	11	BUSPHONE	BUSINESS TELEPHONE NUMBER	55	10	0-9	NUMERIC	X(10)	N
	12	PHYSBUSNHADD	PHYSICAL BUSINESS ADDRESS IN NH	56	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
	12	CONTACTTOWN	CITY / TOWN	57	20	A-Z PLUS SPACE	ALPHA / NUMERIC	X(20)	N
	12	CONTACTSTATE	STATE	58	2	A-Z	ALPHA	XX	N
	12	CONTACTZIP	ZIP CODE + 4	59	10	A-Z, 0-9, PLUS (-)	ALPHA / NUMERIC	99999-9999 A1A 1A1	N
	13	PROPOPENDATE	PROPOSED OPENING DATE	60	8	0-9, DASH	ALPHA / NUMERIC	X(8)	N
	14	BUSACTIVITY	TYPE OF BUSINESS ACTIVITY	61	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
	15	SERVICEFOOD	FOOD (CHECKBOX)	62	1	X	CHECKBOX	X	N
	15	SERVICEBEV	ALCOHOLIC BEVERAGES (CHECKBOX)	63	1	X	CHECKBOX	X	N
	15	SERVICESEATS	NUMBER OF SEATS IN RESTAURANT AND/OR LOUNGE	64	6	0-9	NUMERIC	X(6)	N
	16	RENTALSEATS	SLEEPING ACCOMIDATIONS (CHECKBOX)	65	1	X	CHECKBOX	X	N
	16	NUMSLEEPRMS	NUMBER OF ROOMS	66	6	0-9	NUMERIC	X(6)	N
	16	RENTALFUNCTION	FUNCTION ROOMS (CHECKBOX)	67	1	X	CHECKBOX	X	N
	16	NUMFUNCRMS	NUMBER OF ROOMS	68	6	0-9	NUMERIC	X(6)	N
	16	RENTALVEHICLES	MOTOR VEHICLES (CHECKBOX)	69	1	X	CHECKBOX	X	N
	16	NUMVEHICLES	NUMBER OF VEHICLES	70	6	0-9	NUMERIC	X(6)	N
	17	SESAONFILER	SEASON FILER (CHECKBOX)	71	1	X	CHECKBOX	X	N
	17	SEASONMOJAN	JANUARY (CHECKBOX)	72	1	X	CHECKBOX	X	N
	17	SEASONMOFEB	FEBRUARY (CHECKBOX)	73	1	X	CHECKBOX	X	N
	17	SEASONMOMAR	MARCH (CHECKBOX)	74	1	X	CHECKBOX	X	N
	17	SEASONNOAPR	APRIL (CHECKBOX)	75	1	X	CHECKBOX	X	N
	17	SEASONMOMAY	MAY (CHECKBOX)	76	1	X	CHECKBOX	X	N
	17	SEASONMOJUN	JUNE (CHECKBOX)	77	1	X	CHECKBOX	X	N
	17	SEASONMOJUL	JULY (CHECKBOX)	78	1	X	CHECKBOX	X	N
	17	SEASONMOAUG	AUGUST (CHECKBOX)	79	1	X	CHECKBOX	X	N
	17	SEASONMOSEP	SEPTEMBER (CHECKBOX)	80	1	X	CHECKBOX	X	N
	17	SEASONMOOCT	OCTOBER (CHECKBOX)	81	1	X	CHECKBOX	X	N
	17	SEASONMONOV	NOVEMBER (CHECKBOX)	82	1	X	CHECKBOX	X	N
	17	SEASONMODEC	DECEMBER (CHECKBOX)	83	1	X	CHECKBOX	X	N
	18	OWNERBANK	NH BANKING INSTITUTION OF THE OWNER	84	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
	19	ACCTHOLDRNAME	ACCOUNT HOLDER'S FULL NAME	85	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
	20A	CONSFILINGYES	MEMBER CONSOLIDATED M&R FILING (CHECKBOX, YES)	86	1	X	CHECKBOX	X	N
	20A	CONSFILINGNO	MEMBER CONSOLIDATED M&R FILING (CHECKBOX, NO)	87	1	X	CHECKBOX	X	N
	20A	PRIMLICNUM	PRIMARY LICENSE NUMBER	88	6	0-9	NUMERIC	X(6)	N
	20B	MASTERFILERYES	MASTER CONSOLIDATED M&R FILING (CHECKBOX, YES)	89	1	X	CHECKBOX	X	N
	20B	MASTERFILERNO	MASTER CONSOLIDATED M&R FILING (CHECKBOX, NO)	90	1	X	CHECKBOX	X	N
		*EOD*	END OF FILE	91	5	*EOD* (STATIC VALUE)	ALPHA / NUMERIC	*EOD*	N

CD-57-HC-P

	2D SPECS: CD-57-HC-P PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)					cd-
	LINE	FIELD NAME	IDENTIFICATION	FIELD NUMBER	MAX LENGTH	ACCEPTABLE VALUES	TYPE	FORMAT	CAN BE NEGATIVE?	2D BARCODE PLACEMENT
	CD-57-HC-P FORM									BOTTOM CENTER - PAGE 3
			HEADER FIELD	H1	2	T1 (STATIC VALUE)	ALPHA / NUMERIC	T1	N
			DEVELOPER CODE	H2	4	SAME AS VENDOR CODE (ISSUED BY NACTP)	NUMERIC	9999	N
			STATE	H3	2	NH (STATIC VALUE)	ALPHA	NH	N
			FORM ID & YEAR	H4	8	A-Z, 0-9	ALPHA / NUMERIC	CD57HPyy	N
	STEP 1	BYRENTIT1	INDIVIDUAL (CHECKBOX)	1	1	X	CHECKBOX	X	N
		BYRENTIT2	JOINT (CHECKBOX)	2	1	X	CHECKBOX	X	N
		BYRENTIT3	PARTNERSHIP (CHECKBOX)	3	1	X	CHECKBOX	X	N
		BYRENTIT4	CORPORATION (CHECKBOX)	4	1	X	CHECKBOX	X	N
		BYRENTIT5	TRUST (CHECKBOX)	5	1	X	CHECKBOX	X	N
		BYRENTIT6	LLC (CHECKBOX)	6	1	X	CHECKBOX	X	N
		ORIGINAL	ORIGINAL RETURN (CHECKBOX)	7	1	X	CHECKBOX	X	N
		AMENDED	AMENDED RETURN (CHECKBOX)	8	1	X	CHECKBOX	X	N
		BYRLNAME	LAST NAME / ENTITY (PURCHASER 1)	9	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		BYRFNAM	FIRST NAME (PURCHASER 1)	10	15	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(15)	N
		BYREIN	FEIN / SSN (PURCHASER 1)	11	9	0-9	NUMERIC	999999999	N
		BYRSTNUM	STREET NO. (PURCHASER)	12	6	0-9	NUMERIC	999999	N
		BYRSNAM	STREET NAME (PURCHASER)	13	30	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(30)	N
		BYRUNIT	APT / UNIT (PURCHASER)	14	4	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(4)	N
		BYRCITY	CITY / TOWN (PURCHASER)	15	20	A-Z PLUS SPACE	ALPHA / NUMERIC	X(20)	N
		BYRSTATE	STATE (PURCHASER)	16	2	A-Z	ALPHA	XX	N
		BYRZIP	ZIP CODE + 4 (PURCHASER)	17	10	A-Z, 0-9, PLUS (-), PLUS SPACE	ALPHA / NUMERIC	99999-9999 A1A 1A1	N
	STEP 3	HCSFNAM	ENTITY (HOLDING COMPANY)	18	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		HCSEIN	FEIN (HOLDING COMPANY)	19	15	0-9	NUMERIC	999999999	N
		TOWN	MUNICIPALITY	20	9	A-Z PLUS SPACE	ALPHA / NUMERIC	X(20)	N
	STEP 4	COUNTY	COUNTY	21	20	A-Z	ALPHA	X(20)	N
	STEP 5	TDATE	TRANSFER DATE	22	20	0-9	NUMERIC	mmddyyyy	N
	STEP 6 1	FAIRMV	LINE 1 - FAIR MARKET VALUE OF ALL NH REAL ESTATE	23	15	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9(12).99	N
	2	PINTEREST	LINE 2 - PERCENTAGE OF INTEREST TRANSFERRED (DECIMAL)	24	8	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9.999999	N
	6	SSUBTOT	LINE 6 - SUBTOTAL OF TAX (MINIMUM OF $20 FOR ALL CONSIDERATIONS $4,000 OR LESS, PER RSA 78-B:1)	25	15	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9(15).99	N
	8	TOTALTAX	LINE 8 - TOTAL OF LINES 6, 7(a), AND 7(b)	26	15	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9(15).99	N
		EXMPYNY	ARE YOU CLAIMING TAX EXEMPTION UNDER RSA 78-B:2? (CHECKBOX, YES)	27	1	X	CHECKBOX	X	N
		EXMPYNN	ARE YOU CLAIMING TAX EXEMPTION UNDER RSA 78-B:2? (CHECKBOX, NO)	28	1	X	CHECKBOX	X	N
		*EOD*	END OF FILE	29	5	*EOD* (STATIC VALUE)	ALPHA / NUMERIC	*EOD*	N

CD-57-HC-S

	2D SPECS: CD-57-HC-S PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)					cd-
	LINE	FIELD NAME	IDENTIFICATION	FIELD NUMBER	MAX LENGTH	ACCEPTABLE VALUES	TYPE	FORMAT	CAN BE NEGATIVE?	2D BARCODE PLACEMENT
	CD-57-HC-S FORM									BOTTOM CENTER - PAGE 3
			HEADER FIELD	H1	2	T1 (STATIC VALUE)	ALPHA / NUMERIC	T1	N
			DEVELOPER CODE	H2	4	SAME AS VENDOR CODE (ISSUED BY NACTP)	NUMERIC	9999	N
			STATE	H3	2	NH (STATIC VALUE)	ALPHA	NH	N
			FORM ID & YEAR	H4	8	A-Z, 0-9	ALPHA / NUMERIC	CD57HSyy	N
	STEP 1	SLRENTIT1	INDIVIDUAL (CHECKBOX)	1	1	X	CHECKBOX	X	N
		SLRENTIT2	JOINT (CHECKBOX)	2	1	X	CHECKBOX	X	N
		SLRENTIT3	PARTNERSHIP (CHECKBOX)	3	1	X	CHECKBOX	X	N
		SLRENTIT4	CORPORATION (CHECKBOX)	4	1	X	CHECKBOX	X	N
		SLRENTIT5	TRUST (CHECKBOX)	5	1	X	CHECKBOX	X	N
		SLRENTIT6	LLC (CHECKBOX)	6	1	X	CHECKBOX	X	N
		ORIGINAL	ORIGINAL RETURN (CHECKBOX)	7	1	X	CHECKBOX	X	N
		AMENDED	AMENDED RETURN (CHECKBOX)	8	1	X	CHECKBOX	X	N
		SLRLNAME	LAST NAME / ENTITY (SELLER 1)	9	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		SLRFNAM	FIRST NAME (SELLER 1)	10	15	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(15)	N
		SLREIN	FEIN / SSN (SELLER)	11	9	0-9	NUMERIC	999999999	N
		SLRSTNUM	STREET NO. (SELLER)	12	6	0-9	NUMERIC	999999	N
		SLRSTNAM	STREET NAME (SELLER)	13	30	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(30)	N
		SLRUNIT	APT / UNIT (SELLER)	14	4	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(4)	N
		SLRCITY	CITY / TOWN (SELLER)	15	20	A-Z PLUS SPACE	ALPHA / NUMERIC	X(20)	N
		SLRSTATE	STATE (SELLER)	16	2	A-Z	ALPHA	XX	N
		SLRZIP	ZIP CODE + 4 (SELLER)	17	10	A-Z, 0-9, PLUS (-)	ALPHA / NUMERIC	99999-9999 A1A 1A1	N
	STEP 3	HCSFNAM	ENTITY (HOLDING COMPANY)	18	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		HCSEIN	FEIN (HOLDING COMPANY)	19	15	0-9	NUMERIC	999999999	N
		TOWN	MUNICIPALITY	20	9	A-Z PLUS SPACE	ALPHA / NUMERIC	X(20)	N
	STEP 4	COUNTY	COUNTY	21	20	A-Z	ALPHA	X(20)	N
	STEP 5	TDATE	TRANSFER DATE	22	8	0-9	NUMERIC	mmddyyyy	N
	STEP 6 1	FAIRMV	LINE 1 - FAIR MARKET VALUE OF ALL NH REAL ESTATE	23	15	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9(12).99	N
	2	PINTEREST	LINE 2 - PERCENTAGE OF INTEREST TRANSFERRED (DECIMAL)	24	8	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9.999999	N
	6	SSUBTOT	LINE 6 - SUBTOTAL OF TAX (MINIMUM OF $20 FOR ALL CONSIDERATIONS $4,000 OR LESS, PER RSA 78-B:1)	25	15	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9(15).99	N
	8	TOTALTAX	LINE 8 - TOTAL OF LINES 6, 7(a), AND 7(b)	26	15	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9(15).99	N
		EXMPYNY	ARE YOU CLAIMING TAX EXEMPTION UNDER RSA 78-B:2? (CHECKBOX, YES)	27	1	X	CHECKBOX	X	N
		EXMPYNN	ARE YOU CLAIMING TAX EXEMPTION UNDER RSA 78-B:2? (CHECKBOX, NO)	28	1	X	CHECKBOX	X	N
		*EOD*	END OF FILE	29	5	*EOD* (STATIC VALUE)	ALPHA / NUMERIC	*EOD*	N

CD-57-P

	2D SPECS: CD-57-P PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)					cd-
	LINE	FIELD NAME	IDENTIFICATION	FIELD NUMBER	MAX LENGTH	ACCEPTABLE VALUES	TYPE	FORMAT	CAN BE NEGATIVE?	2D BARCODE PLACEMENT
	CD-57-P FORM									BOTTOM CENTER - PAGE 3
			HEADER FIELD	H1	2	T1 (STATIC VALUE)	ALPHA / NUMERIC	T1	N
			DEVELOPER CODE	H2	4	SAME AS VENDOR CODE (ISSUED BY NACTP)	NUMERIC	9999	N	VERSION 1 REVISED 09/2024
			STATE	H3	2	NH (STATIC VALUE)	ALPHA	NH	N
			FORM ID & YEAR	H4	8	A-Z, 0-9	ALPHA / NUMERIC	0CD57Pyy	N
	STEP 1	AMNDRTNFLG	AMENDED RETURN (CHECKBOX)	1	1	X	CHECKBOX	X	N
		P1LN	LAST NAME / ENTITY (PURCHASER 1)	2	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		P1FN	FIRST NAME (PURCHASER 1)	3	15	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(15)	N
		P1FEIN	FEIN / SSN (PURCHASER 1)	4	9	0-9	NUMERIC	999999999	N
	STEP 4	BOOK	BOOK NO.	5	8	0-9	NUMERIC	99999999	N
		PAGE	PAGE NO.	6	8	0-9	NUMERIC	99999999	N
		*EOD*	END OF FILE	7	5	*EOD* (STATIC VALUE)	ALPHA / NUMERIC	*EOD*	N

CD-57-S

	2D SPECS: CD-57-S PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)					cd-
	LINE	FIELD NAME	IDENTIFICATION	FIELD NUMBER	MAX LENGTH	ACCEPTABLE VALUES	TYPE	FORMAT	CAN BE NEGATIVE?	2D BARCODE PLACEMENT
	CD-57-S FORM									BOTTOM CENTER - PAGE 3
			HEADER FIELD	H1	2	T1 (STATIC VALUE)	ALPHA / NUMERIC	T1	N
			DEVELOPER CODE	H2	4	SAME AS VENDOR CODE (ISSUED BY NACTP)	NUMERIC	9999	N	VERSION 1 REVISED 09/2024
			STATE	H3	2	NH (STATIC VALUE)	ALPHA	NH	N
			FORM ID & YEAR	H4	8	A-Z, 0-9	ALPHA / NUMERIC	0CD57Syy	N
	STEP 1	AMNDRTNFLG	AMENDED RETURN (CHECKBOX)	1	1	X	CHECKBOX	X	N
		S1LN	LAST NAME / ENTITY (SELLER 1)	2	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		S1FN	FIRST NAME (SELLER 1)	3	15	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(15)	N
		S1FEIN	FEIN / SSN (SELLER 1)	4	9	0-9	NUMERIC	999999999	N
	STEP 4	BOOK	BOOK NO.	5	8	0-9	NUMERIC	99999999	N
		PAGE	PAGE NO.	6	8	0-9	NUMERIC	99999999	N
		*EOD*	END OF FILE	7	5	*EOD* (STATIC VALUE)	ALPHA / NUMERIC	*EOD*	N

CD-92

	2D SPECS: CD-92 PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)					cd-
	LINE	FIELD NAME	IDENTIFICATION	FIELD NUMBER	MAX LENGTH	ACCEPTABLE VALUES	TYPE	FORMAT	CAN BE NEGATIVE?	2D BARCODE PLACEMENT
	CD-92 FORM									BOTTOM CENTER
			HEADER FIELD	H1	2	T1 (STATIC VALUE)	ALPHA / NUMERIC	T1	N
			DEVELOPER CODE	H2	4	SAME AS VENDOR CODE (ISSUED BY NACTP)	NUMERIC	9999	N
			STATE	H3	2	NH (STATIC VALUE)	ALPHA	NH	N
			FORM ID & YEAR	H4	8	A-Z, 0-9	ALPHA / NUMERIC	00CD92yy	N
	STEP 1	PRMNM	WHOLESALER	1	46	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(46)	N
		DATE	DATE (MMDDYYYY)	2	8	0-9	NUMERIC	mmddyyyy	N
		LICNO	LICENSE NUMBER	3	6	0-9	NUMERIC	9(6)	N
		BUSIDNO	TAXPAYER IDENTIFICATION NUMBER	4	9	0-9, NL, OR SM PERMITTED IN THE FIRST TWO SPACES	ALPHA / NUMERIC	999999999 NL9999999 SM9999999	N
		ADDR1	NUMBER & STREET ADDRESS (MAILING ADDRESS)	5	40	A-Z, 0-9, PLUS SPACE, DASH, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		ADDR2	ADDRESS (CONTINUED)	6	40	A-Z, 0-9, PLUS SPACE, DASH, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		CITY	CITY / TOWN	7	20	A-Z PLUS SPACE	ALPHA / NUMERIC	X(20)	N
		STATE	STATE	8	2	A-Z	ALPHA	XX	N
		ZIPPSTLCD	ZIP CODE + 4	9	10	A-Z, 0-9, PLUS (-)	ALPHA / NUMERIC	99999-9999 A1A-1A1	N
		MFCTR	MANUFACTURER	10	46	A-Z, 0-9, PLUS SPACE, DASH, COMMA, #, /, &, @	ALPHA / NUMERIC	X(46)	N
		MFCTRLICNO	MANUFACTURER LICENSE NUMBER	11	6	0-9	NUMERIC	9(6)	N
	STEP 2	SHIPDATE	SHIP DATE (MMDDYYYY)	12	8	0-9	NUMERIC	mmddyyyy	N
		RETAUTH	RETURN AUTHORIZTION NUMBER	13	20	A-Z, 0-9, PLUS (-)	ALPHA / NUMERIC	X(20)	N
		PKS20	LINE 1 - NUMBER OF PACKS OF 20	14	5	0-9	NUMERIC	9(5)	N
		VALUE20	LINE 1 - AT A TAX RATE OF 1.78	15	11	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9(8.99)	N
		PKS25	LINE 2 - NUMBER OF PACKS OF 25	16	5	0-9	NUMERIC	9(5)	N
		VALUE25	LINE 2 - AT A TAX RATE OF 2.23	17	11	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9(8.99)	N
		TOTAL	LINE 3 - TOTAL	18	11	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9(8.99)	N
		*EOD*	END OF FILE	19	5	*EOD* (STATIC VALUE)	ALPHA / NUMERIC	*EOD*	N

CD-100

	2D SPECS: CD-100 PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)					cd-
	LINE	FIELD NAME	IDENTIFICATION	FIELD NUMBER	MAX LENGTH	ACCEPTABLE VALUES	TYPE	FORMAT	CAN BE NEGATIVE?	2D BARCODE PLACEMENT
	CD-100 FORM									BOTTOM CENTER - PAGE 2
			HEADER FIELD	H1	2	T1 (STATIC VALUE)	ALPHA / NUMERIC	T1	N
			DEVELOPER CODE	H2	4	SAME AS VENDOR CODE (ISSUED BY NACTP)	NUMERIC	9999	N
			STATE	H3	2	NH (STATIC VALUE)	ALPHA	NH	N
			FORM ID & YEAR	H4	8	A-Z, 0-9	ALPHA / NUMERIC	0CD100yy	N
		BUSNMDBA	BUSINESS NAME (DBA)	1	46	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(46)	N
		OPLICNUM	OPERATOR LICENSE NUMBER	2	6	0-9	NUMERIC	X(6)	N
		*EOD*	END OF FILE	3	5	*EOD* (STATIC VALUE)	ALPHA / NUMERIC	*EOD*	N

DP-4

	2D SPECS: DP-4 PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)					cd-
	LINE	FIELD NAME	IDENTIFICATION	FIELD NUMBER	MAX LENGTH	ACCEPTABLE VALUES	TYPE	FORMAT	CAN BE NEGATIVE?	2D BARCODE PLACEMENT
	DP-4 FORM									MIDDLE CENTER - PAGE 2
			HEADER FIELD	H1	2	T1 (STATIC VALUE)	ALPHA / NUMERIC	T1	N
			DEVELOPER CODE	H2	4	SAME AS VENDOR CODE (ISSUED BY NACTP)	NUMERIC	9999	N
			STATE	H3	2	NH (STATIC VALUE)	ALPHA	NH	N
			FORM ID & YEAR	H4	8	A-Z, 0-9	ALPHA / NUMERIC	000DP4yy	N
	STEP 1	PERIOD	PERIOD (MMYYYY)	1	6	0-9	NUMERIC	mmyyyy	N
		COUNTY	COUNTY	2	20	A-Z	ALPHA	X(20)	N
		CONTACT	CONTACT NAME	3	46	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(46)	N
		TAXPAYERID	TAXPAYER IDENTIFICATION NUMBER	4	9	0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES	ALPHA / NUMERIC	999999999 SM9999999 NL9999999	N
		STRADDR1	NUMER & STREET ADDRESS (MAILING ADDRESS)	5	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		PHONE	TELEPHONE NUMBER	6	10	0-9	NUMERIC	9(10)	N
		STRADDR2	ADDRESS (CONTINUED)	7	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		CITY	CITY / TOWN	8	20	A-Z PLUS SPACE	ALPHA / NUMERIC	X(20)	N
		STATE	STATE	9	2	A-Z	ALPHA	XX	N
		ZIPPSTLCD	ZIP CODE + 4	10	10	A-Z, 0-9, PLUS (-)	ALPHA / NUMERIC	99999-9999 A1A 1A1	N
	STEP 2 1(a)	START1A	LINE 1(a) - START NUMBER	11	14	0-9, A-Z	ALPHA / NUMERIC	X(14)	N
	1(a)	END1A	LINE 1(a) - END NUMBER	12	14	0-9, A-Z	ALPHA / NUMERIC	X(14)	N
	1(a)	RETT1A	LINE 1(a) - COLUMN A - RETT	13	15	0-9	NUMERIC	9(15)	N
	1(b)	START1B	LINE 1(b) - START NUMBER	14	14	0-9, A-Z	ALPHA / NUMERIC	X(14)	N
	1(b)	END1B	LINE 1(b) - END NUMBER	15	14	0-9, A-Z	ALPHA / NUMERIC	X(14)	N
	1(b)	RETT1B	LINE 1(b) - COLUMN A - RETT	16	15	0-9	NUMERIC	9(15)	N
	1(c)	START1C	LINE 1(c) - START NUMBER	17	14	0-9, A-Z	ALPHA / NUMERIC	X(14)	N
	1(c)	END1C	LINE 1(c) - END NUMBER	18	14	0-9, A-Z	ALPHA / NUMERIC	X(14)	N
	1(c)	LCHIP1C	LINE 1(c) - COLUMN B - L-CHIP	19	15	0-9	NUMERIC	9(15)	N
	1(d)	START1D	LINE 1(d) - START NUMBER	20	14	0-9, A-Z	ALPHA / NUMERIC	X(14)	N
	1(d)	END1D	LINE 1(d) - END NUMBER	21	14	0-9, A-Z	ALPHA / NUMERIC	X(14)	N
	1(d)	RETT1D	LINE 1(d) - COLUMN A - RETT	22	15	0-9	NUMERIC	9(15)	N
	1(e)	START1E	LINE 1(e) - START NUMBER	23	14	0-9, A-Z	ALPHA / NUMERIC	X(14)	N
	1(e)	END1E	LINE 1(e) - END NUMBER	24	14	0-9, A-Z	ALPHA / NUMERIC	X(14)	N
	1(e)	LCHIP1E	LINE 1(e) - COLUMN B - L-CHIP	25	15	0-9	NUMERIC	9(15)	N
	1(f)	RETT1F	LINE 1(f) - COLUMN A - RETT	26	15	0-9	NUMERIC	9(15)	N
	1(f)	LCHIP1F	LINE 1(f) - COLUMN B - L-CHIP	27	15	0-9	NUMERIC	9(15)	N
	2	RETT2	LINE 2 - COLUMN A - RETT	28	15	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9(12).99	N
	2	LCHIP2	LINE 2 - COLUMN B - L-CHIP	29	15	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9(12).99	N
	STEP 3 3	RETT3	LINE 3 - COLUMN A - RETT	30	15	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9(12).99	N
	3	LCHIP3	LINE 3 - COLUMN B - L-CHIP	31	15	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9(12).99	N
	4(a)	RETT4A	LINE 4(a) - COLUMN A - RETT	32	15	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9(12).99	N
	4(b)	LCHIP4B	LINE 4(b) - COLUMN B - L-CHIP	33	15	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9(12).99	N
	5	NETTRANS5A	LINE 5 - COLUMN A - RETT	34	15	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9(12).99	N
	5	NETTRANS5B	LINE 5 - COLUMN B - L-CHIP	35	15	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9(12).99	N
	6	DEDUCTCOMM6A	LINE 6 - COLUMN A - RETT	36	15	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9(12).99	N
	6	DEDUCTCOMM6B	LINE 6 - COLUMN B - L-CHIP	37	15	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9(12).99	N
	7	ADDCOMM7A	LINE 7 - COLUMN A - RETT	38	15	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9(12).99	N
	7	ADDCOMM7B	LINE 7 - COLUMN B - L-CHIP	39	15	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9(12).99	N
	8	SUBTOT8A	LINE 8 - COLUMN A - RETT	40	15	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9(12).99	N
	8	SUBTOT8B	LINE 8 - COLUMN B - L-CHIP	41	15	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9(12).99	N
	9	TOTALDUE	LINE 9 - COLUMN B - L-CHIP	42	15	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9(12).99	N
	10	DEDUCTPMT	LINE 10 - COLUMN B - L-CHIP	43	15	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9(12).99	N
	11	NETDUE	LINE 11 - COLUMN B - L-CHIP	44	15	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9(12).99	N
	STEP 4	SIGNEDFLG	SIGNATURE OF REGISTER OF DEEDS OR AUTHORIZED AGENT NAME	45	1	X	ALPHA	X	N
		SIGNNAME	TYPE OR PRINT REGISTER OF DEEDS OR AUTHORIZED AGENT NAME	46	42	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, &, @	ALPHA / NUMERIC	X(42)	N
		SIGNDATE	SIGNATURE DATE	47	8	0-9	NUMERIC	mmddyyyy	N
		*EOD*	END OF FILE	48	5	*EOD* (STATIC VALUE)	ALPHA / NUMERIC	*EOD*	N

DP-8

	2D SPECS: DP-8 PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)
	LINE	FIELD NAME	IDENTIFICATION	FIELD NUMBER	MAX LENGTH	ACCEPTABLE VALUES	TYPE	FORMAT	CAN BE NEGATIVE?	2D BARCODE PLACEMENT
	DP-8 FORM									BOTTOM CENTER - PAGE 2
			HEADER FIELD	H1	2	T1 (STATIC VALUE)	ALPHA / NUMERIC	T1	N
			DEVELOPER CODE	H2	4	SAME AS VENDOR CODE (ISSUED BY NACTP)	NUMERIC	9999	N	VERSION 2 REVISED 04/2024
			STATE	H3	2	NH (STATIC VALUE)	ALPHA	NH	N
			FORM ID & YEAR	H4	8	A-Z, 0-9	ALPHA / NUMERIC	000DP8yy	N
	STEP 1 1	SSN1	SOCIAL SECURITY NUMBER (CLAIMANT)	1	9	0-9	NUMERIC	X(9)	N
	2	SSN2	SOCIAL SECURITY NUMBER (CO-CLAIMANT)	2	9	0-9	NUMERIC	X(9)	N
	3	FIRSTNM1	FIRST NAME (CLAIMANT)	3	15	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(15)	N
		MIDINITL1	MIDDLE INITIAL (CLAIMANT)	4	1	A-Z	ALPHA	X(1)	N
		LASTNM1	LAST NAME (CLAIMANT)	5	30	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(30)	N
	4	FIRSTNM2	FIRST NAME (CO-CLAIMANT)	6	15	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(15)	N
		MIDINITL2	MIDDLE INITIAL (CO-CLAIMANT)	7	1	A-Z	ALPHA	X(1)	N
		LASTNM2	LAST NAME (CO-CLAIMANT)	8	30	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(30)	N
	5	ADDRESS1	CURRENT MAILING ADDRESS	9	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
	6	CITY	CITY / TOWN	10	20	A-Z PLUS SPACE	ALPHA / NUMERIC	X(20)	N
		STATE	STATE	11	2	A-Z	ALPHA	XX	N
		ZIPCODE	ZIP CODE + 4	12	10	A-Z, 0-9, PLUS (-)	ALPHA / NUMERIC	99999-9999 A1A-1A1	N
	STEP 2 7	MUNICIPALI	LOCATION OF HOMESTEAD PROPERTY	13	30	A-Z PLUS SPACE	ALPHA / NUMERIC	X(30)	N
	7(b)	MAPLOT	MAP AND LOT	14	20	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(20)	N
	8	RESIDEY	DID YOU RESIDE IN THE HOMESTEAD ON APRIL 1… (YES, CHECKBOX)	15	1	X	CHECKBOX	X	N
	8	RESIDEN	DID YOU RESIDE IN THE HOMESTEAD ON APRIL 1… (NO, CHECKBOX)	16	1	X	CHECKBOX	X	N
	9(a)	TRUSTY	DO OTHER NAMES APPEAR ON YOUR PROPERTY TAX BILL OTHER THAN CLAIMANT/CO-CLAIMANT… (YES, CHECKBOX)	17	1	X	CHECKBOX	X	N
	9(a)	TRUSTN	DO OTHER NAMES APPEAR ON YOUR PROPERTY TAX BILL OTHER THAN CLAIMANT/CO-CLAIMANT… (NO, CHECKBOX)	18	1	X	CHECKBOX	X	N
	STEP 3 10	INCOMETBLS	SINGLE (CHECKBOX)	19	1	X	CHECKBOX	X	N
	10	INCOMETBLM	MARRIED OR HEAD OF HOUSEHOLD (CHECKBOX)	20	1	X	CHECKBOX	X	N
	10(a)	NOFEDRLINC	CHECK HERE IF ANY ADULT MEMBER OF THIS HOUSEHOLD WAS NOT REQUIRED TO FILE A FEDERAL INCOME TAX RETURN (CHECKBOX)	21	1	X	CHECKBOX	X	N
	10(b)	GROSSINC1	ENTER THE YYYY TOTAL ADJUSTED GROSS INCOME OF ALL ADULT…	22	14	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9(11).99	N
	10(c)	GROSSINC2	IF THE PROPERTY IS OWNED BY AN INCOME-BEARING TRUST…	23	14	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9(11).99	N
	11(a)	GROSSINC3	ENTER THE TOTAL ADJUSTED GROSS INCOME OF ALL ADULT MEMBERS…	24	14	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9(11).99	N
	11(b)	GROSSINC	ENTER THE SUM OF LINES 10(b), 10(c) AND 11(a) ON LINE 11(b)...	25	14	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9(11).99	N
	STEP 4 12(a)	FILEPCTWN	ENTER THE DECIMAL PERCENTAGE OF OWNERSHIP FOR THE HOMESTEAD PROPERTY…	26	6	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9(3).99	N
	12(b)	FLASSESVAL	ENTER THE TOTAL ASSESSED VALUE OF PROPERTY AFTER EXEMPTIONS	27	14	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9(11).99	N
	12(c)	FL12AX12B	ENTER THE TOTAL AMOUNT ON LINE 12(a) MULTIPLIED BY LINE 12(b)	28	14	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9(11).99	N
	12(d)	FLEQUALVAL	ENTER AMOUNT FROM TABLE 3, COLUMN C, ON PAGES 5 OR 6 OF DP-8 INSTRUCTIONS...	29	6	0-9	NUMERIC	999999	N
	12(e)	FLADJVAL	ENTER THE SMALLER AMOUNT OF EITHER LINE 12(c) OR LINE 12(d)	30	14	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9(11).99	N
	13	FLADVAL1M	ENTER THE TOTAL OF LINE 12(e) DIVIDED BY 1,000	31	12	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9(9).99	N
	14	FLTAXRATE	ENTER STATE EDUCATION PROPERTY TAX RATE FROM TABLE 3, COLUMN B ON PAGES 5 OR 6 OF DP-8 INSTRUCTIONS…	32	4	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9.99	N
	15	FILED13X14	ENTER THE TOTAL OF LINE 13 MULTIPLIED BY LINE 14	33	14	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9(11).99	N
	16	FLRELIEFRT	ENTER THE DECIMAL NUMBER FROM TABLE 1 OR TABLE 2, COLUMN B ON PAGE 3 OF DP-8 INSTRUCTIONS…	34	4	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9.99	N
	17	FLRELIEFAM	ENTER THE TOTAL OF LINE 15 MULTIPLIED BY LINE 16	35	14	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9(11).99	N
	STEP 5	SIGNATURE1	SIGNATURE (CLAIMANT)	36	1	X	ALPHA	X	N
		SIGNATURE2	SIGNATURE (CO-CLAIMANT)	37	1	X	ALPHA	X	N
		*EOD*	END OF FILE	38	5	*EOD* (STATIC VALUE)	ALPHA / NUMERIC	*EOD*	N

DP-9

	2D SPECS: DP-9 PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)
	LINE	FIELD NAME	IDENTIFICATION	FIELD NUMBER	MAX LENGTH	ACCEPTABLE VALUES	TYPE	FORMAT	CAN BE NEGATIVE?	2D BARCODE PLACEMENT
	DP-9 FORM									BOTTOM CENTER - PAGE 2
			HEADER FIELD	H1	2	T1 (STATIC VALUE)	ALPHA / NUMERIC	T1	N
			DEVELOPER CODE	H2	4	SAME AS VENDOR CODE (ISSUED BY NACTP)	NUMERIC	9999	N	VERSION 1 REVISED 07/2024
			STATE	H3	2	NH (STATIC VALUE)	ALPHA	NH	N
			FORM ID & YEAR	H4	8	A-Z, 0-9	ALPHA / NUMERIC	000DP9yy	N
		PRIMNM	NAME OF "S" CORPORATION	1	46	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(46)	N
		BUSIDNO1	FEDERAL EMPLOYER ID NUMBER	2	9	0-9	NUMERIC	999999999	N
		CALNDRYR	CALENDAR YEAR	3	4	0-9	NUMERIC	yyyy	N
		AGAMT	TOTAL OF ALL ACTUAL DISTRIBUTIONS MADE TO NH RESIDENTS FOR THE PERIOD END.	4	15	0-9	NUMERIC	9(15)	N
		INDVIDNO1	SOCIAL SECURITY NUMBER (PERSON 1)	5	9	0-9	NUMERIC	999999999	N
		DISTAMT1	AMOUNT OF DISTRIBUTION (PERSON 1)	6	11	0-9	NUMERIC	9(11)	N
		INDVIDNO2	SOCIAL SECURITY NUMBER (PERSON 2)	7	9	0-9	NUMERIC	999999999	N
		DISTAMT2	AMOUNT OF DISTRIBUTION (PERSON 2)	8	11	0-9	NUMERIC	9(11)	N
		INDVIDNO3	SOCIAL SECURITY NUMBER (PERSON 3)	9	9	0-9	NUMERIC	999999999	N
		DISTAMT3	AMOUNT OF DISTRIBUTION (PERSON 3)	10	11	0-9	NUMERIC	9(11)	N
		INDVIDNO4	SOCIAL SECURITY NUMBER (PERSON 4)	11	9	0-9	NUMERIC	999999999	N
		DISTAMT4	AMOUNT OF DISTRIBUTION (PERSON 4)	12	11	0-9	NUMERIC	9(11)	N
		INDVIDNO5	SOCIAL SECURITY NUMBER (PERSON 5)	13	9	0-9	NUMERIC	999999999	N
		DISTAMT5	AMOUNT OF DISTRIBUTION (PERSON 5)	14	11	0-9	NUMERIC	9(11)	N
		INDVIDNO6	SOCIAL SECURITY NUMBER (PERSON 6)	15	9	0-9	NUMERIC	999999999	N
		DISTAMT6	AMOUNT OF DISTRIBUTION (PERSON 6)	16	11	0-9	NUMERIC	9(11)	N
		INDVIDNO7	SOCIAL SECURITY NUMBER (PERSON 7)	17	9	0-9	NUMERIC	999999999	N
		DISTAMT7	AMOUNT OF DISTRIBUTION (PERSON 7)	18	11	0-9	NUMERIC	9(11)	N
		*EOD*	END OF FILE	19	5	*EOD* (STATIC VALUE)	ALPHA / NUMERIC	*EOD*	N

DP-10

	2D SPECS: DP-10 PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)
	LINE	FIELD NAME	IDENTIFICATION	FIELD NUMBER	MAX LENGTH	ACCEPTABLE VALUES	TYPE	FORMAT	CAN BE NEGATIVE?	2D BARCODE PLACEMENT
	DP-10 FORM									BOTTOM CENTER - PAGE 5
			HEADER FIELD	H1	2	T1 (STATIC VALUE)	ALPHA / NUMERIC	T1	N
			DEVELOPER CODE	H2	4	SAME AS VENDOR CODE (ISSUED BY NACTP)	NUMERIC	9999	N	VERSION 1 REVISED 04/2024
			STATE	H3	2	NH (STATIC VALUE)	ALPHA	NH	N
			FORM ID & YEAR	H4	8	A-Z, 0-9	ALPHA / NUMERIC	00DP10yy	N
	STEP 1	PERBEGDT	TAXABLE PERIOD (BEGINNING)	1	8	0-9	NUMERIC	mmddyyyy	N
		PERENDDT	TAXABLE PERIOD (ENDING)	2	8	0-9	NUMERIC	mmddyyyy	N
		INDVIDNO1	SOCIAL SECURITY NUMBER	3	9	0-9	NUMERIC	999999999	N
		INDVIDNO2	SOCIAL SECURITY NUMBER (SPOUSE)	4	9	0-9	NUMERIC	999999999	N
		BUSIDNO	TAXPAYER IDENTIFICATION NUMBER	5	9	0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES	ALPHA / NUMERIC	999999999 SM9999999 NL9999999	N
		LASTNM1	LAST NAME	6	30	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(30)	N
		FIRSTNM1	FIRST NAME	7	15	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(15)	N
		MIDINIT1	MIDDLE INITIAL	8	1	A-Z	ALPHA	X	N
		LASTNM2	LAST NAME (SPOUSE)	9	30	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(30)	N
		FIRSTNM2	FIRST NAME (SPOUSE)	10	15	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(15)	N
		MIDINIT2	MIDDLE INITIAL (SPOUSE)	11	1	A-Z	ALPHA	X	N
		PRIMNM	NAME OF PARTNERSHIP, ESTATE, OR LLC	12	46	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(46)	N
		ADDR1	NUMBER & STREET ADDRESS	13	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		ADDR2	ADDRESS (CONTINUED)	14	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		UNITTYPE	UNIT TYPE	15	12	A-Z	ALPHA	X(12)	N
		UNITNO	UNIT #	16	7	0-9	NUMERIC	X(7)	N
		CITY	CITY / TOWN	17	20	A-Z PLUS SPACE	ALPHA / NUMERIC	X(20)	N
		STATE	STATE	18	2	A-Z	ALPHA	XX	N
		ZIPPSTLCD	ZIP CODE + 4	19	10	0-9, A-Z, PLUS (-), PLUS SPACE	ALPHA / NUMERIC	99999-9999 A1A 1A1	N
	STEP 2	EXMINDVID	INDIVIDUAL (CHECKBOX)	20	1	X	CHECKBOX	X	N
		EXMJOINT	JOINT (CHECKBOX)	21	1	X	CHECKBOX	X	N
		EXMPPRTNR	PARTNERSHIP/LLC (CHECKBOX)	22	1	X	CHECKBOX	X	N
		EXMPFIDUC	ESTATE (CHECKBOX)	23	1	X	CHECKBOX	X	N
		PCTNHOWN	% OF NH OWNERSHIP INTEREST IN ENTITY TYPE	24	8	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9.999999	N
		INITRTNFLG	INITIAL RETURN (CHECKBOX)	25	1	X	CHECKBOX	X	N
		DTESTAB	DATE ESTABLISHED NH RESIDENCY	26	8	0-9	NUMERIC	mmddyyyy	N
		FINLRTNFLG	FINAL RETURN (CHECKBOX)	27	1	X	CHECKBOX	X	N
		DTABNDN	DATE ABANDONED NH RESIDENCY	28	8	0-9	NUMERIC	mmddyyyy	N
		AMNDRTNFLG	AMENDED RETURN (CHECKBOX)	29	1	X	CHECKBOX	X	N
		DECEASFLG	FINAL DECEASED (CHECKBOX)	30	1	X	CHECKBOX	X	N
		DECESDOD	DATE OF DEATH	31	8	0-9	NUMERIC	mmddyyyy	N
		DECESSSN	SOCIAL SECURITY NUMBER (DECEASED)	32	9	0-9	NUMERIC	999999999	N
		IRSADJ	IRS ADJUSTMENT (CHECKBOX)	33	1	X	CHECKBOX	X	N
	STEP 3 1A	INTTOTAL1	INTEREST INCOME. ENTER THE AMOUNT FROM LINE 2(b) OF YOUR FEDERAL RETURN	34	11	0-9	NUMERIC	9(11)	Y
	1B	FEDINCAL1	DIVIDEND INCOME. ENTER THE AMOUNT FROM LINE 3(b) OF YOUR FEDERAL RETURN	35	11	0-9	NUMERIC	9(11)	Y
	1C	FEDXINTALL	FEDERAL TAX-EXEMPT INTEREST INCOME. ENTER THE AMOUNT FROM LINE 2(a) OF YOUR FEDERAL RETURN	36	11	0-9	NUMERIC	9(11)	Y
	1D	SUBTOTAL1	SUBTOTAL INTEREST & DIVIDENDS INCOME	37	11	0-9	NUMERIC	9(11)	Y
	2I-1	PYRENT1	PAYOR ENTITY CODE (ROW 1)	38	1	0-9	NUMERIC	9(1)	N
	2III-1	PYRIDTX1	PAYOR'S ID NUMBER (ROW 1)	39	9	0-9	NUMERIC	999999999	N
	2I-2	PYRENT2	PAYOR ENTITY CODE (ROW 2)	40	1	0-9	NUMERIC	9(1)	N
	2III-2	PYRIDTX2	PAYOR'S ID NUMBER (ROW 2)	41	9	0-9	NUMERIC	999999999	N
	2I-3	PYRENT3	PAYOR ENTITY CODE (ROW 3)	42	1	0-9	NUMERIC	9(1)	N
	2III-3	PYRIDTX3	PAYOR'S ID NUMBER (ROW 3)	43	9	0-9	NUMERIC	999999999	N
	2I-4	PYRENT4	PAYOR ENTITY CODE (ROW 4)	44	1	0-9	NUMERIC	9(1)	N
	2III-4	PYRIDTX4	PAYOR'S ID NUMBER (ROW 4)	45	9	0-9	NUMERIC	999999999	N
	2	INCOTHR	TOTAL DISTRIBUTIONS (SUM OF COLUMN IV ABOVE)	46	11	0-9	NUMERIC	9(11)	Y
	3	SUBTOTAL2	SUBTOTAL GROSS INTEREST & DIVIDENDS INCOME & DISTRIBUTIONS	47	11	0-9	NUMERIC	9(11)	Y
	4I-1	PYRRSNCD1	PAYOR REASON CODE NOT TAXABLE (ROW 1)	48	2	0-9	NUMERIC	9(2)	N
	4III-1	PYRIDNT1	PAYOR'S ID NUMBER NOT TAXABLE (ROW 1)	49	9	0-9	NUMERIC	999999999	N
	4I-2	PYRRSNCD2	PAYOR REASON CODE NOT TAXABLE (ROW 2)	50	2	0-9	NUMERIC	9(2)	N
	4III-2	PYRIDNT2	PAYOR'S ID NUMBER NOT TAXABLE (ROW 2)	51	9	0-9	NUMERIC	999999999	N
	4I-3	PYRRSNCD3	PAYOR REASON CODE NOT TAXABLE (ROW 3)	52	2	0-9	NUMERIC	9(2)	N
	4III-3	PYRIDNT3	PAYOR'S ID NUMBER NOT TAXABLE (ROW 3)	53	9	0-9	NUMERIC	999999999	N
	4I-4	PYRRSNCD4	PAYOR REASON CODE NOT TAXABLE (ROW 4)	54	2	0-9	NUMERIC	9(2)	N
	4III-4	PYRIDNT4	PAYOR'S ID NUMBER NOT TAXABLE (ROW 4)	55	9	0-9	NUMERIC	999999999	N
	4I-5	PYRRSNCD5	PAYOR REASON CODE NOT TAXABLE (ROW 5)	56	2	0-9	NUMERIC	9(2)	N
	4III-5	PYRIDNT5	PAYOR'S ID NUMBER NOT TAXABLE (ROW 5)	57	9	0-9	NUMERIC	999999999	N
	4A	SUBNTINC	SUBTOTAL OF NON-TAXABLE INCOME ABOVE (SUM OF COLUMN IV)	58	11	0-9	NUMERIC	9(11)	N
	4B	TOTNTINC	TOTAL NON-TAXABLE INCOME FROM SUPPLEMENTAL SCHEDULE (ATTACHED)	59	11	0-9	NUMERIC	9(11)	N
	4C	NTINCOME	NON-TAXABLE INCOME (SUBTOTAL OF LINES 4(a) PLUS 4(b)	60	11	0-9	NUMERIC	9(11)	N
	4D	NTPARTRES	PART-YEAR RESIDENT NON-TAXABLE INCOME PRO RATA SHARE	61	11	0-9	NUMERIC	9(11)	N
	4	DEDNNTXBL	TOTAL NON-TAXABLE INCOME	62	11	0-9	NUMERIC	9(11)	Y
	5	GRIDTOT	GROSS TAXABLE INCOME	63	13	0-9	NUMERIC	9(13)	Y
	6	DEDALLOW	LESS: $2,400 FOR INDIVIDUAL, PARTNERSHIP, AND ESTATE; $4,800 FOR JOINT FILERS	64	4	0-9	NUMERIC	9(4)	Y
	7	ADJTAXINC	ADJUSTED TAXABLE INCOME	65	13	0-9	NUMERIC	9(13)	Y
		EXMPBLIND	BLIND (CHECKBOX)	66	1	X	CHECKBOX	X	N
		EXMPBLSPS	SPOUSE BLIND (CHECKBOX)	67	1	X	CHECKBOX	X	N
		EXMP65	65 (OR OVER) OR DISABLED (CHECKBOX)	68	1	X	CHECKBOX	X	N
		EXMPYOB	YEAR OF BIRTH	69	4	0-9	NUMERIC	9999	N
		EXMP65SPS	SPOUSE 65 (OR OVER) OR DISABLED (CHECKBOX)	70	1	X	CHECKBOX	X	N
		EXMPYOBSPS	SPOUSE YEAR OF BIRTH	71	4	0-9	NUMERIC	9999	N
	8	EXMPTQTY	TOTAL NUMBER OF BOXES CHECKED	72	1	0-9	NUMERIC	X	N
	8	EXMPTAMT	EXEMPTION AMOUNT	73	11	0-9	NUMERIC	9(11)	Y
	9	NHINCTAX	NET TAXABLE INCOME	74	13	0-9	NUMERIC	9(13)	Y
	10	TAXAMT	NH INTEREST & DIVIDENDS TAX	75	9	0-9	NUMERIC	9(09)	Y
	11	EDUTAXCRD	RSA 77-G EDUCATION TAX CREDIT	76	9	0-9	NUMERIC	9(09)	Y
	12	TAXNETSTCR	NH INTEREST & DIVIDENDS TAX NET OF EDUCATION TAX CREDIT	77	9	0-9	NUMERIC	9(09)	Y
	13A	CREXTN	PAYMENTS - TAX PAID WITH APPLICATION FOR EXTENSION	78	9	0-9	NUMERIC	9(09)	Y
	13B	CRESTIM	PAYMENTS - CURRENT YEAR ESTIMATED TAX PAYMENTS	79	9	0-9	NUMERIC	9(09)	Y
	13C	CRPREVYR	PAYMENTS - CREDIT CARRYOVER FROM PRIOR TAX PERIOD	80	9	0-9	NUMERIC	9(09)	Y
	13D	CRPDORIG	PAYMENTS - PAID WITH ORIGINAL RETURN (AMENDED RETURNS ONLY)	81	9	0-9	NUMERIC	9(09)	Y
	13	CRTOTAL	SUBTOTAL OF LINES 13(a) THROUGH 13(d)	82	13	0-9	NUMERIC	9(13)	Y
	14	BALTAXDUE1	SUBTOTAL DUE	83	9	0-9	NUMERIC	9(09)	Y
	15A	ADDTNINT	ADDITIONS TO TAX - INTEREST	84	9	0-9	NUMERIC	9(09)	Y
	15B	ADDTNFP	ADDITIONS TO TAX - FAILURE TO PAY	85	9	0-9	NUMERIC	9(09)	Y
	15C	ADDTNFF	ADDITIONS TO TAX - FAILURE TO FILE	86	9	0-9	NUMERIC	9(09)	Y
	15D	ADDTNUND	ADDITIONS TO TAX - UNDERPAYMENT OF ESTIMATED TAX	87	9	0-9	NUMERIC	9(09)	Y
	15	ADDTNTOT	SUBTOTAL OF LINES 15(a) THROUGH 15(d)	88	13	0-9	NUMERIC	9(13)	Y
	16A	SUBTOTAL	SUBTOTAL DUE (LINE 14 PLUS LINE 15 SUBTOTAL)	89	9	0-9	NUMERIC	9(09)	Y
	16B	EFTRETPYT	RETURN PAYMENT MADE ELECTRONICALLY	90	11	0-9	NUMERIC	9(11)	Y
	17	BALTAXDUE2	NET BALANCE DUE	91	9	0-9	NUMERIC	9(09)	Y
	18	OVERPYMT	OVERPAYMENT	92	11	0-9	NUMERIC	9(11)	Y
		POAFLAG	POWER OF ATTORNEY (CHECKBOX)	93	1	X	CHECKBOX	X	N
		SIGNEDFLG	SIGNATURE (IN INK)	94	1	X	ALPHA	X	N
		SIGNSPSFLG	SIGNATURE (SPOUSE)	95	1	X	ALPHA	X	N
		SIGNNAME	PRINT SIGNATORY NAME(S) (AND TITLE IF APPLICABLE)	96	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		SIGNTELE	TAXPAYER'S PHONE NUMBER	97	10	0-9	NUMERIC	9999999999	N
		SSPSCB	FILING AS SURVIVING SPOUSE (CHECKBOX)	98	1	X	CHECKBOX	X	N
		NH1310CB	FORM 1310 ATTACHED (CHECKBOX)	99	1	X	CHECKBOX	X	N
		PREPARNAME	PRINTED NAME OF PREPARER	100	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		PREPRTELE	PREPARER'S PHONE NUMBER	101	10	0-9	NUMERIC	9999999999	N
		PREPRID	PREPARER'S IDENTIFICATION NUMBER	102	9	0-9, OR P IS PERMITTED IN THE FIRST SPACE	ALPHA / NUMERIC	999999999 P99999999	N
		STRADDR1	PREPARER'S ADDRESS	103	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		PCITY	CITY / TOWN	104	20	A-Z, PLUS SPACE	ALPHA / NUMERIC	X(20)	N
		PSTATE	STATE	105	2	A-Z	ALPHA	XX	N
		PZIPPSTLCD	ZIP CODE + 4	106	10	0-9, A-Z, PLUS (-), PLUS SPACE	ALPHA / NUMERIC	99999-9999 A1A 1A1	N
		*EOD*	END OF FILE	107	5	*EOD* (STATIC VALUE)	ALPHA / NUMERIC	*EOD*	N

DP-10-ES

	2D SPECS: DP-10-ES PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)
	LINE	FIELD NAME	IDENTIFICATION	FIELD NUMBER	MAX LENGTH	ACCEPTABLE VALUES	TYPE	FORMAT	CAN BE NEGATIVE?	2D BARCODE PLACEMENT
	DP-10-ES FORM									BOTTOM CENTER - OF EACH PAYMENT PAGE
			HEADER FIELD	H1	2	T1 (STATIC VALUE)	ALPHA / NUMERIC	T1	N
			DEVELOPER CODE	H2	4	SAME AS VENDOR CODE (ISSUED BY NACTP)	NUMERIC	9999	N
			STATE	H3	2	NH (STATIC VALUE)	ALPHA	NH	N
			FORM ID & YEAR	H4	8	A-Z, 0-9	ALPHA / NUMERIC	DP10ESyy	N
		PERBEGDT	TAXABLE PERIOD (BEGINNING)	1	8	0-9	NUMERIC	mmddyyyy	N
		PERENDDT	TAXABLE PERIOD (ENDING)	2	8	0-9	NUMERIC	mmddyyyy	N
		IDCB	INDIVIDUAL / JOINT (CHECKBOX)	3	1	X	CHECKBOX	X	N
		PARTCB	PARTNERSHIP / LLC (CHECKBOX)	4	1	X	CHECKBOX	X	N
		FIDCB	ESTATE (CHECKBOX)	5	1	X	CHECKBOX	X	N
		INDVIDNO1	SOCIAL SECURITY NUMBER	6	9	0-9	NUMERIC	999999999	N
		INDVIDNO2	SOCIAL SECURITY NUMBER (SPOUSE'S)	7	9	0-9	NUMERIC	999999999	N
		BUSIDNO	TAXPAYER IDENTIFICATION NUMBER	8	9	0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES	ALPHA / NUMERIC	999999999 SM9999999 NL9999999	N
		LASTNM1	LAST NAME	9	30	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(30)	N
		FIRSTNM1	FIRST NAME	10	15	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(15)	N
		MIDINIT1	MIDDLE INITIAL	11	1	A-Z	ALPHA	X	N
		LASTNM2	LAST NAME (SPOUSE'S)	12	30	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(30)	N
		FIRSTNM2	FIRST NAME (SPOUSE'S)	13	15	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(15)	N
		MIDINIT2	MIDDLE INITIAL (SPOUSE'S)	14	1	A-Z	ALPHA	X	N
		PRIMNM	NAME OF PARTNERSHIP, ESTATE, OR LLC	15	46	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(46)	N
		ADDR1	NUMBER & STREET ADDRESS	16	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		ADDR2	ADDRESS (CONTINUED)	17	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		CITY	CITY / TOWN	18	20	A-Z PLUS SPACE	ALPHA / NUMERIC	X(20)	N
		STATE	STATE	19	2	A-Z	ALPHA	XX	N
		ZIPPSTLCD	ZIP CODE + 4	20	10	0-9, A-Z, PLUS (-)	ALPHA / NUMERIC	99999-9999 A1A 1A1	N
		PYMTESTAMT	AMOUNT OF THIS PAYMENT	21	11	0-9	NUMERIC	9(11)	N
		*EOD*	END OF FILE	22	5	*EOD* (STATIC VALUE)	ALPHA / NUMERIC	*EOD*	N

DP-14

	2D SPECS: DP-14 PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)
	LINE	FIELD NAME	IDENTIFICATION	FIELD NUMBER	MAX LENGTH	ACCEPTABLE VALUES	TYPE	FORMAT	CAN BE NEGATIVE?	2D BARCODE PLACEMENT
	DP-14 FORM									MIDDLE CENTER - PAGE 2
			HEADER FIELD	H1	2	T1 (STATIC VALUE)	ALPHA / NUMERIC	T1	N
			DEVELOPER CODE	H2	4	SAME AS VENDOR CODE (ISSUED BY NACTP)	NUMERIC	9999	N
			STATE	H3	2	NH (STATIC VALUE)	ALPHA	NH	N
			FORM ID & YEAR	H4	8	A-Z, 0-9	ALPHA / NUMERIC	00DP14yy	N
		LICNO	LICENSE NUMBER	1	6	0-9	NUMERIC	999999	N
		BUSNAME	BUSINESS NAME	2	46	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(42)	N
		PERENDDT	TAX PERIOD (MMYYYY)	3	6	0-9	NUMERIC	mmyyyy	N
		AMNDRTNFLG	AMENDED RETURN (CHECKBOX)	4	1	X	CHECKBOX	X	N
		FINALRTNCD	1 - BUSINESS DISCONTINUED (CHECKBOX)	5	1	X	CHECKBOX	X	N
		FINALRTNCD2	2 - CHANGE IN ORGANIZATION (CHECKBOX)	6	1	X	CHECKBOX	X	N
		FINALRTNCD3	3 - BUSINESS SOLD (CHECKBOX)	7	1	X	CHECKBOX	X	N
		LASTBUSDT	LAST DAY OF BUSINESS (MMDDYYYY)	8	8	0-9	NUMERIC	mmddyyyy	N
	1	MEALTAX1	TAX EXCLUDED RECEIPTS (RECEIPTS FROM MEALS & BEVERAGES)	9	9	0-9 PLUS DECIMAL	ALPHA / NUMERIC	999999.99	N
	2	MEALTAX2	MEALS TAX AT 8.5% (RECEIPTS FROM MEALS & BEVERAGES)	10	9	0-9 PLUS DECIMAL	ALPHA / NUMERIC	999999.99	N
	3	MEALTAX3	TAX INCLUDED RECEIPTS (RECEIPTS FROM MEALS & BEVERAGES)	11	9	0-9 PLUS DECIMAL	ALPHA / NUMERIC	999999.99	N
	4	MEALTAX4	MEALS TAX AT 7.834% (RECEIPTS FROM MEALS & BEVERAGES)	12	9	0-9 PLUS DECIMAL	ALPHA / NUMERIC	999999.99	N
	5	MEALTAX	TOTAL MEALS TAX (RECEIPTS FROM MEALS & BEVERAGES)	13	9	0-9 PLUS DECIMAL	ALPHA / NUMERIC	999999.99	N
	6	ROOM	ROOM RENTAL RECEIPTS (RECEIPTS FROM RENTALS)	14	9	0-9 PLUS DECIMAL	ALPHA / NUMERIC	999999.99	N
	7	ADJPRMRES	PERMANENT RESIDENT RECEIPTS (RECEIPTS FROM RENTALS)	15	9	0-9 PLUS DECIMAL	ALPHA / NUMERIC	999999.99	N
	8	TAXROOM	TAXABLE ROOM RENTAL RECEIPTS (RECEIPTS FROM RENTALS)	16	9	0-9 PLUS DECIMAL	ALPHA / NUMERIC	999999.99	N
	9	ROOMTAX	TOTAL ROOM RENTAL TAX (RECEIPTS FROM RENTALS)	17	9	0-9 PLUS DECIMAL	ALPHA / NUMERIC	999999.99	N
	10	MOTOR	MOTOR VEHICLE RENTAL RECEIPTS (RECEIPTS FROM RENTALS)	18	9	0-9 PLUS DECIMAL	ALPHA / NUMERIC	999999.99	N
	11	MVTAX	TOTAL MOTOR VEHICLE RENTAL TAX (RECEIPTS FROM RENTALS)	19	9	0-9 PLUS DECIMAL	ALPHA / NUMERIC	999999.99	N
	12	TOTAL TAX	TOTAL TAX	20	9	0-9 PLUS DECIMAL	ALPHA / NUMERIC	999999.99	N
	13	DEDRTCOMM	COMMISSION (DEDUCTIONS & ADDITIONS)	21	9	0-9 PLUS DECIMAL	ALPHA / NUMERIC	999999.99	N
	14	DEDADVPYT	ORIGINAL RETURN PAYMENT/CREDITS/ESTIMATED PAYMENTS (DEDUCTIONS & ADDITIONS)	22	9	0-9 PLUS DECIMAL	ALPHA / NUMERIC	999999.99	N
	15	TOTALDED	TOTAL DEDUCTIONS (DEDUCTIONS & ADDITIONS)	23	9	0-9 PLUS DECIMAL	ALPHA / NUMERIC	999999.99	N
	16	ADDTNRTINT	INTEREST (DEDUCTIONS & ADDITIONS)	24	7	0-9 PLUS DECIMAL	ALPHA / NUMERIC	999999.99	N
	17	ADDTNRTFD	PENALTY FOR FAILURE TO PAY (DEDUCTIONS & ADDITIONS)	25	7	0-9 PLUS DECIMAL	ALPHA / NUMERIC	999999.99	N
	18	ADDTNRTFF	PENALTY FOR FAILURE TO FILE (DEDUCTIONS & ADDITIONS)	26	7	0-9 PLUS DECIMAL	ALPHA / NUMERIC	999999.99	N
	19	REMTAMTPD	TOTAL ADDITIONS (DEDUCTIONS & ADDITIONS)	27	9	0-9 PLUS DECIMAL	ALPHA / NUMERIC	999999.99	N
	20	AMTDUE	TOTAL DUE (DEDUCTIONS & ADDITIONS)	28	9	0-9 PLUS DECIMAL	ALPHA / NUMERIC	999999.99	Y
	21	TAXEXEPT	TAX EXEMPT MEALS & RENTAL RECEIPTS	29	9	0-9 PLUS DECIMAL	ALPHA / NUMERIC	999999.99	N
		SIGNEDFLAG	SIGNATURE (IN INK)	30	1	X	ALPHA	X	N
		*EOD*	END OF FILE	31	5	*EOD* (STATIC VALUE)	ALPHA / NUMERIC	*EOD*	N

DP-31

	2D SPECS: DP-31 PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)
	LINE	FIELD NAME	IDENTIFICATION	FIELD NUMBER	MAX LENGTH	ACCEPTABLE VALUES	TYPE	FORMAT	CAN BE NEGATIVE?	2D BARCODE PLACEMENT
	DP-31 FORM									BOTTOM CENTER - PAGE 2
			HEADER FIELD	H1	2	T1 (STATIC VALUE)	ALPHA / NUMERIC	T1	N
			DEVELOPER CODE	H2	4	SAME AS VENDOR CODE (ISSUED BY NACTP)	NUMERIC	9999	N	VERSION 1 REVISED 03/2024
			STATE	H3	2	NH (STATIC VALUE)	ALPHA	NH	N
			FORM ID & YEAR	H4	8	A-Z, 0-9	ALPHA / NUMERIC	00DP31yy	N
	A	NEWFLG	NEW LICENSE (CHECKBOX)	1	1	X	CHECKBOX	X	N
	B	RENEWALFLG	RENEWAL (CHECKBOX)	2	1	X	CHECKBOX	X	N
		CURRENTLICNO	CURRENT LICENSE #	3	6	0-9	NUMERIC	9(06)	N
		MANUFACTURER	MANUFACTURER (CHECKBOX)	4	1	X	CHECKBOX	X	N
		WHOLESALER	WHOLESALER (CHECKBOX)	5	1	X	CHECKBOX	X	N
	C	CIGARETTESFLG	CIGARETTES (CHECKBOX)	6	1	X	CHECKBOX	X	N
		LTLCIGARSFLG	LITTLE CIGARS (CHECKBOX)	7	1	X	CHECKBOX	X	N
		CIGARSFLG	CIGARS (CHECKBOX)	8	1	X	CHECKBOX	X	N
		LOOSEFLG	LOOSE (CHECKBOX)	9	1	X	CHECKBOX	X	N
		ECIGFLAG	E-CIGARETTES (CHECKBOX)	10	1	X	CHECKBOX	X	N
		SMOKELESSFLG	SMOKELESS (CHECKBOX)	11	1	X	CHECKBOX	X	N
		OTHERFLG	OTHER (CHECKBOX)	12	1	X	CHECKBOX	X	N
		OTHERDESC	OTHER DESCRIPTION FIELD	13	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
	D	NPMYESFLG	INDICATE IF YOU SELL ANY TOBACCO PRODUCTS FROM NON-PARTICIPATING MANUFACTURERS (NPM… (YES, CHECKBOX)	14	1	X	CHECKBOX	X	N
		NPMNOFLG	INDICATE IF YOU SELL ANY TOBACCO PRODUCTS FROM NON-PARTICIPATING MANUFACTURERS (NPM… (NO, CHECKBOX)	15	1	X	CHECKBOX	X	N
	1	PRIMNM	BUSINESS NAME (DBA)	16	42	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(42)	N
	2	LEGALNM	NAME OF ENTITY	17	42	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(42)	N
	3	BUSADDR	BUSINESS ADDRESS NUMBER & STREET	18	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
	4	BUSCITY	CITY / TOWN	19	20	A-Z PLUS SPACE	ALPHA / NUMERIC	X(20)	N
		BUSSTATE	STATE	20	2	A-Z	ALPHA	XX	N
		BUSZIPPSTLCD	ZIP CODE + 4	21	10	A-Z, 0-9, PLUS (-), PLUS SPACE	ALPHA / NUMERIC	99999-9999 A1A 1A1	N
	5	STRADDR2	MAILING ADDRESS NUMBER & STREET	22	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
	6	EMAIL	E-MAIL ADDRESS	23	50	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, @, !, $, %, _, +, -, ^, {|}, ~, *	ALPHA / NUMERIC	X(50)	N
	7	CITY	CITY / TOWN	24	20	A-Z PLUS SPACE	ALPHA	X(20)	N
		STATE	STATE	25	2	A-Z	ALPHA	XX	N
		ZIPPSTLCD	ZIP CODE + 4	26	10	A-Z, 0-9, PLUS (-), PLUS SPACE	ALPHA / NUMERIC	99999-9999 A1A 1A1	N
	8	BUSPHONE	BUSINESS PHONE NUMBER	27	10	0-9	NUMERIC	9(10)	N
	9	PURCHASEDT	PURCHASE / ESTABLISHED DATE	28	8	0-9	NUMERIC	mmddyyyy	N
	10	PREVIOUSOWNER	PREVIOUS OWNER / BUSINESS NAME	29	42	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(42)	N
	10(a)	PROPCB	PROPRIETORSHIP (CHECKBOX)	30	1	X	CHECKBOX	X	N
		CORPCB	CORPORATION (CHECKBOX)	31	1	X	CHECKBOX	X	N
		PARTCB	PARTNERSHIP (CHECKBOX)	32	1	X	CHECKBOX	X	N
		FIDCB	FIDUCIARY (CHECKBOX)	33	1	X	CHECKBOX	X	N
		NPCB	NON-PROFIT (CHECKBOX)	34	1	X	CHECKBOX	X	N
	10(b)	FEIN	FEIN	35	9	0-9	NUMERIC	999999999	N
		SSN	SSN	36	9	0-9	NUMERIC	999999999	N
		DIN	DIN	37	9	0-9, AND NL OR SM PERMITTED IN THE FIRST TWO SPACES	ALPHA / NUMERIC	NL9999999 SM9999999	N
	10(c)	NHLICENSED	LIST THE NAMES OF ALL ENTITIES THAT YOU BUY TOBACCO PRODUCTS FROM THAT HAVE A NH WHOLESALER…	38	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
	10(d)	STATELIST	LIST ALL THE STATES WHERE YOU HOLD A WHOLESALER/DISTRIBUTOR TOBACCO LICENSE…	39	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
	11(a)	LASTNM11A	LAST NAME (PERSON 1)	40	20	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(20)	N
		FIRSTNM11A	FIRST NAME (PERSON 1)	41	20	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(20)	N
		MIDINIT11A	MIDDLE INITIAL (PERSON 1)	42	1	A-Z	ALPHA	X	N
		TITLE11A	TITLE (PERSON 1)	43	20	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(20)	N
		ADDR11A	RESIDENCE ADDRESS - NO PO BOXES (PERSON 1)	44	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		INDIVID11A	SOCIAL SECURITY NUMBER (PERSON 1)	45	9	0-9	NUMERIC	9(09)	N
		CITY11A	CITY / TOWN (PERSON 1)	46	20	A-Z PLUS SPACE	ALPHA / NUMERIC	X(20)	N
		STATE11A	STATE (PERSON 1)	47	2	A-Z	ALPHA	XX	N
		ZIPPSTLCD11A	ZIP CODE + 4 (PERSON 1)	48	10	A-Z, 0-9, PLUS (-), PLUS SPACE	ALPHA / NUMERIC	99999-9999 A1A 1A1	N
		PHONE11A	PHONE NUMBER (PERSON 1)	49	10	0-9	NUMERIC	9(10)	N
	11(b)	LASTNM11B	LAST NAME (PERSON 2)	50	20	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(20)	N
		FIRSTNM11B	FIRST NAME (PERSON 2)	51	20	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(20)	N
		MIDINIT11B	MIDDLE INITIAL (PERSON 2)	52	1	A-Z	ALPHA	X	N
		TITLE11B	TITLE (PERSON 2)	53	20	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(20)	N
		ADDR11B	RESIDENCE ADDRESS - NO PO BOXES (PERSON 2)	54	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		INDIVID11B	SOCIAL SECURITY NUMBER (PERSON 2)	55	9	0-9	NUMERIC	9(09)	N
		CITY11B	CITY / TOWN (PERSON 2)	56	20	A-Z PLUS SPACE	ALPHA / NUMERIC	X(20)	N
		STATE11B	STATE (PERSON 2)	57	2	A-Z	ALPHA	XX	N
		ZIPPSTLCD11B	ZIP CODE + 4 (PERSON 2)	58	10	A-Z, 0-9, PLUS (-), PLUS SPACE	ALPHA / NUMERIC	99999-9999 A1A 1A1	N
		PHONE11B	PHONE NUMBER (PERSON 2)	59	10	0-9	NUMERIC	9(10)	N
	12	MANUFACTUR	MANUFACTURER (LICENSE FEE)	60	9	0-9	NUMERIC	9(09)	N
		WHOLESALE	WHOLESALER (LICENSE FEE)	61	9	0-9	NUMERIC	9(09)	N
		BALTAXDUE	TOTAL AMOUNT ENCLOSED	62	9	0-9	NUMERIC	9(09)	N
	13(a)	YES13A	DID THE APPLICANT PREVIOUSLY HAVE A NH TOBACCO TAX LICENSE REVOKED UNDER RSA 78:20? (YES, CHECKBOX)	63	1	X	CHECKBOX	X	N
		NO13A	DID THE APPLICANT PREVIOUSLY HAVE A NH TOBACCO TAX LICENSE REVOKED UNDER RSA 78:20? (NO, CHECKBOX)	64	1	X	CHECKBOX	X	N
	13(b)	YES13B	DOES THE APPLICANT OR ANY INTEREST HOLDER IN THE APPLICANT OWE ANY TAXES… (YES, CHECKBOX)	65	1	X	CHECKBOX	X	N
		NO13B	DOES THE APPLICANT OR ANY INTEREST HOLDER IN THE APPLICANT OWE ANY TAXES… (NO, CHECKBOX)	66	1	X	CHECKBOX	X	N
	13(c)	YES13C	HAS THE APPLICANT OR ANY INTEREST HOLDER IN THE APPLICANT BEEN CONVICTED OF A CRIME… (YES, CHECKBOX)	67	1	X	CHECKBOX	X	N
		NO13C	HAS THE APPLICANT OR ANY INTEREST HOLDER IN THE APPLICANT BEEN CONVICTED OF A CRIME… (NO, CHECKBOX)	68	1	X	CHECKBOX	X	N
	14	SIGNDATE	SIGNATURE DATE	69	8	0-9	NUMERIC	mmddyyyy	N
		SIGNTELE	PHONE NUMBER	70	10	0-9	NUMERIC	9999999999	N
		SIGNNAME	PRINT SIGNATORY NAME & TITLE	71	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		*EOD*	END OF FILE	72	5	*EOD* (STATIC VALUE)	ALPHA / NUMERIC	*EOD*	N

DP-59-A

	2D SPECS: DP-59-A PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)
	LINE	FIELD NAME	IDENTIFICATION	FIELD NUMBER	MAX LENGTH	ACCEPTABLE VALUES	TYPE	FORMAT	CAN BE NEGATIVE?	2D BARCODE PLACEMENT
	DP-59-A FORM									BOTTOM CENTER - PAGE 1
			HEADER FIELD	H1	2	T1 (STATIC VALUE)	ALPHA / NUMERIC	T1	N
			DEVELOPER CODE	H2	4	SAME AS VENDOR CODE (ISSUED BY NACTP)	NUMERIC	9999	N	VERSION 1 REVISED 04/2024
			STATE	H3	2	NH (STATIC VALUE)	ALPHA	NH	N
			FORM ID & YEAR	H4	8	A-Z, 0-9	ALPHA / NUMERIC	0DP59Ayy	N
		PERBEGDT	TAXABLE PERIOD (BEGINNING)	1	8	0-9	NUMERIC	mmddyyyy	N
		PERENDDT	TAXABLE PERIOD (ENDING)	2	8	0-9	NUMERIC	mmddyyyy	N
		IDCB	INDIVIDUAL / JOINT (CHECKBOX)	3	1	X	CHECKBOX	X	N
		PARTCB	PARTNERSHIP / LLC (CHECKBOX)	4	1	X	CHECKBOX	X	N
		FIDCB	ESTATE (CHECKBOX)	5	1	X	CHECKBOX	X	N
		INDVIDNO1	SOCIAL SECURITY NUMBER	6	9	0-9	NUMERIC	999999999	N
		INDVIDNO2	SOCIAL SECURITY NUMBER (SPOUSE'S)	7	9	0-9	NUMERIC	999999999	N
		BUSIDNO	TAXPAYER IDENTIFICATION NUMBER	8	9	0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES	ALPHA / NUMERIC	999999999 SM9999999 NL9999999	N
		LASTNM1	LAST NAME	9	30	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(30)	N
		FIRSTNM1	FIRST NAME	10	15	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(15)	N
		MIDINIT1	MIDDLE INITIAL	11	1	A-Z	ALPHA	X	N
		LASTNM2	LAST NAME (SPOUSE'S)	12	30	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(30)	N
		FIRSTNM2	FIRST NAME (SPOUSE'S)	13	15	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(15)	N
		MIDINIT2	MIDDLE INITIAL (SPOUSE'S)	14	1	A-Z	ALPHA	X	N
		PRIMNM	NAME OF PARTNERSHIP, ESTATE, OR LLC	15	46	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(46)	N
		ADDR1	NUMBER & STREET ADDRESS	16	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		ADDR2	ADDRESS (CONTINUED)	17	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		CITY	CITY / TOWN	18	20	0-9, PLUS SPACE	ALPHA / NUMERIC	X(20)	N
		STATE	STATE	19	2	A-Z	ALPHA	XX	N
		ZIPPSTLCD	ZIP CODE + 4	20	10	0-9, A-Z, PLUS (-), PLUS SPACE	ALPHA / NUMERIC	99999-9999 A1A 1A1	N
	1	TAXDUE	ENTER 100% OF THE INTEREST AND DIVIDENDS TAX DETERMINED TO BE DUE (NET OF RSA 77-G EDUCATION TAX CREDIT)	21	9	0-9	NUMERIC	9(09)	N
	2A	PYMTESTCR	ENTER CREDIT CARRIED OVER FROM PRIOR YEAR AND TOTAL ESTIMATED PAYMENTS	22	9	0-9	NUMERIC	9(09)	N
	2B	PYMTEXTNCR	ENTER PAYMENT PREVIOUSLY MADE, IF APPLICABLE	23	9	0-9	NUMERIC	9(09)	N
	2	PYMTOTHCR	TOTAL ADVANCE PAYMENTS AND CREDITS	24	9	0-9	NUMERIC	9(09)	N
	3	EXTNPYMT	NET BALANCE DUE / PAY THIS AMOUNT	25	9	0-9	NUMERIC	9(09)	N
		*EOD*	END OF FILE	26	5	*EOD* (STATIC VALUE)	ALPHA / NUMERIC	*EOD*	N

DP-80

	2D SPECS: DP-80 PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)
	LINE	FIELD NAME	IDENTIFICATION	FIELD NUMBER	MAX LENGTH	ACCEPTABLE VALUES	TYPE	FORMAT	CAN BE NEGATIVE?	2D BARCODE PLACEMENT
	DP-80 FORM									BOTTOM CENTER - PAGE 1
			HEADER FIELD	H1	2	T1 (STATIC VALUE)	ALPHA / NUMERIC	T1	N
			DEVELOPER CODE	H2	4	SAME AS VENDOR CODE (ISSUED BY NACTP)	NUMERIC	9999	N	VERSION 1 REVISED 05/2024
			STATE	H3	2	NH (STATIC VALUE)	ALPHA	NH	N
			FORM ID & YEAR	H4	8	A-Z, 0-9	ALPHA / NUMERIC	00DP80yy	N
		PRIMNM	BUSINESS ORGANIZATON NAME	1	46	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(46)	N
		BUSIDNO	TAXPAYER IDENTIFICATION NUMBER	2	9	0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES	ALPHA / NUMERIC	999999999 SM9999999 NL9999999	N
		PERBEGDT	TAXABLE PERIOD (BEGINNING)	3	8	0-9	NUMERIC	mmddyyyy	N
		PERENDDT	TAXABLE PERIOD (ENDING)	4	8	0-9	NUMERIC	mmddyyyy	N
	1A	INCSLSALL	SALES / RECEIPTS FACTOR (EVERYWHERE)	5	15	0-9	NUMERIC	9(15)	Y
	1B	INCSLSNH	SALES / RECEIPTS FACTOR (NH)	6	15	0-9	NUMERIC	9(15)	Y
	1C	PCTAPPINC	SALES / RECEIPTS FACOR (TOTAL)	7	8	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9.999999	N
	2A	COMPNALL	PAYROLL FACTOR (EVERYWHERE)	8	15	0-9	NUMERIC	9(15)	Y
	2B	COMPNNH	PAYROLL FACTOR (NH)	9	15	0-9	NUMERIC	9(15)	Y
	2C	PCTAPPCOMP	PAYROLL FACTOR (TOTAL)	10	8	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9.999999	N
	3A	INVBEGEV	INVENTORY (BEGINNING OF PERIOD, EVERYWHERE)	11	15	0-9	NUMERIC	9(15)	Y
	3A	INVENDEV	INVENTORY (END OF PERIOD, EVERYWHERE)	12	15	0-9	NUMERIC	9(15)	Y
	3B	INVBEGNH	INVENTORY (BEGINNING OF PERIOD, NH)	13	15	0-9	NUMERIC	9(15)	Y
	3A	INVENDNH	INVENTORY (END OF PERIOD, NH)	14	15	0-9	NUMERIC	9(15)	Y
	3A	BLDGBEGEV	BUILDINGS (BEGINNING OF PERIOD, EVERYWHERE)	15	15	0-9	NUMERIC	9(15)	Y
	3A	BLDGENDEV	BUILDINGS (END OF PERIOD, EVERYWHERE)	16	15	0-9	NUMERIC	9(15)	Y
	3B	BLDGBEGNH	BUILDINGS (BEGINNING OF PERIOD, NH)	17	15	0-9	NUMERIC	9(15)	Y
	3B	BLDGENDNH	BUILDINGS (END OF PERIOD, NH)	18	15	0-9	NUMERIC	9(15)	Y
	3A	FURNBEGEV	FURNITURE & FIXTURES (BEGINNING OF PERIOD, EVERYWHERE)	19	15	0-9	NUMERIC	9(15)	Y
	3A	FURNENDEV	FURNITURE & FIXTURES (END OF PERIOD, EVERYWHERE)	20	15	0-9	NUMERIC	9(15)	Y
	3B	FURNBEGNH	FURNITURE & FIXTURES (BEGINNING OF PERIOD, NH)	21	15	0-9	NUMERIC	9(15)	Y
	3B	FURNENDNH	FURNITURE & FIXTURES (END OF PERIOD, NH)	22	15	0-9	NUMERIC	9(15)	Y
	3A	LEASBEGEV	LEASEHOLD IMPROVEMENTS (BEGINNING OF PERIOD, EVERYWHERE)	23	15	0-9	NUMERIC	9(15)	Y
	3A	LEASENDEV	LEASEHOLD IMPROVEMENTS (END OF PERIOD, EVERYWHERE)	24	15	0-9	NUMERIC	9(15)	Y
	3B	LEASBEGNH	LEASEHOLD IMPROVEMENTS (BEGINNING OF PERIOD, NH)	25	15	0-9	NUMERIC	9(15)	Y
	3B	LEASENDNH	LEASEHOLD IMPROVEMENTS (END OF PERIOD, NH)	26	15	0-9	NUMERIC	9(15)	Y
	3A	LANDBEGEV	LAND (BEGINNING OF PERIOD, EVERYWHERE)	27	15	0-9	NUMERIC	9(15)	Y
	3A	LANDENDEV	LAND (END OF PERIOD, EVERYWHERE)	28	15	0-9	NUMERIC	9(15)	Y
	3B	LANDBEGNH	LAND (BEGINNING OF PERIOD, NH)	29	15	0-9	NUMERIC	9(15)	Y
	3B	LANDENDNH	LAND (END OF PERIOD, NH)	30	15	0-9	NUMERIC	9(15)	Y
	3A	OTTNGBEGEV	OTHER TANGIBLE ASSETS (BEGINNING OF PERIOD, EVERYWHERE)	31	15	0-9	NUMERIC	9(15)	Y
	3A	OTTNGENDEV	OTHER TANGIBLE ASSETS (END OF PERIOD, EVERYWHERE)	32	15	0-9	NUMERIC	9(15)	Y
	3B	OTTNGBEGNH	OTHER TANGIBLE ASSETS (BEGINNING OF PERIOD, NH)	33	15	0-9	NUMERIC	9(15)	Y
	3B	OTTNGENDNH	OTHER TANGIBLE ASSETS (END OF PERIOD, NH)	34	15	0-9	NUMERIC	9(15)	Y
	3A	PRSUBBEGEV	SUBTOTAL (BEGINNING OF PERIOD, EVERYWHERE)	35	15	0-9	NUMERIC	9(15)	Y
	3A	PRSUBENDEV	SUBTOTAL (END OF PERIOD, EVERYWHERE)	36	15	0-9	NUMERIC	9(15)	Y
	3B	PRSUBBEGNH	SUBTOTAL (BEGINNING OF PERIOD, NH)	37	15	0-9	NUMERIC	9(15)	Y
	3B	PRSUBENDNH	SUBTOTAL (END OF PERIOD, NH)	38	15	0-9	NUMERIC	9(15)	Y
	3A	AVGPRPSTEV	AVERAGE OF SUBTOTALS (EVERYWHERE)	39	15	0-9	NUMERIC	9(15)	Y
	3B	AVGPRPSTNH	AVERAGE OF SUBTOTALS (NH)	40	15	0-9	NUMERIC	9(15)	Y
	3A	RENTDPRPEV	RENTED PROPERTY (EVERYWHERE)	41	15	0-9	NUMERIC	9(15)	Y
	3B	RENTDPRPNH	RENTED PROPERTY (NH)	42	15	0-9	NUMERIC	9(15)	Y
	3A	TOTPROPEV	TOTAL EVERYWHERE PROPERTY	43	15	0-9	NUMERIC	9(15)	Y
	3B	TOTPROPNH	TOTAL NH PROPERTY	44	15	0-9	NUMERIC	9(15)	Y
	3C	NHPROPPCT	DIVIDE 3(b) TOTAL BY 3(a) TOTAL	45	8	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9.999999	N
		*EOD*	END OF FILE	46	5	*EOD* (STATIC VALUE)	ALPHA / NUMERIC	*EOD*	N

DP-110-ES

	2D SPECS: DP-110-ES PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)
	LINE	FIELD NAME	IDENTIFICATION	FIELD NUMBER	MAX LENGTH	ACCEPTABLE VALUES	TYPE	FORMAT	CAN BE NEGATIVE?	2D BARCODE PLACEMENT
	DP-110-ES FORM									BOTTOM LEFT - EACH STUB
			HEADER FIELD	H1	2	T1 (STATIC VALUE)	ALPHA / NUMERIC	T1	N
			DEVELOPER CODE	H2	4	SAME AS VENDOR CODE (ISSUED BY NACTP)	NUMERIC	9999	N	VERSION 1 REVISED 07/2024
			STATE	H3	2	NH (STATIC VALUE)	ALPHA	NH	N
			FORM ID & YEAR	H4	8	A-Z, 0-9	ALPHA / NUMERIC	0110ESyy	N
		PRIMNM	NAME OF TAXPAYER	1	42	A-Z, 0-9, PLUS SPACE, DASH, COMMA, PERIOD, #, /, &, @	ALPHA / NUMERIC	X(42)	N
		BUSIDNO1	TAXPAYER IDENTIFICATION NUMBER	2	9	0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES	ALPHA / NUMERIC	999999999 SM9999999 NL9999999	N
		STADDR1	NUMBER & STREET ADDRESS	3	40	A-Z, 0-9, PLUS SPACE, DASH, COMMA, PERIOD, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		STADDR2	ADDRESS (CONTINUED)	4	40	A-Z, 0-9, PLUS SPACE, DASH, COMMA, PERIOD, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		CITY	CITY / TOWN	5	20	A-Z, PLUS SPACE	ALPHA / NUMERIC	X(20)	N
		STATE	STATE	6	2	A-Z	ALPHA	XX	N
		ZIPPSTLCD	ZIP CODE + 4	7	10	A-Z, 0-9, PLUS (-), PLUS SPACE	ALPHA / NUMERIC	99999-9999 A1A 1A1	N
		PYMESTAMT	AMOUNT OF PAYMENT	8	12	0-9	NUMERIC	9(12)	N
		*EOD*	END OF FILE	9	5	*EOD* (STATIC VALUE)	ALPHA / NUMERIC	*EOD*	N

DP-111-ES

	2D SPECS: DP-111-ES PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)
	LINE	FIELD NAME	IDENTIFICATION	FIELD NUMBER	MAX LENGTH	ACCEPTABLE VALUES	TYPE	FORMAT	CAN BE NEGATIVE?	2D BARCODE PLACEMENT
	DP-111-ES FORM									BOTTOM LEFT - EACH STUB
			HEADER FIELD	H1	2	T1 (STATIC VALUE)	ALPHA / NUMERIC	T1	N
			DEVELOPER CODE	H2	4	SAME AS VENDOR CODE (ISSUED BY NACTP)	NUMERIC	9999	N	VERSION 1 REVISED 07/2024
			STATE	H3	2	NH (STATIC VALUE)	ALPHA	NH	N
			FORM ID & YEAR	H4	8	A-Z, 0-9	ALPHA / NUMERIC	0111ESyy	N
		PRIMNM	NAME OF TAXPAYER	1	42	A-Z, 0-9, PLUS SPACE, DASH, COMMA, PERIOD, #, /, &, @	ALPHA / NUMERIC	X(42)	N
		BUSIDNO1	TAXPAYER IDENTIFICATION NUMBER	2	9	0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES	ALPHA / NUMERIC	999999999 SM9999999 NL9999999	N
		STADDR1	NUMBER & STREET ADDRESS	3	40	A-Z, 0-9, PLUS SPACE, DASH, COMMA, PERIOD, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		STADDR2	ADDRESS (CONTINUED)	4	40	A-Z, 0-9, PLUS SPACE, DASH, COMMA, PERIOD, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		CITY	CITY / TOWN	5	20	A-Z, PLUS SPACE	ALPHA / NUMERIC	X(20)	N
		STATE	STATE	6	2	A-Z	ALPHA	XX	N
		ZIPPSTLCD	ZIP CODE + 4	7	10	A-Z, 0-9, PLUS (-), PLUS SPACE	ALPHA / NUMERIC	99999-9999 A1A 1A1	N
		PYMESTAMT	AMOUNT OF PAYMENT	8	12	0-9	NUMERIC	9(12)	N
		*EOD*	END OF FILE	9	5	*EOD* (STATIC VALUE)	ALPHA / NUMERIC	*EOD*	N

DP-120

	2D SPECS: DP-120 PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)
	LINE	FIELD NAME	IDENTIFICATION	FIELD NUMBER	MAX LENGTH	ACCEPTABLE VALUES	TYPE	FORMAT	CAN BE NEGATIVE?	2D BARCODE PLACEMENT
	DP-120 FORM									BOTTOM CENTER - PAGE 1
			HEADER FIELD	H1	2	T1 (STATIC VALUE)	ALPHA / NUMERIC	T1	N
			DEVELOPER CODE	H2	4	SAME AS VENDOR CODE (ISSUED BY NACTP)	NUMERIC	9999	N	VERSION 1 REVISED 05/2024
			STATE	H3	2	NH (STATIC VALUE)	ALPHA	NH	N
			FORM ID & YEAR	H4	8	A-Z, 0-9	ALPHA / NUMERIC	0DP120yy	N
		PRIMNM	BUSINESS ORGANIZATON NAME	1	46	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(46)	N
		BUSIDNO	TAXPAYER IDENTIFICATION NUMBER	2	9	0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES	ALPHA / NUMERIC	999999999 SM9999999 NL9999999	N
		PERBEGDT	TAXABLE PERIOD (BEGINNING)	3	8	0-9	NUMERIC	mmddyyyy	N
		PERENDDT	TAXABLE PERIOD (ENDING)	4	8	0-9	NUMERIC	mmddyyyy	N
		NHDISTFLGY	WERE ANY DISTRIBUTIONS MADE TO NEW HAMPSHIRE SHAREHOLDERS / MEMBERS? (YES, CHECKBOX)	5	1	X	CHECKBOX	X	N
		NHDISTFLGN	WERE ANY DISTRIBUTIONS MADE TO NEW HAMPSHIRE SHAREHOLDERS / MEMBERS? (NO, CHECKBOX)	6	1	X	CHECKBOX	X	N
	1A	INCBUS	ENTER THE AMOUNT OF ORDINARY BUSINESS INCOME (LOSS) REPORTED ON FEDERAL FORM 1120S, SCHEDULE K, LINE 1	7	11	0-9	NUMERIC	9(11)	Y
	1B	INCREACT	ENTER THE AMOUNT OF NET RENTAL REAL ESTATE INCOME (LOSS) REPORTED ON FEDERAL FORM 1120S, SCHEDULE K, LINE 2	8	11	0-9	NUMERIC	9(11)	Y
	1C	INCREOTH	ENTER THE AMOUNT OF OTHER NET RENTAL INCOME (LOSS) REPORTED ON FEDERAL FORM 1120S, SCHEDULE K, LINE 3(c)	9	11	0-9	NUMERIC	9(11)	Y
	1D	INCPORTINT	ENTER THE AMOUNT OF INTEREST INCOME REPORTED ON FEDERAL FORM 1120S, SCHEDULE K, LINE 4	10	11	0-9	NUMERIC	9(11)	Y
	1E	INCPORTDIV	ENTER THE AMOUNT OF DIVIDEND INCOME REPORTED ON FEDERAL FORM 1120S, SCHEDULE K, LINE 5(a)	11	11	0-9	NUMERIC	9(11)	Y
	1F	INCPORTROY	ENTER THE AMOUNT OF ROYALTY INCOME REPORTED ON FEDERAL FORM 1120S, SCHEDULE K, LINE 6	12	11	0-9	NUMERIC	9(11)	Y
	1G	CAPGNASTSS	ENTER THE AMOUNT OF NET-SHORT TERM CAPITAL GAIN REPORTED ON FEDERAL 1120S, SCHEDULE K, LINE 7, LESS THE…	13	11	0-9	NUMERIC	9(11)	Y
		CAPLSASTSS	IF THE SUM OF FEDERAL 1120S, SCHEDULE K, LINES 7 AND 8(a) GAINS AND LOSSES IS LESS THAN ZERO, ENTER NET LOSS	14	11	0-9	NUMERIC	9(11)	Y
	1H	CAPGNASTSL	ENTER THE AMOUNT OF NET LONG-TERM CAPITAL GAIN REPORTED ON FEDERAL FORM 1120S, SCHEDULE K, LINE 8(a)…	15	11	0-9	NUMERIC	9(11)	Y
	1I	NETGN1231	ENTER THE AMOUNT OF NET §1231 GAIN (LOSS) REPORTED ON FEDERAL FORM 1120S, SCHEDULE K, LINE 9	16	11	0-9	NUMERIC	9(11)	Y
	1J	INCOTHER	ENTER THE AMOUNT OF OTHER INCOME (LOSS) REPORTED ON FEDERAL FORM 1120S, SCHEDULE K, LINE 10	17	11	0-9	NUMERIC	9(11)	Y
	1K	INCOTHERNR	ENTER THE AMOUNT OF ANY OTHER ITEM OF INCOME (LOSS) NOT REPORTED ON FEDERAL FORM 1120S, SCHEDULE K, THAT…	18	11	0-9	NUMERIC	9(11)	Y
	1L	IRC179DED	ENTER THE AMOUNT OF SECTION 179 DEDUCTION REPORTED ON FEDERAL FORM 1120S, SCHEDULE K, LINE 11	19	11	0-9	NUMERIC	9(11)	Y
	1M	CONTRPTD	ENTER THE AMOUNT OF CHARITABLE CONTRIBUTIONS REPORTED ON FEDERAL FORM 1120S, SCHEDULE K, LINE 12(a)	20	11	0-9	NUMERIC	9(11)	Y
	1N	INVINTEXP	ENTER THE AMOUNT OF INVESTMENT INTEREST EXPENSE REPORTED ON FEDERAL FORM 1120S, SCHEDULE K, LINE 12(b)	21	11	0-9	NUMERIC	9(11)	Y
	1O	IRC59EEXP	ENTER THE AMOUNT OF IRC §59(e)(2) EXPENDITURES REPORTED ON FEDERAL FORM 1120S, SCHEDULE K, LINE 12(c)	22	11	0-9	NUMERIC	9(11)	Y
	1P	OTHDEDRPT	ENTER THE AMOUNT OF OTHER DEDUCTIONS REPORTED ON FEDERAL FORM 1120S, SCHEDULE K, LINE 12(d)	23	11	0-9	NUMERIC	9(11)	Y
	1Q	FRGNINCEXP	ENTER THE AMOUNT OF FOREIGN TAXES PAID OR ACCRUED AS REPORTED ON FEDERAL FORM 1120S, SCHEDULE K, LINE 16(f)	24	11	0-9	NUMERIC	9(11)	Y
	2	GROSPROFS	COMBINE LINES 1(a) THROUGH 1(k) AND FROM THE RESULT SUBTRACT THE SUM OF LINES 1(l) THROUGH 1(q)	25	13	0-9	NUMERIC	9(13)	Y
		*EOD*	END OF FILE	26	5	*EOD* (STATIC VALUE)	ALPHA / NUMERIC	*EOD*	N

DP-120-P

	2D SPECS: DP-120-P PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)
	LINE	FIELD NAME	IDENTIFICATION	FIELD NUMBER	MAX LENGTH	ACCEPTABLE VALUES	TYPE	FORMAT	CAN BE NEGATIVE?	2D BARCODE PLACEMENT
	DP-120-P FORM									BOTTOM CENTER - PAGE 1
			HEADER FIELD	H1	2	T1 (STATIC VALUE)	ALPHA / NUMERIC	T1	N
			DEVELOPER CODE	H2	4	SAME AS VENDOR CODE (ISSUED BY NACTP)	NUMERIC	9999	N	VERSION 2 REVISED 09/2024
			STATE	H3	2	NH (STATIC VALUE)	ALPHA	NH	N
			FORM ID & YEAR	H4	8	A-Z, 0-9	ALPHA / NUMERIC	DP120Pyy	N
		PRIMNM	BUSINESS ORGANIZATON NAME	1	46	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(46)	N
		BUSIDNO	TAXPAYER IDENTIFICATION NUMBER	2	9	0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES	ALPHA / NUMERIC	999999999 SM9999999 NL9999999	N
		PERBEGDT	TAXABLE PERIOD (BEGINNING)	3	8	0-9	NUMERIC	mmddyyyy	N
		PERENDDT	TAXABLE PERIOD (ENDING)	4	8	0-9	NUMERIC	mmddyyyy	N
	1A	INCBUS	ENTER THE AMOUNT OF ORDINARY BUSINESS INCOME (LOSS) REPORTED ON FEDERAL FORM 1065, SCHEDULE K, LINE 1	5	11	0-9	NUMERIC	9(11)	Y
	1B	INCREACT	ENTER THE AMOUNT OF NET RENTAL REAL ESTATE INCOME (LOSS) REPORTED ON FEDERAL FORM 1065, SCHEDULE K, LINE 2	6	11	0-9	NUMERIC	9(11)	Y
	1C	INCREACOTH	ENTER THE AMOUNT OF OTHER NET RENTAL INCOME (LOSS) REPORTED ON FEDERAL FORM 1065, SCHEDULE K, LINE 3(c)	7	11	0-9	NUMERIC	9(11)	Y
	1D	GUARPYMT	ENTER THE AMOUNT OF GUARANTEED PAYMENTS REPORTED ON FEDERAL FORM 1065, SCHEDULE K, LINE 4(c)	8	11	0-9	NUMERIC	9(11)	Y
	1E	INCPORTINT	ENTER THE AMOUNT OF INTEREST INCOME REPORTED ON FEDERAL FORM 1065, SCHEDULE K, LINE 5	9	11	0-9	NUMERIC	9(11)	Y
	1F	INCPORTDIV	ENTER THE AMOUNT OF DIVIDEND INCOME REPORTED ON FEDERAL FORM 1065, SCHEDULE K, LINE 6(a)	10	11	0-9	NUMERIC	9(11)	Y
	1G	INCPORTROY	ENTER THE AMOUNT OF ROYALTY INCOME REPORTED ON FEDERAL FORM 1065, SCHEDULE K, LINE 7	11	11	0-9	NUMERIC	9(11)	Y
	1H	CAPGNASTSS	ENTER THE AMOUNT OF NET SHORT TERM CAPITAL GAINS, BUT NOT BELOW ZERO, REPORTED ON FEDERAL FORM 1065…	12	11	0-9	NUMERIC	9(11)	Y
		CAPLSASTSS	IF NET SHORT TERM LOSS, ENTER LOSS HERE	13	11	0-9	NUMERIC	9(11)	Y
	1I	CAPGNASTSL	ENTER THE NET LONG TERM CAPITAL GAINS, BUT NOT BELOW ZERO, REPORTED ON FEDERAL FORM 1065, SCHEDULE K…	14	11	0-9	NUMERIC	9(11)	Y
	1J	NETGN1065	ENTER THE AMOUNT OF NET §1231 GAIN (LOSS) REPORTED ON FEDERAL FORM 1065, SCHEDULE K, LINE 10	15	11	0-9	NUMERIC	9(11)	Y
	1K	INCOTH1065	ENTER THE AMOUNT OF OTHER INCOME (LOSS) REPORTED ON FEDERAL FORM 1065, SCHEDULE K, LINE 11	16	11	0-9	NUMERIC	9(11)	Y
	1L	INCOTHERNR	ENTER THE AMOUNT OF ANY OTHER ITEM OF INCOME (LOSS) NOT REPORTED ON FEDERAL FORM 1065, SCHEDULE K…	17	11	0-9	NUMERIC	9(11)	Y
	1M	IRC179DED	ENTER THE AMOUNT OF SECTION 179 DEDUCTION REPORTED ON FEDERAL FORM 1065, SCHEDULE K, LINE 12	18	11	0-9	NUMERIC	9(11)	Y
	1N	CONT1065	ENTER THE AMOUNT OF CONTRIBUTIONS REPORTED ON FEDERAL FORM 1065, SCHEDULE K, LINE 13(a) BUT ONLY TO…	19	11	0-9	NUMERIC	9(11)	Y
	1O	INTEXP1065	ENTER THE AMOUNT OF INVESTMENT INTEREST EXPENSE REPORTED ON FEDERAL FORM 1065, SCHEDULE K, LINE 13(b)	20	11	0-9	NUMERIC	9(11)	Y
	1P	EXP59E1065	ENTER THE AMOUNT OF IRC §59(e)(2) EXPENDITURES REPORTED ON FEDERAL FORM 1065, SCHEDULE K, LINE 13(c)(2)	21	11	0-9	NUMERIC	9(11)	Y
	1Q	DEDOTH1065	ENTER THE AMOUNT OF OTHER DEDUCTIONS REPORTED ON FEDERAL FORM 1065, SCHEDULE K, LINE 13(d)	22	11	0-9	NUMERIC	9(11)	Y
	1R	FRGN1065	ENTER THE AMOUNT OF FOREIGN TAXES PAID OR ACCRUED AS REPORTED ON FEDERAL FORM 1065, SCHEDULE K, LINE 21	23	11	0-9	NUMERIC	9(11)	Y
	2	GROSPROFS	COMBINE LINES 1(a) THROUGH 1(l) AND FROM THE RESULT SUBTRACT THE SUM OF LINES 1(m) THROUGH 1(r)	24	13	0-9	NUMERIC	9(13)	Y
		*EOD*	END OF FILE	25	5	*EOD* (STATIC VALUE)	ALPHA / NUMERIC	*EOD*	N

DP-121

	2D SPECS: DP-121 PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)
	LINE	FIELD NAME	IDENTIFICATION	FIELD NUMBER	MAX LENGTH	ACCEPTABLE VALUES	TYPE	FORMAT	CAN BE NEGATIVE?	2D BARCODE PLACEMENT
	DP-121 FORM									BOTTOM CENTER - PAGE 1
			HEADER FIELD	H1	2	T1 (STATIC VALUE)	ALPHA / NUMERIC	T1	N
			DEVELOPER CODE	H2	4	SAME AS VENDOR CODE (ISSUED BY NACTP)	NUMERIC	9999	N	VERSION 2 REVISED 09/2024
			STATE	H3	2	NH (STATIC VALUE)	ALPHA	NH	N
			FORM ID & YEAR	H4	8	A-Z, 0-9	ALPHA / NUMERIC	0DP121yy	N
		PRIMNM	BUSINESS ORGANIZATON NAME	1	46	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(46)	N
		BUSIDNO	TAXPAYER IDENTIFICATION NUMBER	2	9	0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES	ALPHA / NUMERIC	999999999 SM9999999 NL9999999	N
		PERBEGDT	TAXABLE PERIOD (BEGINNING)	3	8	0-9	NUMERIC	mmddyyyy	N
		PERENDDT	TAXABLE PERIOD (ENDING)	4	8	0-9	NUMERIC	mmddyyyy	N
	PART 1	PROPCB	PROPRIETORSHIP (CHECKBOX)	5	1	X	CHECKBOX	X	N
		LLCCB	SMLLC (CHECKBOX)	6	1	X	CHECKBOX	X	N
		JOINTCB	JOINTLY OWNED PROPERTY (CHECKBOX)	7	1	X	CHECKBOX	X	N
	P1-1	PLPROPRIET	NET PROFIT OR (LOSS) FROM PROPRIETOR REPORTED ON FEDERAL SCHEDULE C, LINE 31	8	13	0-9	NUMERIC	9(13)	Y
	P1-2	PLRENTAL	NET RENTAL PROFIT OR (LOSS) REPORTED ON FEDERAL SCHEDULE E, LINE 21	9	13	0-9	NUMERIC	9(13)	Y
	P1-3	FRMRENT	NET FARM RENTAL PROFIT OR (LOSS) REPORTED ON FEDERAL FORM 4835, LINE 32	10	13	0-9	NUMERIC	9(13)	Y
	P1-4	PLFARM	NET FARM PROFIT OR (LOSS) REPORTED ON FEDERAL SCHEDULE F, LINE 34	11	13	0-9	NUMERIC	9(13)	Y
	P1-5	NETSALE	NET GAIN OR (LOSS) FROM THE SALE OF BUSINESS ASSETS REPORTED ON FEDERAL FORM 4797…	12	13	0-9	NUMERIC	9(13)	Y
	P1-6	NETSALED	NET GAIN OR (LOSS) FROM SALE OF BUSINESS ASSETS REPORTED ON FEDERAL SCHEDULE D…	13	13	0-9	NUMERIC	9(13)	Y
	P1-7	INSTLSALE	INSTALLMENT SALE GAINS FROM THE SALE OF BUSINESS ASSETS RECOGNIZED DURING THE…	14	13	0-9	NUMERIC	9(13)	Y
	P1-8	INCOTH1040	OTHER INCOME AS REPORTED ON FEDERAL FORM 1040, SCHEDULE 1, LINE 9	15	13	0-9	NUMERIC	9(13)	Y
	P1-9	INCNETOTH	OTHER NET BUSINESS INCOME (ATTACH SCHEDULE) FOR SMLLC BUSINESS INCOME REPORTED ON...	16	13	0-9	NUMERIC	9(13)	Y
	P1-10	TOTAL1040	TOTAL LINES 1 THROUGH 9 AND REPORT ON NH-1120-WE, SCHEDULE I-A, LINE 4 OR 5	17	15	0-9	NUMERIC	9(15)	Y
	PART 2	TECB	TRUST OR ESTATE (CHECKBOX)	18	1	X	CHECKBOX	X	Y
	P2-1	INCINT	INTEREST INCOME REPORTED ON FEDERAL FORM 1041, LINE 1	19	13	0-9	NUMERIC	9(13)	Y
	P2-2	INCDIV	TOTAL DIVIDENDS REPORTED ON FEDERAL FORM 1041, LINE 2(a)	20	13	0-9	NUMERIC	9(13)	Y
	P2-3	INCLOSSBUS	BUSINESS INCOME OR (LOSS) REPORTED ON FEDERAL FORM 1041, LINE 3	21	13	0-9	NUMERIC	9(13)	Y
	P2-4	NETCAPGAIN	NET CAPITAL GAIN ONLY REPORTED ON FEDERAL FORM 1041, LINE 4	22	13	0-9	NUMERIC	9(13)	Y
	P2-5	RENTSROYAL	RENTS AND ROYALTIES REPORTED ON FEDERAL FORM 1041, LINE 5	23	13	0-9	NUMERIC	9(13)	Y
	P2-6	FRMRENT41	FARM INCOME OR (LOSS) REPORTED ON FEDERAL FORM 1041, LINE 6	24	13	0-9	NUMERIC	9(13)	Y
	P2-7	ORDGAIN	ORDINARY GAIN OR (LOSS) REPORTED ON FEDERAL FORM 1041, LINE 7	25	13	0-9	NUMERIC	9(13)	Y
	P2-8	INCOTH1041	OTHER INCOME REPORTED ON FEDERAL FORM 1041, LINE 8	26	13	0-9	NUMERIC	9(13)	Y
	P2-9	OTHBUSEXP	DEDUCT OTHER BUSINESS EXPENSES NOT REPORTED ABOVE (ATTACH SCHEDULE)	27	13	0-9	NUMERIC	9(13)	Y
	P2-10	TOTAL1041	TOTAL LINES 1 THROUGH 8 AND FROM THE RESULT SUBTRACT LINE 9	28	15	0-9	NUMERIC	9(15)	Y
		*EOD*	END OF FILE	29	5	*EOD* (STATIC VALUE)	ALPHA / NUMERIC	*EOD*	N

DP-131-A

	2D SPECS: DP-131-A PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)
	LINE	FIELD NAME	IDENTIFICATION	FIELD NUMBER	MAX LENGTH	ACCEPTABLE VALUES	TYPE	FORMAT	CAN BE NEGATIVE?	2D BARCODE PLACEMENT
	DP-131-A FORM									MIDDLE CENTER - PAGE 1
			HEADER FIELD	H1	2	T1 (STATIC VALUE)	ALPHA / NUMERIC	T1	N
			DEVELOPER CODE	H2	4	SAME AS VENDOR CODE (ISSUED BY NACTP)	NUMERIC	9999	N	VERSION 1 REVISED 06/2024
			STATE	H3	2	NH (STATIC VALUE)	ALPHA	NH	N
			FORM ID & YEAR	H4	8	A-Z, 0-9	ALPHA / NUMERIC	DP131Ayy	N
		PRIMNM	BUSINESS ORGANIZATON NAME	1	46	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(46)	N
		BUSIDNO	TAXPAYER IDENTIFICATION NUMBER	2	9	0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES	ALPHA / NUMERIC	999999999 SM9999999 NL9999999	N
		PERBEGDT	TAXABLE PERIOD (BEGINNING)	3	8	0-9	NUMERIC	mmddyyyy	N
		PERENDDT	TAXABLE PERIOD (ENDING)	4	8	0-9	NUMERIC	mmddyyyy	N
		*EOD*	END OF FILE	5	5	*EOD* (STATIC VALUE)	ALPHA / NUMERIC	*EOD*	N

DP-132

	2D SPECS: DP-132 PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)
	LINE	FIELD NAME	IDENTIFICATION	FIELD NUMBER	MAX LENGTH	ACCEPTABLE VALUES	TYPE	FORMAT	CAN BE NEGATIVE?	2D BARCODE PLACEMENT
	DP-132 FORM									BOTTOM CENTER - PAGE 1
			HEADER FIELD	H1	2	T1 (STATIC VALUE)	ALPHA / NUMERIC	T1	N
			DEVELOPER CODE	H2	4	SAME AS VENDOR CODE (ISSUED BY NACTP)	NUMERIC	9999	N	VERSION 1 REVISED 05/2024
			STATE	H3	2	NH (STATIC VALUE)	ALPHA	NH	N
			FORM ID & YEAR	H4	8	A-Z, 0-9	ALPHA / NUMERIC	0DP132yy	N
		PRIMNM	BUSINESS ORGANIZATON NAME	1	46	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(46)	N
		BUSIDNO	TAXPAYER IDENTIFICATION NUMBER	2	9	0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES	ALPHA / NUMERIC	999999999 SM9999999 NL9999999	N
		PERBEGDT	TAXABLE PERIOD (BEGINNING)	3	8	0-9	NUMERIC	mmddyyyy	N
		PERENDDT	TAXABLE PERIOD (ENDING)	4	8	0-9	NUMERIC	mmddyyyy	N
	1A	PERENDDT1	ENDING DATE OF TAXABLE PERIOD IN WHICH NOL OCCURRED (COLUMN A)	5	8	0-9	NUMERIC	mmddyyyy	N
	1B	NOLCRYFWD1	NH NOL AVAILABLE FOR CARRYFORWARD FROM DP-131-A (COLUMN B)	6	13	0-9	NUMERIC	9(13)	Y
	1C	NOLCFUSED1	AMOUNT OF NOL CARRY FORWARD WHICH HAS BEEN USED IN TAXABLE PERIODS… (COLUMN C)	7	13	0-9	NUMERIC	9(13)	Y
	1D	NOLDEUSESD1	AMOUNT OF NOL TO BE USED AS A DEDUCTION IN THIS TAXABLE PERIOD (COLUMN D)	8	13	0-9	NUMERIC	9(13)	Y
	1E	NOLCFFUTR1	AMOUNT OF NOL TO CARRY FORWARD TO FUTURE TAXABLE PERIOD. (COLUMN E)	9	13	0-9	NUMERIC	9(13)	Y
	2A	PERENDDT2	ENDING DATE OF TAXABLE PERIOD IN WHICH NOL OCCURRED (COLUMN A)	10	8	0-9	NUMERIC	mmddyyyy	N
	2B	NOLCRYFWD2	NH NOL AVAILABLE FOR CARRYFORWARD FROM DP-131-A (COLUMN B)	11	13	0-9	NUMERIC	9(13)	Y
	2C	NOLCFUSED2	AMOUNT OF NOL CARRY FORWARD WHICH HAS BEEN USED IN TAXABLE PERIODS… (COLUMN C)	12	13	0-9	NUMERIC	9(13)	Y
	2D	NOLDEUSESD2	AMOUNT OF NOL TO BE USED AS A DEDUCTION IN THIS TAXABLE PERIOD (COLUMN D)	13	13	0-9	NUMERIC	9(13)	Y
	2E	NOLCFFUTR2	AMOUNT OF NOL TO CARRY FORWARD TO FUTURE TAXABLE PERIOD. (COLUMN E)	14	13	0-9	NUMERIC	9(13)	Y
	3A	PERENDDT3	ENDING DATE OF TAXABLE PERIOD IN WHICH NOL OCCURRED (COLUMN A)	15	8	0-9	NUMERIC	mmddyyyy	N
	3B	NOLCRYFWD3	NH NOL AVAILABLE FOR CARRYFORWARD FROM DP-131-A (COLUMN B)	16	13	0-9	NUMERIC	9(13)	Y
	3C	NOLCFUSED3	AMOUNT OF NOL CARRY FORWARD WHICH HAS BEEN USED IN TAXABLE PERIODS… (COLUMN C)	17	13	0-9	NUMERIC	9(13)	Y
	3D	NOLDEUSESD3	AMOUNT OF NOL TO BE USED AS A DEDUCTION IN THIS TAXABLE PERIOD (COLUMN D)	18	13	0-9	NUMERIC	9(13)	Y
	3E	NOLCFFUTR3	AMOUNT OF NOL TO CARRY FORWARD TO FUTURE TAXABLE PERIOD. (COLUMN E)	19	13	0-9	NUMERIC	9(13)	Y
	4A	PERENDDT4	ENDING DATE OF TAXABLE PERIOD IN WHICH NOL OCCURRED (COLUMN A)	20	8	0-9	NUMERIC	mmddyyyy	N
	4B	NOLCRYFWD4	NH NOL AVAILABLE FOR CARRYFORWARD FROM DP-131-A (COLUMN B)	21	13	0-9	NUMERIC	9(13)	Y
	4C	NOLCFUSED4	AMOUNT OF NOL CARRY FORWARD WHICH HAS BEEN USED IN TAXABLE PERIODS… (COLUMN C)	22	13	0-9	NUMERIC	9(13)	Y
	4D	NOLDEUSESD4	AMOUNT OF NOL TO BE USED AS A DEDUCTION IN THIS TAXABLE PERIOD (COLUMN D)	23	13	0-9	NUMERIC	9(13)	Y
	4E	NOLCFFUTR4	AMOUNT OF NOL TO CARRY FORWARD TO FUTURE TAXABLE PERIOD. (COLUMN E)	24	13	0-9	NUMERIC	9(13)	Y
	5A	PERENDDT5	ENDING DATE OF TAXABLE PERIOD IN WHICH NOL OCCURRED (COLUMN A)	25	8	0-9	NUMERIC	mmddyyyy	N
	5B	NOLCRYFWD5	NH NOL AVAILABLE FOR CARRYFORWARD FROM DP-131-A (COLUMN B)	26	13	0-9	NUMERIC	9(13)	Y
	5C	NOLCFUSED5	AMOUNT OF NOL CARRY FORWARD WHICH HAS BEEN USED IN TAXABLE PERIODS… (COLUMN C)	27	13	0-9	NUMERIC	9(13)	Y
	5D	NOLDEUSESD5	AMOUNT OF NOL TO BE USED AS A DEDUCTION IN THIS TAXABLE PERIOD (COLUMN D)	28	13	0-9	NUMERIC	9(13)	Y
	5E	NOLCFFUTR5	AMOUNT OF NOL TO CARRY FORWARD TO FUTURE TAXABLE PERIOD. (COLUMN E)	29	13	0-9	NUMERIC	9(13)	Y
	6A	PERENDDT6	ENDING DATE OF TAXABLE PERIOD IN WHICH NOL OCCURRED (COLUMN A)	30	8	0-9	NUMERIC	mmddyyyy	N
	6B	NOLCRYFWD6	NH NOL AVAILABLE FOR CARRYFORWARD FROM DP-131-A (COLUMN B)	31	13	0-9	NUMERIC	9(13)	Y
	6C	NOLCFUSED6	AMOUNT OF NOL CARRY FORWARD WHICH HAS BEEN USED IN TAXABLE PERIODS… (COLUMN C)	32	13	0-9	NUMERIC	9(13)	Y
	6D	NOLDEUSESD6	AMOUNT OF NOL TO BE USED AS A DEDUCTION IN THIS TAXABLE PERIOD (COLUMN D)	33	13	0-9	NUMERIC	9(13)	Y
	6E	NOLCFFUTR6	AMOUNT OF NOL TO CARRY FORWARD TO FUTURE TAXABLE PERIOD. (COLUMN E)	34	13	0-9	NUMERIC	9(13)	Y
	7A	PERENDDT7	ENDING DATE OF TAXABLE PERIOD IN WHICH NOL OCCURRED (COLUMN A)	35	8	0-9	NUMERIC	mmddyyyy	N
	7B	NOLCRYFWD7	NH NOL AVAILABLE FOR CARRYFORWARD FROM DP-131-A (COLUMN B)	36	13	0-9	NUMERIC	9(13)	Y
	7C	NOLCFUSED7	AMOUNT OF NOL CARRY FORWARD WHICH HAS BEEN USED IN TAXABLE PERIODS… (COLUMN C)	37	13	0-9	NUMERIC	9(13)	Y
	7D	NOLDEUSESD7	AMOUNT OF NOL TO BE USED AS A DEDUCTION IN THIS TAXABLE PERIOD (COLUMN D)	38	13	0-9	NUMERIC	9(13)	Y
	7E	NOLCFFUTR7	AMOUNT OF NOL TO CARRY FORWARD TO FUTURE TAXABLE PERIOD. (COLUMN E)	39	13	0-9	NUMERIC	9(13)	Y
	8A	PERENDDT8	ENDING DATE OF TAXABLE PERIOD IN WHICH NOL OCCURRED (COLUMN A)	40	8	0-9	NUMERIC	mmddyyyy	N
	8B	NOLCRYFWD8	NH NOL AVAILABLE FOR CARRYFORWARD FROM DP-131-A (COLUMN B)	41	13	0-9	NUMERIC	9(13)	Y
	8C	NOLCFUSED8	AMOUNT OF NOL CARRY FORWARD WHICH HAS BEEN USED IN TAXABLE PERIODS… (COLUMN C)	42	13	0-9	NUMERIC	9(13)	Y
	8D	NOLDEUSESD8	AMOUNT OF NOL TO BE USED AS A DEDUCTION IN THIS TAXABLE PERIOD (COLUMN D)	43	13	0-9	NUMERIC	9(13)	Y
	8E	NOLCFFUTR8	AMOUNT OF NOL TO CARRY FORWARD TO FUTURE TAXABLE PERIOD. (COLUMN E)	44	13	0-9	NUMERIC	9(13)	Y
	9A	PERENDDT9	ENDING DATE OF TAXABLE PERIOD IN WHICH NOL OCCURRED (COLUMN A)	45	8	0-9	NUMERIC	mmddyyyy	N
	9B	NOLCRYFWD9	NH NOL AVAILABLE FOR CARRYFORWARD FROM DP-131-A (COLUMN B)	46	13	0-9	NUMERIC	9(13)	Y
	9C	NOLCFUSED9	AMOUNT OF NOL CARRY FORWARD WHICH HAS BEEN USED IN TAXABLE PERIODS… (COLUMN C)	47	13	0-9	NUMERIC	9(13)	Y
	9D	NOLDEUSESD9	AMOUNT OF NOL TO BE USED AS A DEDUCTION IN THIS TAXABLE PERIOD (COLUMN D)	48	13	0-9	NUMERIC	9(13)	Y
	9E	NOLCFFUTR9	AMOUNT OF NOL TO CARRY FORWARD TO FUTURE TAXABLE PERIOD. (COLUMN E)	49	13	0-9	NUMERIC	9(13)	Y
	10A	PERENDDTX	ENDING DATE OF TAXABLE PERIOD IN WHICH NOL OCCURRED (COLUMN A)	50	8	0-9	NUMERIC	mmddyyyy	N
	10B	NOLCRYFWDX	NH NOL AVAILABLE FOR CARRYFORWARD FROM DP-131-A (COLUMN B)	51	13	0-9	NUMERIC	9(13)	Y
	10C	NOLCFUSEDX	AMOUNT OF NOL CARRY FORWARD WHICH HAS BEEN USED IN TAXABLE PERIODS… (COLUMN C)	52	13	0-9	NUMERIC	9(13)	Y
	10D	NOLDEUSESDX	AMOUNT OF NOL TO BE USED AS A DEDUCTION IN THIS TAXABLE PERIOD (COLUMN D)	53	13	0-9	NUMERIC	9(13)	Y
	10E	NOLCFFUTRX	AMOUNT OF NOL TO CARRY FORWARD TO FUTURE TAXABLE PERIOD. (COLUMN E)	54	13	0-9	NUMERIC	9(13)	Y
	11B	NOLCRYFWDT	TOTAL - NH NOL AVAILABLE FOR CARRYFORWARD FROM DP-131-A (COLUMN B)	55	15	0-9	NUMERIC	9(15)	Y
	11C	NOLCFUSEDT	TOTAL - AMOUNT OF NOL CARRY FORWARD WHICH HAS BEEN USED IN TAXABLE PERIODS… (COLUMN C)	56	15	0-9	NUMERIC	9(15)	Y
	11D	NOLDEUSEDT	TOTAL - AMOUNT OF NOL TO BE USED AS A DEDUCTION IN THIS TAXABLE PERIOD (COLUMN D)	57	15	0-9	NUMERIC	9(15)	Y
	11E	NOLCFFUTRT	TOTAL - AMOUNT OF NOL TO CARRY FORWARD TO FUTURE TAXABLE PERIOD. (COLUMN E)	58	15	0-9	NUMERIC	9(15)	Y
		*EOD*	END OF FILE	59	5	*EOD* (STATIC VALUE)	ALPHA / NUMERIC	*EOD*	N

DP-132-WE

	2D SPECS: DP-132-WE PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)
	LINE	FIELD NAME	IDENTIFICATION	FIELD NUMBER	MAX LENGTH	ACCEPTABLE VALUES	TYPE	FORMAT	CAN BE NEGATIVE?	2D BARCODE PLACEMENT
	DP-132-WE FORM									BOTTOM CENTER - PAGE 1
			HEADER FIELD	H1	2	T1 (STATIC VALUE)	ALPHA / NUMERIC	T1	N
			DEVELOPER CODE	H2	4	SAME AS VENDOR CODE (ISSUED BY NACTP)	NUMERIC	9999	N	VERSION 1 REVISED 06/2024
			STATE	H3	2	NH (STATIC VALUE)	ALPHA	NH	N
			FORM ID & YEAR	H4	8	A-Z, 0-9	ALPHA / NUMERIC	0132WEyy	N
		PRIMNM	PRINCIPAL NH BUSINESS ORGANIZATON NAME	1	46	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(46)	N
		BUSIDNO	TAXPAYER IDENTIFICATION NUMBER	2	9	0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES	ALPHA / NUMERIC	999999999 SM9999999 NL9999999	N
		PERBEGDT	TAXABLE PERIOD (BEGINNING)	3	8	0-9	NUMERIC	mmddyyyy	N
		PERENDDT	TAXABLE PERIOD (ENDING)	4	8	0-9	NUMERIC	mmddyyyy	N
		*EOD*	END OF FILE	5	5	*EOD* (STATIC VALUE)	ALPHA / NUMERIC	*EOD*	N

DP-135

	2D SPECS: DP-135 PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)
	LINE	FIELD NAME	IDENTIFICATION	FIELD NUMBER	MAX LENGTH	ACCEPTABLE VALUES	TYPE	FORMAT	CAN BE NEGATIVE?	2D BARCODE PLACEMENT
	DP-135 FORM									BOTTOM CENTER - PAGE 2
			HEADER FIELD	H1	2	T1 (STATIC VALUE)	ALPHA / NUMERIC	T1	N
			DEVELOPER CODE	H2	4	SAME AS VENDOR CODE (ISSUED BY NACTP)	NUMERIC	9999	N
			STATE	H3	2	NH (STATIC VALUE)	ALPHA	NH	N
			FORM ID & YEAR	H4	8	A-Z, 0-9	ALPHA / NUMERIC	0DP135yy	N
		PERBEGDT	TAXABLE PERIOD (BEGINNING)	1	8	0-9	NUMERIC	mmddyyyy	N
		PERENDDT	TAXABLE PERIOD (ENDING)	2	8	0-9	NUMERIC	mmddyyyy	N	VERSION 1 REVISED 02/2024
	STEP 1	PRIMNM	COMPANY NAME	3	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		REGNO	NUMER & STREET ADDRESS	4	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		TXPYRID	ADDRESS (CONTINUED)	5	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		INITRTNFLG	CITY / TOWN	6	20	A-Z PLUS SPACE	ALPHA / NUMERIC	X(20)	N
		AMNDRTNFLG	STATE	7	2	A-Z	ALPHA	XX	N
		FINLRTNFLG	ZIP CODE + 4	8	10	A-Z, 0-9, PLUS (-), PLUS SPACE	ALPHA / NUMERIC	99999-9999 A1A 1A1	N
		NHINCTAX	REGISTRATION NUMBER	9	6	0-9	NUMERIC	999999	N
		FEDGRSCHG	TAXPAYER IDENTIFICATION NUMBER	10	9	0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES	ALPHA / NUMERIC	999999999 SM9999999 NL9999999	N
	STEP 2	LOCGRSCHG	INITIAL RETURN (1ST FILING) (CHECKBOX)	11	X	X	CHECKBOX	X	N
		RESGRSCHG	AMENDED RETURN (CHECKBOX)	12	X	X	CHECKBOX	X	N
		OTHERDED	FINAL RETURN (CHECKBOX)	13	X	X	CHECKBOX	X	N
	STEP 3 1	NHINCTAX	TOTAL AMOUNT OF GROSS CHARGES BILLED DURING THE MONTH	14	16	0-9	NUMERIC	9(16)	N
	2A	FEDGRSCHG	DEDUCTIONS - GROSS CHARGES BILLED TO FEDERAL GOVERNMENT	15	16	0-9	NUMERIC	9(16)	N
	2B	LOCGRSCHG	DEDUCTIONS - GROSS CHARGES BILLED TO STATE AND LOCAL GOVERNMENT	16	16	0-9	NUMERIC	9(16)	N
	2C	RESGRSCHG	DEDUCTIONS - GROSS CHARGES BILLED TO RESELLER WITH CERTIFICATE	17	16	0-9	NUMERIC	9(16)	N
	2D	OTHERDED	DEDUCTIONS - OTHER (ATTACH EXPLANATION)	18	16	0-9	NUMERIC	9(16)	N
	2	TOTDED	DEDUCTIONS - TOTAL	19	16	0-9	NUMERIC	9(16)	N
	3	NHTXBUSPRF	GROSS CHARGES UPON WHICH TAX IS IMPOSED	20	16	0-9	NUMERIC	9(16)	N
	4	TAXAMT	AMOUNT OF TAX	21	12	0-9	NUMERIC	9(12)	N
	7	NHCST	NH COMMUNICATIONS SERVICES TAX	22	12	0-9	NUMERIC	9(12)	N
	8A	CRESTIM	PAYMENTS - PAYMENTS FROM ESTIMATED TAXES	23	12	0-9	NUMERIC	9(12)	N
	8B	CRPRIORRTN	PAYMENTS - CREDITS CARRIED OVER FROM PRIOR RETURN	24	12	0-9	NUMERIC	9(12)	N
	8C	TXPDRETAIL	PAYMENTS - TAX PAYMENTS MADE TO ANOTHER RESELLER	25	12	0-9	NUMERIC	9(12)	N
	8D	CRPDORIG	PAYMENTS - PAID WITH ORIGINAL RETURN (AMENDED RETURNS ONLY)	26	12	0-9	NUMERIC	9(12)	N
	8	CRTOTAL	TOTAL PAYMENTS AND CREDITS	27	12	0-9	NUMERIC	9(12)	N
	9	BALTAXDUE	BALANCE OF TAX DUE	28	12	0-9	NUMERIC	9(12)	N
	10A	ADDTNINT	ADDITIONS TO TAX - INTEREST	29	12	0-9	NUMERIC	9(12)	N
	10B	ADDTNFP	ADDITIONS TO TAX - FAILURE TO PAY	30	12	0-9	NUMERIC	9(12)	N
	10C	ADDTNFF	ADDITIONS TO TAX - FAILURE TO FILE	31	12	0-9	NUMERIC	9(12)	N
	10D	ADDTNUND	ADDITIONS TO TAX - UNDERPAYMENT OF ESTIMATED TAX	32	12	0-9	NUMERIC	9(12)	N
	10	ADDTNTOT	ADDITIONS TO TAX - TOTAL	33	12	0-9	NUMERIC	9(12)	N
	11	BALANCE	BALANCE DUE	34	12	0-9	NUMERIC	9(12)	N
	12	OVRPYMTCR	OVERPAYMENT	35	12	0-9	NUMERIC	9(12)	N
	STEP 4	SIGNEDFLG	SIGNATURE OF AUTHORIZED PROPRIETOR, PARTNER, CORPORATE OFFICER, OR REPRESENTATIVE	36	1	X	ALPHA	X	N
		PREPRID	PREPARER'S TAX ID NUMBER	37	9	0-9 AND P IS PERMITTED IN THE FIRST SPACE	ALPHA / NUMERIC	999999999 P99999999	N
		*EOD*	END OF FILE	38	5	*EOD* (STATIC VALUE)	ALPHA / NUMERIC	*EOD*	N

DP-135-ES

	2D SPECS: DP-135-ES PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)
	LINE	FIELD NAME	IDENTIFICATION	FIELD NUMBER	MAX LENGTH	ACCEPTABLE VALUES	TYPE	FORMAT	CAN BE NEGATIVE?	2D BARCODE PLACEMENT
	DP-135-ES FORM									BOTTOM CENTER - PAGE 1
			HEADER FIELD	H1	2	T1 (STATIC VALUE)	ALPHA / NUMERIC	T1	N
			DEVELOPER CODE	H2	4	SAME AS VENDOR CODE (ISSUED BY NACTP)	NUMERIC	9999	N	VERSION 1 REVISED 02/2024
			STATE	H3	2	NH (STATIC VALUE)	ALPHA	NH	N
			FORM ID & YEAR	H4	8	A-Z, 0-9	ALPHA / NUMERIC	0135ESyy	N
		PERENDDT	TAX PERIOD END DATE (MMDDYYYY)	1	8	0-9	NUMERIC	mmddyyyy	N
		REGNO	REGISTRATION NUMBER	2	6	0-9	NUMERIC	999999	N
		BUSIDNO1	TAXPAYER IDENTIFICATION NUMBER	3	9	0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES	ALPHA / NUMERIC	999999999 SM9999999 NL9999999	N
	1	TOTESTMON	TOTAL ESTIMATED TAX FOR THE MONTH	4	12	0-9 PLUS DECIMAL	NUMERIC	9(9).99	N
	2	CRDAMT	AMOUNT OF CREDIT	5	12	0-9 PLUS DECIMAL	NUMERIC	9(9).99	N
	3	PYMTESTAMT	AMOUNT OF THIS PAYMENT	6	12	0-9 PLUS DECIMAL	NUMERIC	9(9).99	N
		*EOD*	END OF FILE	7	5	*EOD* (STATIC VALUE)	ALPHA / NUMERIC	*EOD*	N

DP-139

	2D SPECS: DP-139 PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)
	LINE	FIELD NAME	IDENTIFICATION	FIELD NUMBER	MAX LENGTH	ACCEPTABLE VALUES	TYPE	FORMAT	CAN BE NEGATIVE?	2D BARCODE PLACEMENT
	DP-139 FORM									BOTTOM CENTER - PAGE 1
			HEADER FIELD	H1	2	T1 (STATIC VALUE)	ALPHA / NUMERIC	T1	N
			DEVELOPER CODE	H2	4	SAME AS VENDOR CODE (ISSUED BY NACTP)	NUMERIC	9999	N	VERSION 1 REVISED 02/2024
			STATE	H3	2	NH (STATIC VALUE)	ALPHA	NH	N
			FORM ID & YEAR	H4	8	A-Z, 0-9	ALPHA / NUMERIC	0DP139yy	N
		PRIMNM	OWNER / COMPANY NAME	1	60	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(60)	N
		TRADENM	BUSINESS NAME	2	60	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(60)	N
		BUSIDNO1	TAXPAYER IDENTIFICATION NUMBER	3	9	0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES	ALPHA / NUMERIC	999999999 SM9999999 NL9999999	N
		FEIN	FEIN (CHECKBOX)	4	1	X	CHECKBOX	X	N
		SSN	SSN (CHECKBOX)	5	1	X	CHECKBOX	X	N
		STADDR1	BUSINESS PHYSICAL LOCATION (NUMBER & STREET ADDRESS)	6	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		CITY	CITY / TOWN	7	20	A-Z PLUS SPACE	ALPHA / NUMERIC	X(20)	N
		STATE	STATE	8	2	A-Z	ALPHA	XX	N
		ZIPPSTLCD	ZIP CODE + 4	9	10	A-Z, 0-9, PLUS (-), PLUS SPACE	ALPHA / NUMERIC	99999-9999 A1A 1A1	N
		BUSPHONE	BUSINESS PHONE NUMBER IN NH	10	10	0-9	NUMERIC	9999999999	N
		CORPPHONE	CORPORATE HEADQUARTERS PHONE NUMBER	11	10	0-9	NUMERIC	9999999999	N
		ENTITYTYP1	PROPRIETORSHIP (CHECKBOX)	12	1	X	CHECKBOX	X	N
		ENTITYTYP2	CORPORATION / COMBINED GROUP (CHECKBOX)	13	1	X	CHECKBOX	X	N
		ENTITYTYP3	PARTNERSHIP (CHECKBOX)	14	1	X	CHECKBOX	X	N
		ENTITYTYP4	FIDUCIARY (CHECKBOX)	15	1	X	CHECKBOX	X	N
		ENTITYTYP5	NON-PROFIT ORGANIZATION (CHECKBOX)	16	1	X	CHECKBOX	X	N
		DATE1STNHFL	DATE YOU STARTED SELLING COMMUNICATIONS SERVICES IN NH	17	8	0-9	NUMERIC	mmddyyyy	N
		BUSLOCNH1	NAME AND ADDRESS OF PRINCIPAL BUSINESS LOCATION IN NH	18	60	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(60)	N
		COLTAXFLGY	DO YOU COLLECT A COMMUNICATIONS SERVICES TAX FOR A RESELLER? (YES, CHECKBOX)	19	1	X	CHECKBOX	X	N
		COLTAXFLGN	DO YOU COLLECT A COMMUNICATIONS SERVICES TAX FOR A RESELLER? (NO, CHECKBOX)	20	1	X	CHECKBOX	X	N
		COLTAXWHO	IF YES, FOR WHOM DO YOU COLLECT? NAME & ADDRESS FIELD	21	30	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(30)	N
	A	BOXFLGA	WE SELL COMMUNICATIONS SERVICES FROM A LOCATION IN NH AT RETAIL… (CHECKBOX A)	22	1	X	CHECKBOX	X	N
	B	BOXFLGB	WE SELL COMMUNICATIONS SERVICES AS A RETAILER WITH NO PLACE OF… (CHECKBOX B)	23	1	X	CHECKBOX	X	N
	C	BOXFLGC	WE ARE A SELLER OF COMMUNICATIONS SERVICES (CHECKBOX C)	24	1	X	CHECKBOX	X	N
		POAFLG	POWER OF ATTORNEY (CHECKBOX)	25	1	X	CHECKBOX	X	N
		SIGFLG	SIGNATURE	26	1	X	ALPHA	X	N
		*EOD*	END OF FILE	27	5	*EOD* (STATIC VALUE)	ALPHA / NUMERIC	*EOD*	N

DP-143

	2D SPECS: DP-143 PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)
	LINE	FIELD NAME	IDENTIFICATION	FIELD NUMBER	MAX LENGTH	ACCEPTABLE VALUES	TYPE	FORMAT	CAN BE NEGATIVE?	2D BARCODE PLACEMENT
	DP-143 FORM									BOTTOM CENTER
			HEADER FIELD	H1	2	T1 (STATIC VALUE)	ALPHA / NUMERIC	T1	N
			DEVELOPER CODE	H2	4	SAME AS VENDOR CODE (ISSUED BY NACTP)	NUMERIC	9999	N	VERSION 1 REVISED 02/2024
			STATE	H3	2	NH (STATIC VALUE)	ALPHA	NH	N
			FORM ID & YEAR	H4	8	A-Z, 0-9	ALPHA / NUMERIC	0DP143yy	N
		PRIMNM	NAME OF APPLICANT	1	42	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(42)	N
		REGNO	CST REGISTRATION NUMBER	2	6	0-9, AND RN PERMITTED IN THE FIRST TWO SPACES.	NUMERIC	999999 RN9999	N
		BUSIDNO1	TAXPAYER IDENTIFICATION NUMBER	3	9	0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES	ALPHA / NUMERIC	999999999 SM9999999 NL9999999	N
		STADDR1	NUMBER & STREET ADDRESS	4	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		STADDR2	ADDRESS (CONTINUED)	5	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		CITY	CITY / TOWN	6	20	A-Z PLUS SPACE	ALPHA / NUMERIC	X(20)	N
		STATE	STATE	7	2	A-Z	ALPHA	XX	N
		ZIPPSTLCD	ZIP CODE + 4	8	10	A-Z, 0-9, PLUS (-), PLUS SPACE	ALPHA / NUMERIC	99999-9999 A1A 1A1	N
		RESELLFLGY	DO YOU RESELL 100% OF YOUR PURCHASES? (CHECKBOX, YES)	9	1	X	CHECKBOX	X	N
		RESELLFLGN	DO YOU RESELL 100% OF YOUR PURCHASES? (CHECKBOX, NO)	10	1	X	CHECKBOX	X	N
		CSTADMINFLGY	DO YOU USE COMMUNICATIONS SERVICES FOR ANY OF YOUR OWN ADMINISTRATIVE... (CHECKBOX, YES)	11	1	X	CHECKBOX	X	N
		CSTADMINFLGN	DO YOU USE COMMUNICATIONS SERVICES FOR ANY OF YOUR OWN ADMINISTRATIVE... (CHECKBOX, NO)	12	1	X	CHECKBOX	X	N
		SIGNEDFLG	SIGNATURE OF AUTHORIZED REPRESENTATIVE	13	1	X	ALPHA	X	N
		*EOD*	END OF FILE	14	5	*EOD* (STATIC VALUE)	ALPHA / NUMERIC	*EOD*	N

DP-144

	2D SPECS: DP-144 PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)
	LINE	FIELD NAME	IDENTIFICATION	FIELD NUMBER	MAX LENGTH	ACCEPTABLE VALUES	TYPE	FORMAT	CAN BE NEGATIVE?	2D BARCODE PLACEMENT
	DP-144 FORM									BOTTOM CENTER
			HEADER FIELD	H1	2	T1 (STATIC VALUE)	ALPHA / NUMERIC	T1	N
			DEVELOPER CODE	H2	4	SAME AS VENDOR CODE (ISSUED BY NACTP)	NUMERIC	9999	N	VERSION 1 REVISED 02/2024
			STATE	H3	2	NH (STATIC VALUE)	ALPHA	NH	N
			FORM ID & YEAR	H4	8	A-Z, 0-9	ALPHA / NUMERIC	0DP144yy	N
		REGNO	CST REGISTRATION NUMBER	1	6	0-9, AND RN PERMITTED IN THE FIRST TWO SPACES.	ALPHA / NUMERIC	999999 RN9999	N
		BUSIDNO1	TAXPAYER IDENTIFICATION NUMBER	2	9	0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES	ALPHA / NUMERIC	999999999 SM9999999 NL9999999	N
		*EOD*	END OF FILE	3	5	*EOD* (STATIC VALUE)	ALPHA / NUMERIC	*EOD*	N

DP-151

	2D SPECS: DP-151 PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)
	LINE	FIELD NAME	IDENTIFICATION	FIELD NUMBER	MAX LENGTH	ACCEPTABLE VALUES	TYPE	FORMAT	CAN BE NEGATIVE?	2D BARCODE PLACEMENT
	DP-151 FORM									BOTTOM CENTER - PAGE 2
			HEADER FIELD	H1	2	T1 (STATIC VALUE)	ALPHA / NUMERIC	T1	N
			DEVELOPER CODE	H2	4	SAME AS VENDOR CODE (ISSUED BY NACTP)	NUMERIC	9999	N	VERSION 1 REVISED 03/2024
			STATE	H3	2	NH (STATIC VALUE)	ALPHA	NH	N
			FORM ID & YEAR	H4	8	A-Z, 0-9	ALPHA / NUMERIC	0DP151yy	N
	STEP 1	PERIOD	TAX PERIOD (MMYYYY)	1	6	0-9	NUMERIC	mmyyyy	N
		AMNDRTNFLG	AMENDED RETURN (CHECKBOX)	2	1	X	CHECKBOX	X	N
		FINLRTNFLG	FINAL RETURN (CHECKBOX)	3	1	X	CHECKBOX	X	N
		CREDITRTNFLG	TOBACCO TAX FROM RETURNED PRODUCT TAKEN AS A CREDIT IN THIS RETURN (CHECKBOX)	4	1	X	CHECKBOX	X	N
	STEP 2	PRIMNM	WHOLESALER	5	42	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(42)	N
		LICNO	LICENSE NUMBER	6	6	0-9	NUMERIC	999999	N
		BUSIDNO1	TAXPAYER IDENTIFICATION NUMBER	7	9	0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES	ALPHA / NUMERIC	999999999 SM9999999 NL9999999	N
		STRADDR1	NUMBER & STREET ADDRESS (MAILING ADDRESS)	8	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		STRADDR2	ADDRESS (CONTINUED)	9	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		CITY	CITY / TOWN	10	20	A-Z PLUS SPACE	ALPHA / NUMERIC	X(20)	N
		STATE	STATE	11	2	A-Z	ALPHA	XX	N
		ZIPPSTLCD	ZIP CODE + 4	12	10	A-Z, 0-9, PLUS (-), PLUS SPACE	ALPHA / NUMERIC	99999-9999 A1A 1A1	N
	STEP 3 1	SMOKESOLD	SMOKELESS TOBACCO SOLD OR DISTRIBUTED IN NEW HAMPSHIRE	13	9	0-9	NUMERIC	9(9)	Y
	2	LOOSESOLD	LOOSE TOBACCO OTHER THAN RYO SOLD OR DISTRIBUTED IN NEW HAMPSHIRE	14	9	0-9	NUMERIC	9(9)	Y
	3	TOTALSOLD	SMOKELESS AND LOOSE TOBACCO	15	9	0-9	NUMERIC	9(9)	Y
	4	TOTSMKLOS	TOTAL SMOKELESS AND LOOSE TOBACCO TAX	16	9	0-9	NUMERIC	9(9)	Y
	5	LCIGARSOLD	LITTLE CIGARS AS DEFINED IN RSA 78:1, V (NOT STAMPED) (NUMBER SOLD MULTIPLIED BY…	17	9	0-9	NUMERIC	9(9)	Y
	6	TOTWTR40	TOTAL WEIGHT IN OUNCES OF RYO SOLD OR DISTRIBUTED IN NEW HAMPSHIRE	18	9	0-9 PLUS DECIMAL	NUMERIC	9(6).99	Y
	7	RYOSOLD	TOTAL RYO TAX	19	9	0-9	NUMERIC	9(9)	Y
	8	CIGSOLD	TOTAL WHOLESALE SALES PRICE OF ALL CIGARS NOT MEETING THE DEFINITION OF A CIGARETTE OR…	20	9	0-9	NUMERIC	9(9)	Y
	9	PCIGARSOLD	TOTAL WHOLESALE SALES PRICE OF ALL PREMIUM CIGARS (RSA 78:1, IX) SOLD OR DISTRIBUTED…	21	9	0-9	NUMERIC	9(9)	N
	10	CIGTAXABLE	TOTAL WHOLESALE SALES PRICE OF ALL TAXABLE CIGARS	22	9	0-9	NUMERIC	9(9)	Y
	11	CIGARTAX	LINE 11 - CALCULATE CIGAR TAX	23	9	0-9	NUMERIC	9(9)	Y
	12	CSECML	TOTAL VOLUME IN MILLILITERS FOR CLOSED SYSTEM E-CIGARETTES	24	9	0-9 PLUS DECIMAL	NUMERIC	9(6).99	Y
	13	CSECTX	TOTAL CLOSED SYSTEM E-CIGARETTE TAX	25	9	0-9	NUMERIC	9(9)	Y
	14	OSECWS	TOTAL WHOLESALE SALES PRICE OF ALL OPEN SYSTEM E-CIGARETTES	26	9	0-9	NUMERIC	9(9)	Y
	15	OSECTX	TOTAL OPEN SYSTEM E-CIGARETTE TAX	27	9	0-9	NUMERIC	9(9)	Y
	16	TOTALTAX	TOTAL TAX LIABILITY	28	9	0-9	NUMERIC	9(9)	Y
	17(a)	CRADVANCE	CREDITS - ADVANCE PAYMENTS	29	9	0-9	NUMERIC	9(9)	N
	17(b)	CRPRIORRTN	CREDITS - CREDIT CARRIED OVER FROM PRIOR PERIOD	30	9	0-9	NUMERIC	9(9)	N
	17(c)	CRPDORIG	CREDITS - PAID WITH ORIGINAL RETURN (AMENDED RETURN ONLY)	31	9	0-9	NUMERIC	9(9)	N
	18	CRTOTAL	CREDITS - ENTER THE SUM OF LINES 17(a) THROUGH 17(c)	32	9	0-9	NUMERIC	9(9)	N
	19	BALTAXDUE	CREDITS - ENTER THE BALANCE OF LINE 16 MINUS LINE 18	33	9	0-9	NUMERIC	9(9)	N
	20(a)	ADDTNINT	ADDITIONS TO TAX - INTEREST	34	9	0-9	NUMERIC	9(9)	N
	20(b)	ADDTNFP	ADDITIONS TO TAX - FAILURE TO PAY	35	9	0-9	NUMERIC	9(9)	N
	20(c)	ADDTNFF	ADDITIONS TO TAX - FAILURE TO FILE	36	9	0-9	NUMERIC	9(9)	N
	21	ADDTNTOT	ENTER THE SUM OF LINES 20(a) THROUGH 20(c)	37	9	0-9	NUMERIC	9(9)	N
	22	BALDUE	BALANCE DUE WITH THIS RETURN	38	9	0-9	NUMERIC	9(9)	Y
	23	OVRPYMT	OVERPAYMENT	39	9	0-9	NUMERIC	9(9)	N
	24(a)	CREDITAMT	APPLY OVERPAYMENT TO - CREDIT APPLIED TO NEXT TAX PERIOD	40	9	0-9	NUMERIC	9(9)	N
	24(b)	REFUNDAMT	APPLY OVERPAYMENT TO - REFUND	41	9	0-9	NUMERIC	9(9)	N
		SIGNEDFLG	SIGNATURE OF WHOLESALER (IN INK)	42	1	X	ALPHA	X	N
		*EOD*	END OF FILE	43	5	*EOD* (STATIC VALUE)	ALPHA / NUMERIC	*EOD*	N

DP-153

	2D SPECS: DP-153 PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)
	LINE	FIELD NAME	IDENTIFICATION	FIELD NUMBER	MAX LENGTH	ACCEPTABLE VALUES	TYPE	FORMAT	CAN BE NEGATIVE?	2D BARCODE PLACEMENT
	DP-153 FORM									BOTTOM CENTER - PAGE 2
			HEADER FIELD	H1	2	T1 (STATIC VALUE)	ALPHA / NUMERIC	T1	N
			DEVELOPER CODE	H2	4	SAME AS VENDOR CODE (ISSUED BY NACTP)	NUMERIC	9999	N	VERSION 1 REVISED 02/2024
			STATE	H3	2	NH (STATIC VALUE)	ALPHA	NH	N
			FORM ID & YEAR	H4	8	A-Z, 0-9	ALPHA / NUMERIC	0DP153yy	N
		PERBEGDT	TAXABLE PERIOD (BEGINNING)	1	8	0-9	NUMERIC	mmddyyyy	N
		PERENDDT	TAXABLE PERIOD (ENDING)	2	8	0-9	NUMERIC	mmddyyyy	N
	STEP 1	HOSPITALNAME	NAME OF HOSPITAL	3	46	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(46)	N
		HOSITALID	TAXPAYER IDENTIFICATION NUMBER	4	9	0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES	ALPHA / NUMERIC	999999999 SM9999999 NL9999999	N
		HOSPITALFISCYEAREND	HOSPITAL FISCAL YEAR END DATE	5	8	0-9	NUMERIC	mmddyyyy	N
		ADDR1	NUMBER & STREET ADDRESS	6	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		ADDR2	ADDRESS (CONTINUED)	7	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		CITY	CITY / TOWN	8	20	A-Z, PLUS SPACE	ALPHA / NUMERIC	X(20)	N
		STATE	STATE	9	2	A-Z	ALPHA	XX	N
		ZIPPSTLCD	ZIP CODE + 4	10	10	A-Z, 0-9, PLUS (-), PLUS SPACE	ALPHA / NUMERIC	99999-9999 A1A 1A1	N
	STEP 2	INITRTNFLG	INITIAL RETURN (1ST FILING) (CHECKBOX)	11	1	X	CHECKBOX	X	N
		AMENDRETFLG	AMENDED RETURN (CHECKBOX)	12	1	X	CHECKBOX	X	N
		FINLRTNFLG	FINAL RETURN (CHECKBOX)	13	1	X	CHECKBOX	X	N
		LASTBUSDAY	LAST DAY OF BUSINESS	14	8	0-9	NUMERIC	mmddyyyy	N
	STEP 3 1A	INPATIENTHOPITALSERVICES	GROSS CHARGES: INPATIENT HOSPITAL SERVICES	15	16	0-9	NUMERIC	9(16)	N
	1B	OUTPATIENTHOSPITALSERVICES	GROSS CHARGES: OUTPATIENT HOSPITAL SERVICES	16	16	0-9	NUMERIC	9(16)	N
	1C	TOTALGROSSCHARGES	TOTAL GROSS CHARGES	17	16	0-9	NUMERIC	9(16)	N
	2	NETEXCLCHRGOUTPAT	NET EXCLUDED CHARGES FOR OUTPATIENT HOSPITAL SERVICES FROM DP-153-SCH, LINE 21	18	16	0-9	NUMERIC	9(16)	N
	3	SUBTOTALHOSPITALCHARGES	SUBTOTAL	19	16	0-9	NUMERIC	9(16)	N
	4A	BADDEBTS	DEDUCTIONS: BAD DEBTS	20	16	0-9	NUMERIC	9(16)	N
	4B	CHARITYCARE	DEDUCTIONS: CHARITY CARE	21	16	0-9	NUMERIC	9(16)	N
	4C	PAYORDISCOUNTS	DEDUCTIONS: PAYOR DISCOUNTS	22	16	0-9	NUMERIC	9(16)	N
	4	TOTALDEDUCTIONS	TOTAL DEDUCTIONS	23	16	0-9	NUMERIC	9(16)	N
	5	NETPATSERVREV	NET PATIENT SERVICES REVENUE	24	16	0-9	NUMERIC	9(16)	N
	6	NEWHAMPTMEDENHTAX	NH MEDICAID ENHANCEMENT TAX	25	16	0-9	NUMERIC	9(16)	N
	7A	CREDITCARRYOVER	CREDITS: CREDIT CARRYOVER FROM PRIOR TAX PERIOD	26	16	0-9	NUMERIC	9(16)	N
	7B	PAYMENTORIGIALRETURN	CREDITS: PAYMENT MADE WITH ORIGINAL RETURN	27	16	0-9	NUMERIC	9(16)	N
	7	TOTALCREDITS	TOTAL CREDITS	28	16	0-9	NUMERIC	9(16)	N
	8	BALANCETAXDUE	BALANCE OF TAX DUE	29	16	0-9	NUMERIC	9(16)	Y
	9A	INTEREST	ADDITIONS: INTEREST	30	16	0-9	NUMERIC	9(16)	N
	9B	FAILURETOPAY	ADDITIONS: FAILURE TO PAY PENALTY	31	16	0-9	NUMERIC	9(16)	N
	9C	FAILURETOFILE	ADDITIONS: FAILURE TO FILE PENALTY	32	16	0-9	NUMERIC	9(16)	N
	9	TOTALADDITIONSTOTAX	TOTAL ADDITIONS	33	16	0-9	NUMERIC	9(16)	N
	10	BALANCEDUE	BALANCE DUE	34	16	0-9	NUMERIC	9(16)	Y
	11	OVERPAYMENT	OVERPAYMENT: ENTER BALANCE DUE IF LESS THAN ZERO	35	16	0-9	NUMERIC	9(16)	N
	12A	OVERPAYMENTCREDIT	OVERPAYMENT: CREDIT	36	16	0-9	NUMERIC	9(16)	N
	12B	OVERPAYMENTREFUND	OVERPAYMENT: REFUND	37	16	0-9	NUMERIC	9(16)	N
	STEP 4	PRINTSIGNATORYNAME	PRINT SIGNATORY NAME & TITLE	38	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		SGNTELE	PHONE NUMBER	39	10	0-9	NUMERIC	999999999	N
		PREPARERNAME	PRINTED NAME OF PREPARER	40	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		PREPRID	PREPARER'S TAX IDENTIFICATION NUMBER	41	9	0-9, P PERMITTED IN THE FIRST SPACE	ALPHA / NUMERIC	999999999 P99999999	N
		PREPRTELE	PREPARER'S PHONE NUMBER	42	10	0-9	NUMERIC	999999999	N
		STRADDR1	PREPARER'S ADDRESS	43	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		CITY	CITY / TOWN	44	20	A-Z, PLUS SPACE	ALPHA / NUMERIC	X(20)	N
		STATE	STATE	45	2	A-Z	ALPHA	XX
		ZIPPSTLCD	ZIP CODE + 4	46	10	A-Z, 0-9, PLUS (-), PLUS SPACE	ALPHA / NUMERIC	99999-9999 A1A 1A1	N
		*EOD*	END OF FILE	47	5	*EOD* (STATIC VALUE)	ALPHA / NUMERIC	*EOD*	N

DP-153-ES

	2D SPECS: DP-153-ES PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)
	LINE	FIELD NAME	IDENTIFICATION	FIELD NUMBER	MAX LENGTH	ACCEPTABLE VALUES	TYPE	FORMAT	CAN BE NEGATIVE?	2D BARCODE PLACEMENT
	DP-153-ES FORM									BOTTOM CENTER - PAGE 1
			HEADER FIELD	H1	2	T1 (STATIC VALUE)	ALPHA / NUMERIC	T1	N
			DEVELOPER CODE	H2	4	SAME AS VENDOR CODE (ISSUED BY NACTP)	NUMERIC	9999	N
			STATE	H3	2	NH (STATIC VALUE)	ALPHA	NH	N
			FORM ID & YEAR	H4	8	A-Z, 0-9	ALPHA / NUMERIC	0153ESyy	N
		PERBEGDT	TAXABLE PERIOD (BEGINNING)	1	8	0-9	NUMERIC	mmddyyyy	N
		PERENDDT	TAXABLE PERIOD (ENDING)	2	8	0-9	NUMERIC	mmddyyyy	N
		HOSPITALNAME	NAME OF HOSPITAL	3	46	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(46)	N
		HOSITALID	TAXPAYER IDENTIFICATION NUMBER	4	9	0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES	ALPHA / NUMERIC	999999999 SM9999999 NL9999999	N
		ADDR1	NUMBER & STREET ADDRESS	5	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		ADDR2	ADDRESS (CONTINUED)	6	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		CITY	CITY / TOWN	7	20	A-Z PLUS SPACE	ALPHA / NUMERIC	X(20)	N
		STATE	STATE	8	2	A-Z	ALPHA	XX	N
		ZIPPSTLCD	ZIP CODE + 4	9	10	A-Z, 0-9, PLUS (-)	ALPHA / NUMERIC	99999-9999 A1A 1A1	N
		ESTPAYMENT	PROJECTED MEDICAID ENHANCEMENT TAX PAYMENT	10	16	0-9	NUMERIC	9(16)	N
		*EOD*	END OF FILE	11	5	*EOD* (STATIC VALUE)	ALPHA / NUMERIC	*EOD*	N

DP-153-SCH

	2D SPECS: DP-153-SCH PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)
	LINE	FIELD NAME	IDENTIFICATION	FIELD NUMBER	MAX LENGTH	ACCEPTABLE VALUES	TYPE	FORMAT	CAN BE NEGATIVE?	2D BARCODE PLACEMENT
	DP-153-SCH FORM									BOTTOM CENTER
			HEADER FIELD	H1	2	T1 (STATIC VALUE)	ALPHA / NUMERIC	T1	N
			DEVELOPER CODE	H2	4	SAME AS VENDOR CODE (ISSUED BY NACTP)	NUMERIC	9999	N
			STATE	H3	2	NH (STATIC VALUE)	ALPHA	NH	N
			FORM ID & YEAR	H4	8	A-Z, 0-9	ALPHA / NUMERIC	153SCHyy	N
		PERBEGDT	TAXABLE PERIOD (BEGINNING)	1	8	0-9	NUMERIC	mmddyyyy	N
		PERENDDT	TAXABLE PERIOD (ENDING)	2	8	0-9	NUMERIC	mmddyyyy	N
		HOSPITALNAME	HOSPITAL NAME	3	46	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(46)	N
		HOSPITALID	TAXPAYER IDENTIFICATION NUMBER	4	9	0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES	ALPHA / NUMERIC	999999999 SM9999999 NL9999999	N
		PRSNNAME	NAME OF PERSON COMPLETING THIS FORM	5	46	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(46)	N
		HOSPITALFSCLYR	HOSPITAL FISCAL YEAR END DATE	6	8	0-9	NUMERIC	mmddyyyy	N
	STEP 1 1	ADCAMOUNT	ADULT CARE CENTER (AMOUNT)	7	26	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9(23).99	N
	1	ADCWORKSHEET	ADULT CARE CENTER (WORKSHEET)	8	13	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(13)	N
	1	ADCCOLUMN	ADULT CARE CENTER (COLUMN)	9	13	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(13)	N
	1	ADCROW	ADULT CARE CENTER (ROW)	10	13	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(13)	N
	2	ASAMOUNT	AMBULANCE SERVICES (AMOUNT)	11	26	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9(23).99	N
	2	ASWORKSHEET	AMBULANCE SERVICES (WORKSHEET)	12	13	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(13)	N
	2	ASCOLUMN	AMBULANCE SERVICES (COLUMN)	13	13	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(13)	N
	2	ASROW	AMBULANCE SERVICES (ROW)	14	13	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(13)	N
	3	ASCAMOUNT	AMBULATORY SURGICAL CENTER (AMOUNT)	15	26	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9(23).99	N
	3	ASCWORKSHEET	AMBULATORY SURGICAL CENTER (WORKSHEET)	16	13	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(13)	N
	3	ASCCOLUMN	AMBULATORY SURGICAL CENTER (COLUMN)	17	13	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(13)	N
	3	ASCROW	AMBULATORY SURGICAL CENTER (ROW)	18	13	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(13)	N
	4	DSAMOUNT	DENTAL SERVICE (AMOUNT)	19	26	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9(23).99	N
	4	DSWORKSHEET	DENTAL SERVICE (WORKSHEET)	20	13	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(13)	N
	4	DSCOLUMN	DENTAL SERVICE (COLUMN)	21	13	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(13)	N
	4	DSROW	DENTAL SERVICE (ROW)	22	13	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(13)	N
	5	DEAMOUNT	DIABETES EDUCATION (AMOUNT)	23	26	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9(23).99	N
	5	DEWORKSHEET	DIABETES EDUCATION (WORKSHEET)	24	13	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(13)	N
	5	DECOLUMN	DIABETES EDUCATION (COLUMN)	25	13	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(13)	N
	5	DEROW	DIABETES EDUCATION (ROW)	26	13	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(13)	N
	6	DMEAMOUNT	DURABLE MEDICAL EQUIPMENT (AMOUNT)	27	26	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9(23).99	N
	6	DMEWORKSHEET	DURABLE MEDICAL EQUIPMENT (WORKSHEET)	28	13	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(13)	N
	6	DMECOLUMN	DURABLE MEDICAL EQUIPMENT (COLUMN)	29	13	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(13)	N
	6	DMEROW	DURABLE MEDICAL EQUIPMENT (ROW)	30	13	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(13)	N
	7	EATPAMOUNT	EMERGENCY ALS TRAINING PROGRAM (AMOUNT)	31	26	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9(23).99	N
	7	EATPWORKSHEET	EMERGENCY ALS TRAINING PROGRAM (WORKSHEET)	32	13	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(13)	N
	7	EATPCOLUMN	EMERGENCY ALS TRAINING PROGRAM (COLUMN)	33	13	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(13)	N
	7	EATPROW	EMERGENCY ALS TRAINING PROGRAM (ROW)	34	13	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(13)	N
	8	NFTRAMOUNT	NURSING FACILITY TAXABLE UNDER RSA 84:C (AMOUNT)	35	26	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9(23).99	N
	8	NFTRWORKSHEET	NURSING FACILITY TAXABLE UNDER RSA 84:C (WORKSHEET)	36	13	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(13)	N
	8	NFTRCOLUMN	NURSING FACILITY TAXABLE UNDER RSA 84:C (COLUMN)	37	13	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(13)	N
	8	NFTRROW	NURSING FACILITY TAXABLE UNDER RSA 84:C (ROW)	38	13	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(13)	N
	9	NCAMOUNT	NUTRITIONAL CONSULTATION (AMOUNT)	39	26	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9(23).99	N
	9	NCWORKSHEET	NUTRITIONAL CONSULTATION (WORKSHEET)	40	13	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(13)	N
	9	NCCOLUMN	NUTRITIONAL CONSULTATION (COLUMN)	41	13	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(13)	N
	9	NCROW	NUTRITIONAL CONSULTATION (ROW)	42	13	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(13)	N
	10	PHYSAMOUNT	PHYSICIAN SERVICE (AMOUNT)	43	26	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9(23).99	N
	10	PHYSWORKSHEET	PHYSICIAN SERVICE (WORKSHEET)	44	13	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(13)	N
	10	PHYSCOLUMN	PHYSICIAN SERVICE (COLUMN)	45	13	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(13)	N
	10	PHYSROW	PHYSICIAN SERVICE (ROW)	46	13	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(13)	N
	11	PODSAMOUNT	PODIATRY SERVICE (AMOUNT)	47	26	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9(23).99	N
	11	PODSWORKSHEET	PODIATRY SERVICE (WORKSHEET)	48	13	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(13)	N
	11	PODSCOLUMN	PODIATRY SERVICE (COLUMN)	49	13	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(13)	N
	11	PODSROW	PODIATRY SERVICE (ROW)	50	13	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(13)	N
	12	RPAMOUNT	RETAIL PHARMACY (AMOUNT)	51	26	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9(23).99	N
	12	RPWORKSHEET	RETAIL PHARMACY (WORKSHEET)	52	13	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(13)	N
	12	RPCOLUMN	RETAIL PHARMACY (COLUMN)	53	13	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(13)	N
	12	RPROW	RETAIL PHARMACY (ROW)	54	13	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(13)	N
	13	RHCAMOUNT	RURAL HEALTH CLINIC (AMOUNT)	55	26	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9(23).99	N
	13	RHCWORKSHEET	RURAL HEALTH CLINIC (WORKSHEET)	56	13	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(13)	N
	13	RHCCOLUMN	RURAL HEALTH CLINIC (COLUMN)	57	13	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(13)	N
	13	RHCROW	RURAL HEALTH CLINIC (ROW)	58	13	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(13)	N
	14	SCCAMOUNT	SENIOR CENTER CLINIC (AMOUNT)	59	26	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9(23).99	N
	14	SCCWORKSHEET	SENIOR CENTER CLINIC (WORKSHEET)	60	13	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(13)	N
	14	SCCCOLUMN	SENIOR CENTER CLINIC (COLUMN)	61	13	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(13)	N
	14	SCCROW	SENIOR CENTER CLINIC (ROW)	62	13	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(13)	N
	15	SBRSAAMOUNT	SWING BED TAXABLE UNDER RSA 84-C (AMOUNT)	63	26	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9(23).99	N
	15	SBRSAWORKSHEET	SWING BED TAXABLE UNDER RSA 84-C (WORKSHEET)	64	13	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(13)	N
	15	SBRSACOLUMN	SWING BED TAXABLE UNDER RSA 84-C (COLUMN)	65	13	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(13)	N
	15	SBRSAROW	SWING BED TAXABLE UNDER RSA 84-C (ROW)	66	13	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(13)	N
	16	WCCAMOUNT	WOUND CARE CLINIC (AMOUNT)	67	26	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9(23).99	N
	16	WCCWORKSHEET	WOUND CARE CLINIC (WORKSHEET)	68	13	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(13)	N
	16	WCCCOLUMN	WOUND CARE CLINIC (COLUMN)	69	13	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(13)	N
	16	WCCROW	WOUND CARE CLINIC (ROW)	70	13	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(13)	N
	17	OTHERTYPE	OTHER (ITEMIZE) TYPEABLE FIELD	71	26	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(26)	N
	17	OTHERAMOUNT	OTHER (ITEMIZE) (AMOUNT)	72	26	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9(23).99	N
	17	OTHERWORKSHEET	OTHER (ITEMIZE) (WORKSHEET)	73	13	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(13)	N
	17	OTHERCOLUMN	OTHER (ITEMIZE) (COLUMN)	74	13	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(13)	N
	17	OTHERROW	OTHER (ITEMIZE) (ROW)	75	13	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(13)	N
	18	TOTALAMOUNT	TOTAL (SUM OF LINES 1 THROUGH 17) (AMOUNT)	76	26	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9(23).99	N
	18	TOTALWORKSHEET	TOTAL (SUM OF LINES 1 THROUGH 17) (WORKSHEET)	77	13	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(13)	N
	18	TOTALCOLUMN	TOTAL (SUM OF LINES 1 THROUGH 17) (COLUMN)	78	13	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(13)	N
	18	TOTALROW	TOTAL (SUM OF LINES 1 THROUGH 17) (ROW)	79	13	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(13)	N
	STEP 2 19	GERAMOUNT	GROSS EXCLUDED REVENUE (FROM LINE 18) (AMOUNT)	80	26	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9(23).99	N
	19	GERWORKSHEET	GROSS EXCLUDED REVENUE (FROM LINE 18) (WORKSHEET)	81	13	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(13)	N
	19	GERCOLUMN	GROSS EXCLUDED REVENUE (FROM LINE 18) (COLUMN)	82	13	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(13)	N
	19	GERROW	GROSS EXCLUDED REVENUE (FROM LINE 18) (ROW)	83	13	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(13)	N
	20	NRPAMOUNT	NET REVENUE PERCENT (FROM LINE 26) (AMOUNT)	84	26	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9(23).99	N
	20	NRPWORKSHEET	NET REVENUE PERCENT (FROM LINE 26) (WORKSHEET)	85	13	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(13)	N
	20	NRPCOLUMN	NET REVENUE PERCENT (FROM LINE 26) (COLUMN)	86	13	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(13)	N
	20	NRPROW	NET REVENUE PERCENT (FROM LINE 26) (ROW)	87	13	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(13)	N
	21	NETEXCOUTAMOUNT	NET EXCLUDED CHARGES-OUTPATIENT HOSPITAL SERVICES (LINE 19 MULTIPLIED BY LINE 20) REPORT ON DP-153… (AMOUNT)	88	26	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9(23).99	N
	21	NETEXCOUTWORKSHEET	NET EXCLUDED CHARGES-OUTPATIENT HOSPITAL SERVICES (LINE 19 MULTIPLIED BY LINE 20) REPORT ON DP-153… (WORKSHEET)	89	13	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(13)	N
	21	NETEXCOUTCOLUMN	NET EXCLUDED CHARGES-OUTPATIENT HOSPITAL SERVICES (LINE 19 MULTIPLIED BY LINE 20) REPORT ON DP-153… (COLUMN)	90	13	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(13)	N
	21	NETEXCOUTROW	NET EXCLUDED CHARGES-OUTPATIENT HOSPITAL SERVICES (LINE 19 MULTIPLIED BY LINE 20) REPORT ON DP-153… (ROW)	91	13	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(13)	N
	STEP 3 22	NPRAMOUNT	NET PATIENT REVENUES (CMS-2552-10, WKST G-3, LINE 3) (AMOUNT)	92	26	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9(23).99	N
	22	NPRWORKSHEET	NET PATIENT REVENUES (CMS-2552-10, WKST G-3, LINE 3) (WORKSHEET)	93	13	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(13)	N
	22	NPRCOLUMN	NET PATIENT REVENUES (CMS-2552-10, WKST G-3, LINE 3) (COLUMN)	94	13	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(13)	N
	22	NPRROW	NET PATIENT REVENUES (CMS-2552-10, WKST G-3, LINE 3) (ROW)	95	13	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(13)	N
	23	BADDEBAMOUNT	BAD DEBTS (AMOUNT)	96	26	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9(23).99	N
	23	BADDEBWORKSHEET	BAD DEBTS (WORKSHEET)	97	13	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(13)	N
	23	BADDEBCOLUMN	BAD DEBTS (COLUMN)	98	13	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(13)	N
	23	BADDEBROW	BAD DEBTS (ROW)	99	13	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(13)	N
	24	NPRLBDAMOUNT	NET PATIENT REVENUES LESS BAD DEBTS (LINE 22 MINUS LINE 23) (AMOUNT)	100	26	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9(23).99	N
	24	NPRLBDWORKSHEET	NET PATIENT REVENUES LESS BAD DEBTS (LINE 22 MINUS LINE 23) (WORKSHEET)	101	13	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(13)	N
	24	NPRLBDCOLUMN	NET PATIENT REVENUES LESS BAD DEBTS (LINE 22 MINUS LINE 23) (COLUMN)	102	13	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(13)	N
	24	NPRLBDROW	NET PATIENT REVENUES LESS BAD DEBTS (LINE 22 MINUS LINE 23) (ROW)	103	13	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(13)	N
	25	TPRAMOUNT	TOTAL PATIENT REVENUES (CMS-2552-10, WKST G-3, LINE 1) (AMOUNT)	104	26	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9(23).99	N
	25	TPRWORKSHEET	TOTAL PATIENT REVENUES (CMS-2552-10, WKST G-3, LINE 1) (WORKSHEET)	105	13	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(13)	N
	25	TPRCOLUMN	TOTAL PATIENT REVENUES (CMS-2552-10, WKST G-3, LINE 1) (COLUMN)	106	13	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(13)	N
	25	TPRROW	TOTAL PATIENT REVENUES (CMS-2552-10, WKST G-3, LINE 1) (ROW)	107	13	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(13)	N
	26	NETREVAMOUNT	NET REVENUE PERCENT (LINE 24 DIVIDED BY LINE 25) (AMOUNT)	108	26	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9(23).99	N
	26	NETREVWORKSHEET	NET REVENUE PERCENT (LINE 24 DIVIDED BY LINE 25) (WORKSHEET)	109	13	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(13)	N
	26	NETREVCOLUMN	NET REVENUE PERCENT (LINE 24 DIVIDED BY LINE 25) (COLUMN)	110	13	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(13)	N
	26	NETREVROW	NET REVENUE PERCENT (LINE 24 DIVIDED BY LINE 25) (ROW)	111	13	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(13)	N
		*EOD*	END OF FILE	112	5	*EOD* (STATIC VALUE)	ALPHA / NUMERIC	*EOD*	N

DP-156

	2D SPECS: DP-156 PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)
	LINE	FIELD NAME	IDENTIFICATION	FIELD NUMBER	MAX LENGTH	ACCEPTABLE VALUES	TYPE	FORMAT	CAN BE NEGATIVE?	2D BARCODE PLACEMENT
	DP-156 FORM									MIDDLE CENTER - PAGE 2
			HEADER FIELD	H1	2	T1 (STATIC VALUE)	ALPHA / NUMERIC	T1	N
			DEVELOPER CODE	H2	4	SAME AS VENDOR CODE (ISSUED BY NACTP)	NUMERIC	9999	N
			STATE	H3	2	NH (STATIC VALUE)	ALPHA	NH	N
			FORM ID & YEAR	H4	8	A-Z, 0-9	ALPHA / NUMERIC	0DP156yy	N
		ASPERJANTOMAR	JANUARY 1 - MARCH 31 (CHECKBOX)	1	1	X	CHECKBOX	X	N
		ASPERAPRTOJUN	APRIL 1 - JUNE 30 (CHECKBOX)	2	1	X	CHECKBOX	X	N
		ASPERJULTOSEP	JULY 1 - SEPTEMBER 30 (CHECKBOX)	3	1	X	CHECKBOX	X	N
		ASPEROCTTODEC	OCTOBER 1 - DECEMBER 31 (CHECKBOX)	4	1	X	CHECKBOX	X	N
		ASPERYEAR	ASSESSMENT YEAR	5	4	0-9	NUMERIC	9999	N
	STEP 1	FACILITYNAME	FACILITY NAME	6	46	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(46)	N
		FACILITYID	TAXPAYER IDENTIFICATION NUMBER	7	9	0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES	ALPHA / NUMERIC	999999999 SM9999999 NL9999999	N
		ADDR1	NUMBER & STREET ADDRESS	8	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		ADDR2	ADDRESS (CONTINUED)	9	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		CITY	CITY / TOWN	10	20	A-Z PLUS SPACE	ALPHA / NUMERIC	X(20)	N
		STATE	STATE	11	2	A-Z	ALPHA	XX	N
		ZIPPSTLCD	ZIP CODE + 4	12	10	A-Z, 0-9, PLUS (-), PLUS SPACE	ALPHA / NUMERIC	99999-9999 A1A 1A1	N
	STEP 2	INITRTNFLG	INITIAL RETURN (1ST FILING) (CHECKBOX)	13	1	X	CHECKBOX	X	N
		AMENDRETFLG	AMENDED RETURN (CHECKBOX)	14	1	X	CHECKBOX	X	N
		FINLRTNFLG	FINAL RETURN (CHECKBOX)	15	1	X	CHECKBOX	X	N
		LASTDAYBUS	LAST DAY OF BUSINESS (MMDDYYYY)	16	8	0-9	NUMERIC	mmddyyyy	N
	STEP 3 1	NETPATIENTSERVICES	NET PATIENT SERVICES REVENUES	17	16	0-9	NUMERIC	9(16)	Y
	2	QUALITYASSESSMENT	NEW HAMPSHIRE NFQA	18	16	0-9	NUMERIC	9(16)	Y
	3A	EXTENSIONPAYMENT	CREDITS: PAYMENT MADE WITH EXTENSION	19	16	0-9	NUMERIC	9(16)	Y
	3B	CREDITCARRYFORWARD	CREDITS: CREDIT CARRIED OVER FROM PRIOR PERIOD	20	16	0-9	NUMERIC	9(16)	Y
	3C	ORIGINALPAYMENT	CREDITS: ORIGINAL RETURN PAYMENT (AMENDED RETURNS ONLY)	21	16	0-9	NUMERIC	9(16)	Y
	3	CREDITSUM	TOTAL CREDITS	22	16	0-9	NUMERIC	9(16)	Y
	4	BALANCEASSESSMENTDUE	BALANCE OF ASSESSMENT DUE	23	16	0-9	NUMERIC	9(16)	Y
	5A	INTEREST	ADDITIONS: INTEREST	24	16	0-9	NUMERIC	9(16)	Y
	5B	FAILURETOPAY	ADDITIONS: FAILURE TO PAY PENALTY	25	16	0-9	NUMERIC	9(16)	Y
	5C	FAILURETOFILE	ADDITIONS: FAILURE TO FILE PENALTY	26	16	0-9	NUMERIC	9(16)	Y
	5	INTERESTPENALTIESSUM	TOTAL ADDITIONS	27	16	0-9	NUMERIC	9(16)	Y
	6	BALANCEDUE	BALANCE DUE	28	16	0-9	NUMERIC	9(16)	Y
	7	APPLIEDOVERPAYMENTTOCREDIT	APPLY OVERPAYMENT AMOUNT AS CREDIT ON SUBSEQUENT RETURN PAYMENT	29	16	0-9	NUMERIC	9(16)	Y
		SIGNATUREFLAG	SIGNATURE OF OFFICER (IN INK)	30	1	X	ALPHA	X	N
		PRINTSIGNATORYNAME	PRINT SIGNATORY NAME & TITLE	31	42	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(42)	N
		SIGNTELE	PHONE NUMBER	32	10	0-9	NUMERIC	999999999	N
		PREPARERSIGFLAG	SIGNATURE OF PREPARER	33	1	X	ALPHA	X	N
		PREPARERNAME	PRINTED NAME OF PREPARER	34	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		PREPRID	PREPARER TAX IDENTIFICATION NUMBER	35	9	0-9 AND P PERMITTED IN FIRST SPACE	ALPHA / NUMERIC	999999999 P99999999	N
		PREPRTELE	PHONE NUMBER (PREPARER'S)	36	10	0-9	NUMERIC	9999999999	N
		STRADDR1	ADDRESS (PREPARER'S)	37	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		CITY	CITY / TOWN (PREPARER'S)	38	20	A-Z PLUS SPACE	ALPHA / NUMERIC	X(20)	N
		STATE	STATE (PREPARER'S)	39	2	A-Z	ALPHA	XX	N
		ZIPPSTLCD	ZIP CODE + 4 (PREPARER'S)	40	10	A-Z, 0-9, PLUS (-), PLUS SPACE	ALPHA / NUMERIC	99999-9999 A1A 1A1	N
		*EOD*	END OF FILE	41	5	*EOD* (STATIC VALUE)	ALPHA / NUMERIC	*EOD*	N

DP-160

	2D SPECS: DP-160 PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)
	LINE	FIELD NAME	IDENTIFICATION	FIELD NUMBER	MAX LENGTH	ACCEPTABLE VALUES	TYPE	FORMAT	CAN BE NEGATIVE?	2D BARCODE PLACEMENT
	DP-160 FORM									BOTTOM CENTER - PAGE 2
			HEADER FIELD	H1	2	T1 (STATIC VALUE)	ALPHA / NUMERIC	T1	N
			DEVELOPER CODE	H2	4	SAME AS VENDOR CODE (ISSUED BY NACTP)	NUMERIC	9999	N
			STATE	H3	2	NH (STATIC VALUE)	ALPHA	NH	N
			FORM ID & YEAR	H4	8	A-Z, 0-9	ALPHA / NUMERIC	0DP160yy	N
		PRIMNM	BUSINESS ORGANIZATION NAME	1	46	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(46)	N
		BUSIDNO	TAXPAYER IDENTIFICATION NUMBER	2	9	0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES	ALPHA / NUMERIC	999999999 SM9999999 NL9999999	N
		PERBEGDT	TAXABLE PERIOD (BEGINNING)	3	8	0-9	NUMERIC	mmddyyyy	N
		PERENDDT	TAXABLE PERIOD (ENDING)	4	8	0-9	NUMERIC	mmddyyyy	N
	A1	BETASUMCR1	COOS COUNTY CREDIT (PART A, LINE 1)	5	11	0-9	NUMERIC	9(11)	Y
	A2	BETASUMCR2	ERZ CREDIT (PART A, LINE 2)	6	11	0-9	NUMERIC	9(11)	Y
	A3	BETASUMCR3	ITC (PART A, LINE 3)	7	11	0-9	NUMERIC	9(11)	Y
	A4	BETASUMCR4	SUBTOTAL (PART A, LINE 4)	8	11	0-9	NUMERIC	9(11)	Y
	A5	BETASUMCR5	R&D (PART A, LINE 5)	9	11	0-9	NUMERIC	9(11)	Y
	A6	BETAEDUCRD	EDUCATION TAX CREDIT (PART A, LINE 6)	10	11	0-9	NUMERIC	9(11)	Y
	A7	BETASUMCR6	GRANITE STATE PAID FAMILY & MEDICAL LEAVE (PART A, LINE 7)	11	11	0-9	NUMERIC	9(11)	Y
	A8	BETASUMCR7	SUBTOTAL (PART A, LINE 8)	12	11	0-9	NUMERIC	9(11)	Y
	A9	BETASUMCR8	PAID CREDITS TO APPLY TO BET (PART A, LINE 9)	13	11	0-9	NUMERIC	9(11)	Y
	B1	BPTBSUMCR1	R&D (PART B, LINE 1)	14	11	0-9	NUMERIC	9(11)	Y
	B2	BPTBSUMCR2	ERZ CREDIT (PART B, LINE 2)	15	11	0-9	NUMERIC	9(11)	Y
	B3	BPTBSUMCR3	ITC (PART B, LINE 3)	16	11	0-9	NUMERIC	9(11)	Y
	B4	BPTBSUMCR4	COOS COUNTY CREDIT (PART B, LINE 4)	17	11	0-9	NUMERIC	9(11)	Y
	B5	BPTBSUMCR5	INSURANCE PREMIUM TAX (PART B, LINE 5)	18	11	0-9	NUMERIC	9(11)	Y
	B6	BPTBEDUCRD	EDUCATION TAX CREDIT (PART B, LINE 6)	19	11	0-9	NUMERIC	9(11)	Y
	B7	BPTBSUMCR7	BET CREDIT (PART B, LINE 7)	20	11	0-9	NUMERIC	9(11)	Y
	B8	BPTBSUMCTE	CTE CENTERS TAX CREDIT (PART B, LINE 8)	21	11	0-9	NUMERIC	9(11)	Y
	B9	BPTBSUMCR8	OTHER CREDITS APPLIED TO BPT (PART B, LINE 9)	22	11	0-9	NUMERIC	9(11)	Y
	C1	CRRESEARCH	R&D CREDIT AVAILABLE (PART C, LINE 1)	23	11	0-9	NUMERIC	9(11)	Y
	C2	CRRESEARC2	R&D MUST BE USED AGAINST THE BPT FIRST (PART C, LINE 2)	24	11	0-9	NUMERIC	9(11)	Y
	C3	CRRESEARC3	UNUSED R&D APPLIED TO BET (PART C, LINE 3)	25	11	0-9	NUMERIC	9(11)	Y
	C4	CRRESEARC4	TOTAL CREDIT USED THIS YEAR (PART C, LINE 4)	26	11	0-9	NUMERIC	9(11)	Y
	C5	CRRESEARC5	R&D CREDIT NOT APPLIED AND AVAILABLE (PART C, LINE 5)	27	11	0-9	NUMERIC	9(11)	Y
	D1	CRECONOMIC	ERZ CREDIT AVAILABLE (PART D, LINE 1)	28	11	0-9	NUMERIC	9(11)	Y
	D1	CRECONOMI2	CARRYOVER CREDIT FROM A PRIOR YEAR (PART D, LINE 2)	29	11	0-9	NUMERIC	9(11)	Y
	D3	CRECONOMI3	ERZ CREDIT MUST BE USED AGAINST THE BPT FIRST (PART D, LINE 3)	30	11	0-9	NUMERIC	9(11)	Y
	D4	CRECONOMI4	AMOUNT ELECTED TO BE APPLIED TO THE BET (PART D, LINE 4)	31	11	0-9	NUMERIC	9(11)	Y
	D5	CRECONOMI5	TOTAL CREDIT USED THIS YEAR (PART D, LINE 5)	32	11	0-9	NUMERIC	9(11)	Y
	D6	CRECONOMI6	ERZ CREDIT AVAILABLE FOR CARRY FORWARD (PART D, LINE 6)	33	11	0-9	NUMERIC	9(11)	Y
	E1	CRCMYDVAUT	ITC CREDIT AVAILABLE (PART E, LINE 1)	34	11	0-9	NUMERIC	9(11)	Y
	E2	CRRSA162L2	CARRYOVER CREDIT FROM A PRIOR YEAR (PART E, LINE 2)	35	11	0-9	NUMERIC	9(11)	Y
	E3	CRRSA162L3	AMOUNT USED FOR BPT (PART E, LINE 3)	36	11	0-9	NUMERIC	9(11)	Y
	E4	CRRSA162L4	AMOUNT USED FOR BET (PART E, LINE 4)	37	11	0-9	NUMERIC	9(11)	Y
	E5	CRRSA162L5	AMOUNT USED FOR INSURANCE PREMIUM TAX (PART E, LINE 5)	38	11	0-9	NUMERIC	9(11)	Y
	E6	CRRSA162L6	TOTAL CREDIT USED THIS YEAR (PART E, LINE 6)	39	11	0-9	NUMERIC	9(11)	Y
	E7	CRRSA162L7	ITC AVAILABLE FOR CARRY FORWARD (PART E, LINE 7)	40	11	0-9	NUMERIC	9(11)	Y
	F1	CCJOBTAXCR	COOS COUNTY TAX CREDIT AVAILABLE (PART F, LINE 1)	41	11	0-9	NUMERIC	9(11)	Y
	F2	CCJOBTAXC2	CARRYOVER CREDIT FROM PRIOR YEAR (PART F, LINE 2)	42	11	0-9	NUMERIC	9(11)	Y
	F3	CCJOBTAXC3	AMOUNT APPLIED AGAINST THE BET (PART F, LINE 3)	43	11	0-9	NUMERIC	9(11)	Y
	F4	CCJOBTAXC4	UNUSED CREDIT APPLIED TO THE BPT (PART F, LINE 4)	44	11	0-9	NUMERIC	9(11)	Y
	F5	CCJOBTAXC5	TOTAL CREDIT USED THIS YEAR (PART F, LINE 5)	45	11	0-9	NUMERIC	9(11)	Y
	F6	CCJOBTAXC6	ANY UNUSED CREDIT MUST BE CARRIED FORWARD (PART F, LINE 6)	46	11	0-9	NUMERIC	9(11)	Y
	G1	EDUTAXCRD	EDUCATION TAX CREDIT AVAILABLE (PART G, LINE 1)	47	11	0-9	NUMERIC	9(11)	Y
	G2	EDUTAXBPT	AMOUNT USED FOR BPT (PART G, LINE 2)	48	11	0-9	NUMERIC	9(11)	Y
	G3	EDUTAXBET	AMOUNT USED FOR BET (PART G, LINE 3)	49	11	0-9	NUMERIC	9(11)	Y
	G4	EDUTAXID	AMOUNT USED FOR NH INTEREST AND DIVIDENDS (PART G, LINE 4)	50	11	0-9	NUMERIC	9(11)	Y
	G5	EDUTOTCRD	TOTAL CREDIT USED THIS YEAR (PART G, LINE 5)	51	11	0-9	NUMERIC	9(11)	Y
	G6	EDUCRDCRY	EDUCATION TAX CREDIT AVAILABLE TO CARRY FORWARD (PART G, LINE 6 )	52	11	0-9	NUMERIC	9(11)	Y
	H1	CRINSTX	INSURANCE CREDIT AVAILABLE (PART H, LINE 1)	53	11	0-9	NUMERIC	9(11)	Y
	H2	CRINSTXBPT	AMOUNT USED FOR BPT (PART H, LINE 2)	54	11	0-9	NUMERIC	9(11)	Y
	I1	CRCTETX	CTE CENTERS TAX CREDIT AVAILABLE (PART I, LINE 1)	55	11	0-9	NUMERIC	9(11)	Y
	I2	CRCTETXBPT	AMOUNT USED FOR BPT (PART I, LINE 2)	56	11	0-9	NUMERIC	9(11)	Y
	J1	CRGSPFLPTX	PREMIUM PAID FOR FAMILY & MEDICAL LEAVE (PART J, LINE 1)	57	11	0-9	NUMERIC	9(11)	Y
	J2	BETGSPFLPTX	GRANITE STATE PAID FAMILY & MEDICAL LEAVE (PART J, LINE 2)	58	11	0-9	NUMERIC	9(11)	Y
		*EOD*	END OF FILE	59	5	*EOD* (STATIC VALUE)	ALPHA / NUMERIC	*EOD*	N

DP-165

	2D SPECS: DP-165 PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)
	LINE	FIELD NAME	IDENTIFICATION	FIELD NUMBER	MAX LENGTH	ACCEPTABLE VALUES	TYPE	FORMAT	CAN BE NEGATIVE?	2D BARCODE PLACEMENT
	DP-165 FORM									BOTTOM CENTER - PAGE 1
			HEADER FIELD	H1	2	T1 (STATIC VALUE)	ALPHA / NUMERIC	T1	N
			DEVELOPER CODE	H2	4	SAME AS VENDOR CODE (ISSUED BY NACTP)	NUMERIC	9999	N	VERSION 1 REVISED 07/2024
			STATE	H3	2	NH (STATIC VALUE)	ALPHA	NH	N
			FORM ID & YEAR	H4	8	A-Z, 0-9	ALPHA / NUMERIC	0DP165yy	N
		PERBEGDT	TAXABLE PERIOD (BEGINNING)	1	8	0-9	NUMERIC	mmddyyyy	N
		PERENDDT	TAXABLE PERIOD (ENDING)	2	8	0-9	NUMERIC	mmddyyyy	N
		PRINCNAME	NAME (PRINCIPAL NH FILER IF COMBINED GROUP)	3	42	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(42)	N
		BUSINNO1	TAXPAYER IDENTIFICATION NUMBER	4	9	0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES	ALPHA / NUMERIC	999999999 SM9999999 NL9999999	N
		DIN	DIN (CHECKBOX)	5	1	X	CHECKBOX	X	N
		FEIN	FEIN (CHECKBOX)	6	1	X	CHECKBOX	X	N
		SSN	SSN (CHECKBOX)	7	1	X	CHECKBOX	X	N
		STADDR1	NUMBER & STREET ADDRESS	8	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		STADDR2	ADDRESS (CONTINUED)	9	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		CITY	CITY / TOWN	10	20	A-Z PLUS SPACE	ALPHA / NUMERIC	X(20)	N
		STATE	STATE	11	2	A-Z	ALPHA	XX	N
		ZIPPSTLCD	ZIP CODE + 4	12	10	A-Z, 0-9, PLUS (-), PLUS SPACE	ALPHA / NUMERIC	99999-9999 A1A 1A1	N
		CONTACTNM	CONTACT NAME	13	42	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(42)	N
		CONTACTPHONE	CONTACT PHONE NUMBER	14	10	0-9	NUMERIC	9(10)	N
		CORP	CORPORATION (CHECKBOX)	15	1	X	CHECKBOX	X	N
		COMB	COMBINED GROUP (CHECKBOX)	16	1	X	CHECKBOX	X	N
		FIDU	FIDUCIARY (CHECKBOX)	20	1	X	CHECKBOX	X	N
		NONPROF	NON-PROFIT (CHECKBOX)	18	1	X	CHECKBOX	X	N
		PART	PARTNERSHIP (CHECKBOX)	17	1	X	CHECKBOX	X	N
		PROP	PROPRIETORSHIP (CHECKBOX)	19	1	X	CHECKBOX	X	N
	A	QMRDFEDWAGES	LINE A - QUALIFIED MANUFACTURING RESEARCH & DEVELOPMENT EXPENDITURES (WAGES ONLY) PER...	21	15	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9(12).99	N
	B	QMRDNHWAGES	LINE B - QUALIFIED MANUFACTURING RESEARCH & DEVELOPMENT EXPENDITURES (WAGES ONLY)…	22	15	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9(12).99	N
	C	R&DCRREQ	LINE C - AMOUNT OF RESEARCH & DEVELOPMENT CREDIT REQUESTED (LINE B X 10%) NOT TO EXCEED…	23	15	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9(12).99	N
		*EOD*	END OF FILE	24	5	*EOD* (STATIC VALUE)	ALPHA / NUMERIC	*EOD*	N

DP-175

	2D SPECS: DP-175 PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)
	LINE	FIELD NAME	IDENTIFICATION	FIELD NUMBER	MAX LENGTH	ACCEPTABLE VALUES	TYPE	FORMAT	CAN BE NEGATIVE?	2D BARCODE PLACEMENT
	DP-175 FORM									BOTTOM RIGHT
			HEADER FIELD	H1	2	T1 (STATIC VALUE)	ALPHA / NUMERIC	T1	N
			DEVELOPER CODE	H2	4	SAME AS VENDOR CODE (ISSUED BY NACTP)	NUMERIC	9999	N
			STATE	H3	2	NH (STATIC VALUE)	ALPHA	NH	N
			FORM ID & YEAR	H4	8	A-Z, 0-9	ALPHA / NUMERIC	0DP175yy	N
		FIRSTNM1	TAXPAYER FIRST NAME	1	15	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(15)	N
		LASTNM1	TAXPAYER LAST NAME	2	30	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(30)	N
		BUSNAME	BUSINESS NAME	3	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		BUSINNO1	TAXPAYER IDENTIFICATION NUMBER	4	9	0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES	ALPHA / NUMERIC	999999999 SM9999999 NL9999999	N
		DINCB	DIN (CHECKBOX)	5	1	X	CHECKBOX	X	N
		FEINCB	FEIN (CHECKBOX)	6	1	X	CHECKBOX	X	N
		SSNCB	SSN (CHECKBOX)	7	1	X	CHECKBOX	X	N
		*EOD*	END OF FILE	8	5	*EOD* (STATIC VALUE)	ALPHA / NUMERIC	*EOD*	N

DP-200

	2D SPECS: DP-200 PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)
	LINE	FIELD NAME	IDENTIFICATION	FIELD NUMBER	MAX LENGTH	ACCEPTABLE VALUES	TYPE	FORMAT	CAN BE NEGATIVE?	2D BARCODE PLACEMENT
	DP-200 FORM									BOTTOM CENTER
			HEADER FIELD	H1	2	T1 (STATIC VALUE)	ALPHA / NUMERIC	T1	N
			DEVELOPER CODE	H2	4	SAME AS VENDOR CODE (ISSUED BY NACTP)	NUMERIC	9999	N	VERSION 1 REVISED 07/2024
			STATE	H3	2	NH (STATIC VALUE)	ALPHA	NH	N
			FORM ID & YEAR	H4	8	A-Z, 0-9	ALPHA / NUMERIC	0DP200yy	N
		BUSNAME	BUSINESS NAME	1	42	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		STADDR	NUMBER & STREET ADDRESS	2	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		CITY	CITY / TOWN	3	20	A-Z PLUS SPACE	ALPHA / NUMERIC	X(20)	N
		STATE	STATE	4	2	A-Z	ALPHA	XX	N
		ZIPPSTLCD	ZIP CODE + 4	5	10	A-Z, 0-9, PLUS (-), PLUS SPACE	ALPHA / NUMERIC	99999-9999 A1A 1A1	N
		MEMNAME	MEMBER OR TAXPAYER NAME	6	42	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		MEMIDNO	TAXPAYER IDENTIFICATION NUMBER (MEMBER)	7	9	0-9	NUMERIC	999999999	N
		MEMFEIN	FEIN (CHECKBOX)	8	1	X	CHECKBOX	X	N
		MEMSSN	SSN (CHECKBOX)	9	1	X	CHECKBOX	X	N
		MEMSTADDR	NUMBER & STREET ADDRESS (MEMBER)	10	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		MEMCITY	CITY / TOWN (MEMBER)	11	20	A-Z PLUS SPACE	ALPHA / NUMERIC	X(20)	N
		MEMSTATE	STATE (MEMBER)	12	2	A-Z	ALPHA	XX	N
		MEMZIP	ZIP CODE + 4 (MEMBER)	13	10	A-Z, 0-9, PLUS (-), PLUS SPACE	ALPHA / NUMERIC	99999-9999 A1A 1A1	N
		CORP	CORPORATION (CHECKBOX)	15	1	X	CHECKBOX	X	N
		COMB	COMBINED GROUP (CHECKBOX)	16	1	X	CHECKBOX	X	N
		FIDUC	FIDUCIARY (CHECKBOX)	18	1	X	CHECKBOX	X	N
		PART	PARTNERSHIP (CHECKBOX)	17	1	X	CHECKBOX	X	N
		PROP	PROPRIETORSHIP (CHECKBOX)	14	1	X	CHECKBOX	X	N
		YFEDINCREP	FOR FEDERAL INCOME TAX PURPOSES, THE INCOME OF THE SMLLC WILL BE... (CHECKBOX)	19	1	X	CHECKBOX	X	N
		NFEDINCREP	FOR FEDERAL INCOME TAX PURPOSES, THE INCOME OF THE SMLLC WILL NOT BE... (CHECKBOX)	20	1	X	CHECKBOX	X	N
		REPMEMNAME	MEMBER OR TAXPAYER NAME (MEMBER 2)	21	42	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		REPMEMIDNO	TAXPAYER IDENTIFICATION NUMBER (MEMBER 2)	22	9	0-9	NUMERIC	999999999	N
		REPFEIN	FEIN (CHECKBOX)	23	1	X	CHECKBOX	X	N
		REPSSN	SSN (CHECKBOX)	24	1	X	CHECKBOX	X	N
		REPMEMSTADDR	NUMBER & STREET ADDRESS (MEMBER 2)	25	42	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		REPMEMCITY	CITY / TOWN (MEMBER 2)	26	20	A-Z PLUS SPACE	ALPHA / NUMERIC	X(20)	N
		REPMEMSTATE	STATE (MEMBER 2)	27	2	A-Z	ALPHA	XX	N
		REPMEMZIP	ZIP CODE + 4 (MEMBER 2)	28	10	A-Z, 0-9, PLUS (-), PLUS SPACE	ALPHA / NUMERIC	99999-9999 A1A 1A1	N
		SIGNEDFLG	SIGNATURE (IN INK) OF APPLICANT	29	1	X	ALPHA	X	N
		*EOD*	END OF FILE	30	5	*EOD* (STATIC VALUE)	ALPHA / NUMERIC	*EOD*	N

DP-255-ES

	2D SPECS: DP-255-ES PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)
	LINE	FIELD NAME	IDENTIFICATION	FIELD NUMBER	MAX LENGTH	ACCEPTABLE VALUES	TYPE	FORMAT	CAN BE NEGATIVE?	2D BARCODE PLACEMENT
	DP-255-ES FORM									BOTTOM LEFT - ON EACH PAYMENT FORM CENTERED UNDER 1D BARCODE
			HEADER FIELD	H1	2	T1 (STATIC VALUE)	ALPHA / NUMERIC	T1	N
			DEVELOPER CODE	H2	4	SAME AS VENDOR CODE (ISSUED BY NACTP)	NUMERIC	9999	N	VERSION 1 REVISED 07/2024
			STATE	H3	2	NH (STATIC VALUE)	ALPHA	NH	N
			FORM ID & YEAR	H4	8	A-Z, 0-9	ALPHA / NUMERIC	0255ESyy	N
		PRIMNM	NAME OF TAXPAYER	1	42	A-Z, 0-9, PLUS SPACE, DASH, COMMA, PERIOD, #, /, &, @	ALPHA / NUMERIC	X(42)	N
		BUSIDNO1	TAXPAYER IDENTIFICATION NUMBER	2	9	0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES	ALPHA / NUMERIC	999999999 SM9999999 NL9999999	N
		STADDR1	NUMBER & STREET ADDRESS	3	40	A-Z, 0-9, PLUS SPACE, DASH, COMMA, PERIOD, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		STADDR2	ADDRESS (CONTINUED)	4	40	A-Z, 0-9, PLUS SPACE, DASH, COMMA, PERIOD, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		CITY	CITY / TOWN	5	20	A-Z PLUS SPACE	ALPHA / NUMERIC	X(20)	N
		STATE	STATE	6	2	A-Z	ALPHA	XX	N
		ZIPPSTLCD	ZIP CODE + 4	7	10	A-Z, 0-9, PLUS (-), PLUS SPACE	ALPHA / NUMERIC	99999-9999 A1A 1A1	N
		PYMESTAMT	AMOUNT OF PAYMENT	8	12	0-9	NUMERIC	9(12)	N
		*EOD*	END OF FILE	9	5	*EOD* (STATIC VALUE)	ALPHA / NUMERIC	*EOD*	N

DP-2210 2220

	2D SPECS: DP-2210/2220 PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)
	LINE	FIELD NAME	IDENTIFICATION	FIELD NUMBER	MAX LENGTH	ACCEPTABLE VALUES	TYPE	FORMAT	CAN BE NEGATIVE?	2D BARCODE PLACEMENT
	DP-2210/2220 FORM									BOTTOM CENTER - PAGE 2
			HEADER FIELD	H1	2	T1 (STATIC VALUE)	ALPHA / NUMERIC	T1	N
			DEVELOPER CODE	H2	4	SAME AS VENDOR CODE (ISSUED BY NACTP)	NUMERIC	9999	N	VERSION 1 REVISED 04/2024
			STATE	H3	2	NH (STATIC VALUE)	ALPHA	NH	N
			FORM ID & YEAR	H4	8	A-Z, 0-9	ALPHA / NUMERIC	DP2210yy	N
		PRIMNM	TAXPAYER NAME	1	46	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(46)	N
		BUSIDNO	TAXPAYER IDENTIFICATION NUMBER	2	9	0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES	ALPHA / NUMERIC	999999999 SM9999999 NL9999999	N
		PERBEGDT	TAXABLE PERIOD (BEGINNING)	3	8	0-9	NUMERIC	mmddyyyy	N
		PERENDDT	TAXABLE PERIOD (ENDING)	4	8	0-9	NUMERIC	mmddyyyy	N
	15A	XCPTINST1	EXCEPTION, TAX ON ANNUALIZED INCOME (RSA 21-J:32, IV (c)) (LINE 15, COLUMN A)	5	9	0-9	NUMERIC	9(09)	N
	15B	XCPTINST2	EXCEPTION, TAX ON ANNUALIZED INCOME (RSA 21-J:32, IV (c)) (LINE 15, COLUMN B)	6	9	0-9	NUMERIC	9(09)	N
	15C	XCPTINST3	EXCEPTION, TAX ON ANNUALIZED INCOME (RSA 21-J:32, IV (c)) (LINE 15, COLUMN C)	7	9	0-9	NUMERIC	9(09)	N
	15D	XCPTINST4	EXCEPTION, TAX ON ANNUALIZED INCOME (RSA 21-J:32, IV (c)) (LINE 15, COLUMN D)	8	9	0-9	NUMERIC	9(09)	N
	21A	UNDPNLTYQ1	PENALTY FOR UNDERPAYMENT OF ESTIMATED TAX (LINE 21, COLUMN A)	9	9	0-9	NUMERIC	9(09)	N
	21B	UNDPNLTYQ2	PENALTY FOR UNDERPAYMENT OF ESTIMATED TAX (LINE 21, COLUMN B)	10	9	0-9	NUMERIC	9(09)	N
	21C	UNDPNLTYQ3	PENALTY FOR UNDERPAYMENT OF ESTIMATED TAX (LINE 21, COLUMN C)	11	9	0-9	NUMERIC	9(09)	N
	21D	UNDPNLTYQ4	PENALTY FOR UNDERPAYMENT OF ESTIMATED TAX (LINE 21, COLUMN D)	12	9	0-9	NUMERIC	9(09)	N
	22	TOTAMTDUE	TOTAL PENALTY FOR UNDERPAYMENT OF ESTIMATED TAX	13	9	0-9	NUMERIC	9(09)	N
		*EOD*	END OF FILE	14	5	*EOD* (STATIC VALUE)	ALPHA / NUMERIC	*EOD*	N

DP-2848

	2D SPECS: DP-2848 PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)
	LINE	FIELD NAME	IDENTIFICATION	FIELD NUMBER	MAX LENGTH	ACCEPTABLE VALUES	TYPE	FORMAT	CAN BE NEGATIVE?	2D BARCODE PLACEMENT
	DP-2848 FORM									BOTTOM CENTER - PAGE 1
			HEADER FIELD	H1	2	T1 (STATIC VALUE)	ALPHA / NUMERIC	T1	N
			DEVELOPER CODE	H2	4	SAME AS VENDOR CODE (ISSUED BY NACTP)	NUMERIC	9999	N	VERSION 1 REVISED 07/2024
			STATE	H3	2	NH (STATIC VALUE)	ALPHA	NH	N
			FORM ID & YEAR	H4	8	A-Z, 0-9	ALPHA / NUMERIC	DP2848yy	N
	SECTION 1	PRIMNM1	NAME OF TAXPAYER (MUST MATCH THE TAX RETURN)	1	46	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(46)	N
		BUSIDNO1	TAXPAYER IDENTIFICATION NUMBER	2	9	0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES	ALPHA / NUMERIC	999999999 SM9999999 NL9999999	N
		PRIMNM2	NAME OF SPOUSE (IF FILING JOINTLY)	3	46	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(46)	N
		BUSIDNO2	TAXPAYER IDENTIFICATION NUMBER (SPOUSE)	4	9	0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES	ALPHA / NUMERIC	999999999 SM9999999 NL9999999	N
		LICNO	DEPARTMENT ISSUED LICENSE NUMBER	5	6	0-9	NUMERIC	999999999	N
		*EOD*	END OF FILE	6	5	*EOD* (STATIC VALUE)	ALPHA / NUMERIC	*EOD*	N

ED-02

	2D SPECS: ED-02 PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)
	LINE	FIELD NAME	IDENTIFICATION	FIELD NUMBER	MAX LENGTH	ACCEPTABLE VALUES	TYPE	FORMAT	CAN BE NEGATIVE?	2D BARCODE PLACEMENT
	ED-02 FORM									BOTTOM CENTER
			HEADER FIELD	H1	2	T1 (STATIC VALUE)	ALPHA / NUMERIC	T1	N
			DEVELOPER CODE	H2	4	SAME AS VENDOR CODE (ISSUED BY NACTP)	NUMERIC	9999	N	VERSION 1 REVISED 04/2024
			STATE	H3	2	NH (STATIC VALUE)	ALPHA	NH	N
			FORM ID & YEAR	H4	8	A-Z, 0-9	ALPHA / NUMERIC	00ED02yy	N
	STEP 1 1	ACCTNAME	BUSINESS ORGANIZATION / ENTERPRISE OR INDIVIDUAL NAME	1	60	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(60)	N
	2	STRADDR1	NUMBER & STREET ADDRESS	2	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		STRADDR2	ADDRESS (CONTINUED)	3	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
	3	CITY	CITY / TOWN	4	20	A-Z PLUS SPACE	ALPHA / NUMERIC	X(20)	N
		STATE	STATE	5	2	A-Z	ALPHA	XX	N
		ZIPPSTLCD	ZIP CODE + 4	6	10	A-Z, 0-9, PLUS (-)	ALPHA / NUMERIC	99999-9999 A1A 1A1	N
	4	CONTACT	CONTACT NAME & TITLE	7	60	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(60)	N
		CONTACTPH	CONTACT PHONE	8	10	0-9	NUMERIC	x(10)	N
		CONTACTEMAIL	CONTACT EMAIL	9	60	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, #, /, @, !, $, %, _, +, -, ^, {|}, ~, *	ALPHA / NUMERIC	X(60)	N
	5	TXPYRID	TAXPAYER IDENTIFICATION NUMBER	10	9	0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES	ALPHA / NUMERIC	999999999 SM9999999 NL9999999	N
		DINCB	DIN (CHECKBOX)	11	1	X	CHECKBOX	X	N
		FEINCB	FEIN (CHECKBOX)	12	1	X	CHECKBOX	X	N
		SSNCB	SSN (CHECKBOX)	13	1	X	CHECKBOX	X	N
		CORPCB	CORPORATION / COMBINED GROUP (CHECKBOX)	14	X	X	CHECKBOX	X	N
		PARTCB	PARTNERSHIP (CHECKBOX)	15	X	X	CHECKBOX	X	N
		PROPCB	PROP / INDIVIDUAL (CHECKBOX)	16	X	X	CHECKBOX	X	N
		NPCB	NON-PROFIT (CHECKBOX)	17	X	X	CHECKBOX	X	N
		FIDCB	FIDUCIARY (CHECKBOX)	18	X	X	CHECKBOX	X	N
	STEP 2 6	SCHOLAMT1	THE CHILDREN'S SCHOLARSHIP FUND	19	6	0-9	NUMERIC	999999	N
		SCHOLAMT2	NEW ENGLAND SCHOOL OF THE ARTS	20	6	0-9	NUMERIC	999999	N	ADDITIONAL FIELD ADDED IN 2024.
	7	TAXCREDAMT	TAX CREDIT AMOUNT	21	6	0-9	NUMERIC	999999	N
	STEP 3	SIGNEDFLG	SIGNATURE	22	1	X	ALPHA	X	N
		SIGNNAME	PRINT SIGNATORY NAME & TITLE	23	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		SIGNDATE	DATE (MMDDYYYY)	24	8	0-9	NUMERIC	mmddyyyy	N
		*EOD*	END OF FILE	25	5	*EOD* (STATIC VALUE)	ALPHA / NUMERIC	*EOD*	N

ED-03

	2D SPECS: ED-03 PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)
	LINE	FIELD NAME	IDENTIFICATION	FIELD NUMBER	MAX LENGTH	ACCEPTABLE VALUES	TYPE	FORMAT	CAN BE NEGATIVE?	2D BARCODE PLACEMENT
	ED-03 FORM									BOTTOM CENTER
			HEADER FIELD	H1	2	T1 (STATIC VALUE)	ALPHA / NUMERIC	T1	N
			DEVELOPER CODE	H2	4	SAME AS VENDOR CODE (ISSUED BY NACTP)	NUMERIC	9999	N	VERSION 1 REVISED 04/2024
			STATE	H3	2	NH (STATIC VALUE)	ALPHA	NH	N
			FORM ID & YEAR	H4	8	A-Z, 0-9	ALPHA / NUMERIC	00ED03yy	N
	STEP 1 1	SCHOLORG	NAME - RECEIVING SCHOLARSHIP ORGANIZATION	1	60	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(60)	N
	2	STADDR1	NUMBER & STREET ADDRESS	2	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
	3	CITY	CITY / TOWN	3	20	A-Z PLUS SPACE	ALPHA / NUMERIC	X(20)	N
		STATE	STATE	4	2	A-Z	ALPHA	XX	N
		ZIPPSTLCD	ZIP CODE + 4	5	10	A-Z, 0-9, PLUS (-)	ALPHA / NUMERIC	99999-9999 A1A 1A1	N
	4	TXPRYID	FEDERAL TAXPAYER IDENTIFICATION NUMBER	6	9	0-9	NUMERIC	999999999	N
	STEP 2 5	DONATNAME	NAME - DONATING BUSINESS ORGANIZATION / ENTERPRISE OR INDIVIDUAL	7	60	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(60)	N
	6	DONSTADDR1	NUMBER & STREET ADDRESS	8	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
	7	DONCITY	CITY / TOWN	9	20	A-Z PLUS SPACE	ALPHA	X(20)	N
		DONSTATE	STATE	10	2	A-Z	ALPHA	XX	N
		DONZIPPSTLCD	ZIP CODE + 4	11	10	A-Z, 0-9, PLUS (-)	ALPHA / NUMERIC	99999-9999 A1A 1A1	N
	8	DONTXPYID	TAXPAYER IDENTIFICATION NUMBER	12	9	0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES	ALPHA / NUMERIC	999999999 SM9999999 NL9999999	N
		DONDINCB	DIN (CHECKBOX)	13	1	X	CHECKBOX	X	N
		DONFEINCB	FEIN (CHECKBOX)	14	1	X	CHECKBOX	X	N
		DONSSNCB	SSN (CHECKBOX)	15	1	X	CHECKBOX	X	N
	STEP 3	DONATAMT	DONATION AMOUNT	16	6	0-9	NUMERIC	999999	N
		DONATDATE	DATE DONATION WAS RECEIVED OR POSTMARKED, WHICHEVER IS EARLIER	17	8	0-9	NUMERIC	mmddyyyy	N
	STEP 4	SIGNEDFLG	AUTHORIZED SIGNATURE (IN INK)	18	1	X	ALPHA	X	N
		SIGNNAME	PRINT SIGNATORY NAME & TITLE	19	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		SIGNDATE	DATE (MMDDYYYY)	20	8	0-9	NUMERIC	mmddyyyy	N
		*EOD*	END OF FILE	21	5	*EOD* (STATIC VALUE)	ALPHA / NUMERIC	*EOD*	N

NH-1040

	2D SPECS: NH-1040 PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)
	LINE	FIELD NAME	IDENTIFICATION	FIELD NUMBER	MAX LENGTH	ACCEPTABLE VALUES	TYPE	FORMAT	CAN BE NEGATIVE?	2D BARCODE PLACEMENT
	NH-1040 FORM									BOTTOM CENTER - PAGE 3
			HEADER FIELD	H1	2	T1 (STATIC VALUE)	ALPHA / NUMERIC	T1	N
			DEVELOPER CODE	H2	4	SAME AS VENDOR CODE (ISSUED BY NACTP)	NUMERIC	9999	N	VERSION 1 REVISED 04/2024
			STATE	H3	2	NH (STATIC VALUE)	ALPHA	NH	N
			FORM ID & YEAR	H4	8	A-Z, 0-9	ALPHA / NUMERIC	001040yy	N
		PRIMNM	PROPRIETOR'S NAME / BUSINESS ORGANIZATION NAME	1	46	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(46)	N
		BUSIDNO	TAXPAYER IDENTIFICATION NUMBER	2	9	0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES	ALPHA / NUMERIC	999999999 SM9999999 NL9999999	N
		PERBEGDT	TAXABLE PERIOD (BEGINNING)	3	8	0-9	NUMERIC	mmddyyyy	N
		PERENDDT	TAXABLE PERIOD (ENDING)	4	8	0-9	NUMERIC	mmddyyyy	N
	1A	NETPROF	NET PROFIT OR LOSS REPORTED ON PROPRIETOR FEDERAL SCHEDULE C, LINE 31	5	11	0-9	NUMERIC	9(11)	Y
	1B	INCRENT	NET RENTAL PROFIT OR LOSS REPORTED ON FEDERAL SCHEDULE E, LINE 21	6	11	0-9	NUMERIC	9(11)	Y
	1C	FRMRENT	NET FARM RENTAL PROFIT OR LOSS REPORTED ON FEDERAL FORM 4835, LINE 32	7	11	0-9	NUMERIC	9(11)	Y
	1D	NETFARM	NET FARM PROFIT OR LOSS REPORTED ON FEDERAL SCHEDULE F, LINE 34	8	11	0-9	NUMERIC	9(11)	Y
	1E	NETSALE1	NET GAIN OR LOSS FROM THE SALE OF BUSINESS ASSETS REPORTED ON FEDERAL FORM 4797…	9	11	0-9	NUMERIC	9(11)	Y
	1F	NETSALE2	NET GAIN OR LOSS FROM SALE OF INVESTMENT ASSETS USED IN BUSINESS ACTIVITY REPORTED…	10	11	0-9	NUMERIC	9(11)	Y
	1G	TOTINSTSLS	INSTALLMENT SALE GAINS FROM THE SALE OF BUSINESS ASSETS RECOGNIZED DURING THE…	11	11	0-9	NUMERIC	9(11)	Y
	1H	INCOTHLLC	OTHER NET BUSINESS INCOME (ATTACH SCHEDULE) ATTRIBUTABLE TO THIS BUSINESS ORGANIZATION…	12	11	0-9	NUMERIC	9(11)	Y
	1I	INCOTH1040	OTHER BUSINESS INCOME ATTRIBUTABLE TO THIS BUSINESS ORGANIZATION AS ADJUSTED…	13	11	0-9	NUMERIC	9(11)	Y
	1J	GRBPTOT	SUBTOTAL LINES 1(a) THROUGH 1(i)	14	13	0-9	NUMERIC	9(13)	Y
	2A	IRC179EXP	ADD AMOUNT OF IRC §179 EXPENSE TAKEN ON FEDERAL RETURN IN EXCESS OF THE AMOUNT…	15	11	0-9	NUMERIC	9(11)	Y
	2B	IRCBONDEPR	ADD THE AMOUNT OF BONUS DEPRECIATION TAKEN ON THE FEDERAL RETURN FOR ASSETS PLACED IN…	16	11	0-9	NUMERIC	9(11)	Y
	2C	IRCOTHDEDF	ADD ANY OTHER DEDUCTIONS OR EXCLUSIONS TAKEN ON THE FEDERAL RETURN THAT NEED TO…	17	11	0-9	NUMERIC	9(11)	Y
	2D	IRCADDDEPR	DEDUCT REGULAR DEPRECIATION RELATED TO IRC §179 AND BONUS DEPRECIATION NOT ALLOWED…	18	11	0-9	NUMERIC	9(11)	Y
	2E	IRCOTHITEM	DEDUCT ANY OTHER ITEMS INCLUDED ON THE FEDERAL RETURN THAT NEED TO BE ELIMINATED…	19	11	0-9	NUMERIC	9(11)	Y
	2F	IRCSLSALL	INCREASE OR DECREASE THE NET GAIN OR LOSS ON THE SALE OF ASSETS USED IN THE BUSINESS THAT…	20	11	0-9	NUMERIC	9(11)	Y
	2G	IRCSUBTOT	NET LINES 2(a) THROUGH 2(f)	21	11	0-9	NUMERIC	9(11)	Y
	3	IRCCNETINC	SUBTOTAL LINE 1(j) ADJUSTED BY LINE 2(g)	22	11	0-9	NUMERIC	9(11)	Y
	4	ADJNTITY	SEPARATE ENTITY ITEMS OF INCOME OR EXPENSE (ATTACH SCHEDULE)	23	11	0-9	NUMERIC	9(11)	Y
	5	GRBPTOT	GROSS BUSINESS PROFITS (COMBINE LINE 3 AND LINE 4)	24	11	0-9	NUMERIC	9(11)	Y
	6A	ADJINTDIV	DEDUCT INTEREST AND DIVIDENDS SUBJECT TO TAX UNDER RSA 77 (RSA 77-A:4, I)	25	11	0-9	NUMERIC	9(11)	Y
	6B	ADJUSTINT	DEDUCT INTEREST ON DIRECT US OBLIGATIONS (RSA 77-A:4, II)	26	11	0-9	NUMERIC	9(11)	Y
	6C	DEDCOMP	DEDUCT COMPENSATION DEDUCTION FOR PERSONAL SERVICES (RSA 77-A:4, III)	27	13	0-9	NUMERIC	9(13)	Y
	6D	ADJTAXES	ADD INCOME TAXES OR FRANCHISE TAXES MEASURED BY INCOME (ATTACH SCHEDULE OF…	28	11	0-9	NUMERIC	9(11)	Y
	6E	ADJWAGES	DEDUCT WAGE ADJUSTMENT REQUIRED BY IRC §280C (RSA 77-A:4, IX)	29	11	0-9	NUMERIC	9(11)	Y
	6F	ADJEXPIN	ADD EXPENSES RELATED TO FEDERAL CONSTITUTIONALLY EXEMPT INCOME…	30	11	0-9	NUMERIC	9(11)	Y
	6G	ADJRESRCH	DEDUCT RESEARCH CONTRIBUTION (ATTACH COMPUTATION) (RSA 77-A:4, XII)	31	11	0-9	NUMERIC	9(11)	Y
	6H-A	ADJGBPINCA	ADD THE AMOUNT OF THE INCREASE IN THE BASIS OF ASSETS FEDERALLY, DUE TO THE SALE OR…	32	11	0-9	NUMERIC	9(11)	Y
		ELECTFLG	ELECTION (CHECKBOX, YES)	33	1	X	CHECKBOX	X	N
		MULTIFLG	MULTIPLE TRANSACTIONS (CHECKBOX, YES)	34	1	X	CHECKBOX	X	N
	6H-B	ADJGPINCD	IF NOT MAKING AN ELECTION, DEDUCT THE BASIS INCREASE ASSOCIATED WITH THE SALE OR…	35	11	0-9	NUMERIC	9(11)	Y
	6H-C	ADJDEPR	ADD THE AMOUNT OF DEPRECIATION / AMORTIZATION ON THE FEDERAL RETURN…	36	11	0-9	NUMERIC	9(11)	Y
	6H-D	ADJNETGNL	UPON THE SALE OF ASSETS, ADJUST THE NET GAIN OR LOSS ATTRIBUTABLE TO AN INCREASE IN THE…	37	11	0-9	NUMERIC	9(11)	Y
	6H	ADJCHPT168	NET LINES 6(h)-A THROUGH 6(h)-D	38	11	0-9	NUMERIC	9(11)	Y
	6I	ADJQICPROF	ADD QUALIFIED INVESTMENT COMPANY (QIC) HOLDERS PROPORTIONAL SHARE OF QIC…	39	11	0-9	NUMERIC	9(11)	Y
	6J-A	DEDBUSINT	DEDUCT CURRENT YEAR BUSINESS INTEREST EXPENSE DISALLOWED UNDER IRC §163(j)…	40	11	0-9	NUMERIC	9(11)	Y	NEW FIELDS ADDED IN TY24.
	6J-B	ADDBUSINT	ADD THE AMOUNT OF DISALLOWED BUSINESS INTEREST EXPENSE CARRYFORWARD DEDUCTED…	41	11	0-9	NUMERIC	9(11)	Y
	6J-C	DED3RDBUSINT	DEDUCT 1/3 OF THE TOTAL DISALLOWED BUSINESS INTEREST EXPENSE CARRYFORWARD UNDER IRC…	42	11	0-9	NUMERIC	9(11)	Y
	6J	NETBUSINT	NET LINES 6(j) - A THROUGH 6(j) - C	43	11	0-9	NUMERIC	9(11)	Y
	6K	ADJSTOT	NET LINES 6(a) THROUGH 6(j)	44	13	0-9	NUMERIC	9(13)	Y
	7	NHINCTAX	ADJUSTED GROSS BUSINESS PROFITS (SUM OF LINES 5, AND 6 (k))	45	13	0-9	NUMERIC	9(13)	Y
	8	PCTAPPN	NH APPORTIONMENT (IF OTHER THAN 100%, COMPLETE FORM DP-80 BPT APPORTIONMENT…	46	9	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9.999999	N
	9	NHBPPRENOL	NH BUSINESS PROFITS BEFORE NOL (LINE 7 MULTIPLIED BY LINE 8)	47	11	0-9	NUMERIC	9(11)	Y
	10A	ADJNOLAVAI	NOLD AVAILABLE	48	11	0-9	NUMERIC	9(11)	Y
	10	ADJNOLDED	LESS NOLD USED THIS TAX PERIOD	49	11	0-9	NUMERIC	9(11)	Y
	10B	ADJNOLCRYF	NOLD TO BE CARRIED FORWARD	50	11	0-9	NUMERIC	9(11)	Y
	11	NHTXBUSPRF	NH TAXABLE BUSINESS PROFITS (LINE 9 MINUS LINE 10. IF NEGATIVE, ENTER ZERO)	51	11	0-9	NUMERIC	9(11)	Y
	12	TAXAMTPRIM	COMPUTE TAX (LINE 11 MULTIPLIED BY 7.5%)	52	9	0-9	NUMERIC	9(09)	Y
	13A	CRBET	(a) BET CREDIT ONLY (ATTACH BET CREDIT WORKSHEET)	53	13	0-9	NUMERIC	9(13)	Y
	13B	CRTAXCR	(b) OTHER CREDITS INCLUDING BET (ATTACH FORM DP-160)	54	9	0-9	NUMERIC	9(09)	Y
	14	TAXNETSTCR	NH BUSINESS PROFITS TAX NET OF STATUTORY CREDITS (LINE 12 MINUS LINE 13(a) OR 13(b) AS…	55	13	0-9	NUMERIC	9(13)	Y
		*EOD*	END OF FILE	56	5	*EOD* (STATIC VALUE)	ALPHA / NUMERIC	*EOD*	N

NH-1040-ES

	2D SPECS: NH-1040-ES PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)
	LINE	FIELD NAME	IDENTIFICATION	FIELD NUMBER	MAX LENGTH	ACCEPTABLE VALUES	TYPE	FORMAT	CAN BE NEGATIVE?	2D BARCODE PLACEMENT
	NH-1040-ES FORM									BOTTOM CENTER - ON EACH PAYMENT FORM
			HEADER FIELD	H1	2	T1 (STATIC VALUE)	ALPHA / NUMERIC	T1	N
			DEVELOPER CODE	H2	4	SAME AS VENDOR CODE (ISSUED BY NACTP)	NUMERIC	9999	N	VERSION 1 REVISED 06/2024
			STATE	H3	2	NH (STATIC VALUE)	ALPHA	NH	N
			FORM ID & YEAR	H4	8	A-Z, 0-9	ALPHA / NUMERIC	1040ESyy	N
		PERBEGDT	TAXABLE PERIOD (BEGINNING)	1	8	0-9	NUMERIC	mmddyyyy	N
		PERENDDT	TAXABLE PERIOD (ENDING)	2	8	0-9	NUMERIC	mmddyyyy	N
		INDVIDNO1	SOCIAL SECURITY NUMBER	3	9	0-9	NUMERIC	999999999	N
		BUSIDNO1	TAXPAYER IDENTIFICATION NUMBER	4	9	0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES	ALPHA / NUMERIC	999999999 SM9999999 NL9999999	N
		LASTNM1	PROPRIETOR'S LAST NAME	5	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		FIRSTNM1	FIRST NAME	6	20	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(20)	N
		MIDINIT1	MIDDLE INITIAL	7	1	A-Z	ALPHA	X(1)	N
		PRIMNM	LIMITED LIABILITY COMPANY	8	46	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(46)	N
		STRADDR1	NUMBER & STREET ADDRESS	9	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		STRADDR2	ADDRESS (CONTINUED)	10	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		CITY	CITY / TOWN	11	20	A-Z PLUS SPACE	ALPHA / NUMERIC	X(20)	N
		STATE	STATE	12	2	A-Z	ALPHA	XX	N
		ZIPPSTLCD	ZIP CODE + 4	13	10	A-Z, 0-9, PLUS (-)	ALPHA / NUMERIC	99999-9999 A1A 1A1	N
	1	ESTAMTBE	1/4 BET	14	9	0-9	NUMERIC	9(09)	N
	2	ESTAMTBP	1/4 BPT	15	9	0-9	NUMERIC	9(09)	N
	3	ESTAMTTOT	AMOUNT OF PAYMENT	16	9	0-9	NUMERIC	9(09)	N
		*EOD*	END OF FILE	17	5	*EOD* (STATIC VALUE)	ALPHA / NUMERIC	*EOD*	N

NH-1041

	2D SPECS: NH-1041 PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)
	LINE	FIELD NAME	IDENTIFICATION	FIELD NUMBER	MAX LENGTH	ACCEPTABLE VALUES	TYPE	FORMAT	CAN BE NEGATIVE?	2D BARCODE PLACEMENT
	NH-1041 FORM									BOTTOM CENTER - PAGE 3
			HEADER FIELD	H1	2	T1 (STATIC VALUE)	ALPHA / NUMERIC	T1	N
			DEVELOPER CODE	H2	4	SAME AS VENDOR CODE (ISSUED BY NACTP)	NUMERIC	9999	N	VERSION 1 REVISED 04/2024
			STATE	H3	2	NH (STATIC VALUE)	ALPHA	NH	N
			FORM ID & YEAR	H4	8	A-Z, 0-9	ALPHA / NUMERIC	001041yy	N
		PRIMNM	BUSINESS ORGANIZATION NAME	1	46	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(46)	N
		BUSIDNO	TAXPAYER IDENTIFICATION NUMBER	2	9	0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES	ALPHA / NUMERIC	999999999 SM9999999 NL9999999	N
		PERBEGDT	TAXABLE PERIOD (BEGINNING)	3	8	0-9	NUMERIC	mmddyyyy	N
		PERENDDT	TAXABLE PERIOD (ENDING)	4	8	0-9	NUMERIC	mmddyyyy	N
	1A	INCINT	INTEREST INCOME REPORTED ON FEDERAL FORM 1041, LINE 1	5	11	0-9	NUMERIC	9(11)	Y
	1B	INCDIV	TOTAL DIVIDENDS REPORTED ON FEDERAL FORM 1041, LINE 2(a)	6	11	0-9	NUMERIC	9(11)	Y
	1C	BUSINC1041	BUSINESS INCOME OR (LOSS) REPORTED ON FEDERAL FORM 1041, LINE 3	7	11	0-9	NUMERIC	9(11)	Y
	1D	NETGN1041	NET CAPITAL GAIN ONLY REPORTED ON FEDERAL FORM 1041, LINE 4	8	11	0-9	NUMERIC	9(11)	Y
	1E	INCRENTROY	RENTS, AND ROYALTIES REPORTED ON FEDERAL FORM 1041, LINE 5	9	11	0-9	NUMERIC	9(11)	Y
	1F	NETFARM	FARM INCOME OR (LOSS) REPORTED ON FEDERAL FORM 1041, LINE 6	10	11	0-9	NUMERIC	9(11)	Y
	1G	ORDGN1041	ORDINARY GAIN OR (LOSS) REPORTED ON FEDERAL FORM 1041, LINE 7	11	11	0-9	NUMERIC	9(11)	Y
	1H	INCOTHER	OTHER INCOME REPORTED ON FEDERAL FORM 1041, LINE 8	12	11	0-9	NUMERIC	9(11)	Y
	1I	EXPOTHER	OTHER BUSINESS EXPENSES NOT REPORTED ABOVE (ATTACH SCHEDULE)	13	11	0-9	NUMERIC	9(11)	Y
	1J	INCTOTAL	BUSINESS PROFITS FROM BUSINESS ACTIVITY OF AN ASSOCIATION OR TRUST (COMBINE LINES 1(a)…	14	13	0-9	NUMERIC	9(13)	Y
	2A	IRC179EXP	ADD AMOUNT OF IRC §179 EXPENSE TAKEN ON FEDERAL RETURN IN EXCESS OF THE AMOUNT…	15	11	0-9	NUMERIC	9(11)	Y
	2B	IRCBONDEPR	ADD THE AMOUNT OF BONUS DEPRECIATION TAKEN ON THE FEDERAL RETURN FOR ASSETS PLACED IN…	16	11	0-9	NUMERIC	9(11)	Y
	2C	IRCOTHDEDF	ADD ANY OTHER DEDUCTIONS OR EXCLUSIONS TAKEN ON THE FEDERAL RETURN THAT NEED TO BE…	17	11	0-9	NUMERIC	9(11)	Y
	2D	IRCADDDEPR	DEDUCT REGULAR DEPRECIATION RELATED TO IRC §179 AND BONUS DEPRECIATION NOT ALLOWED…	18	11	0-9	NUMERIC	9(11)	Y
	2E	IRCOTHITEM	DEDUCT ANY OTHER ITEMS INCLUDED ON THE FEDERAL RETURN THAT NEED TO BE ELIMINATED OR…	19	11	0-9	NUMERIC	9(11)	Y
	2F	IRCSLSALL	INCREASE OR DECREASE THE NET GAIN OR LOSS ON THE SALE OF ASSETS USED IN THE BUSINESS THAT…	20	11	0-9	NUMERIC	9(11)	Y
	2G	IRCSUBTOT	NET LINES 2(a) THROUGH 2(f)	21	11	0-9	NUMERIC	9(11)	Y
	3	IRCCNETINC	SUBTOTAL LINE 1(j) ADJUSTED BY LINE 2(g)	22	11	0-9	NUMERIC	9(11)	Y
	4	ADJNTITY	SEPARATE ENTITY ITEMS OF INCOME OR EXPENSE (ATTACH SCHEDULE)	23	13	0-9	NUMERIC	9(13)	Y
	5	GRBSUB	GROSS BUSINESS PROFITS (COMBINE LINE 3 AND LINE 4)	24	13	0-9	NUMERIC	9(13)	Y
	6A	DEDINTDVD	DEDUCT INTEREST AND DIVIDENDS SUBJECT TO TAX UNDER RSA 77 (RSA 77-A:4, I) (NO LONGER APPLIES…	25	9	0-9	NUMERIC	9(09)	Y
	6B	ADJUSTINT	DEDUCT INTEREST ON DIRECT US OBLIGATIONS (RSA 77-A:4, II)	26	11	0-9	NUMERIC	9(11)	Y
	6C	ADJTAXES	ADD INCOME TAXES OR FRANCHISE TAXES MEASURED BY INCOME (ATTACH SCHEDULE OF TAXES BY STATE…	27	11	0-9	NUMERIC	9(11)	Y
	6D	ADJWAGES	DEDUCT WAGE ADJUSTMENT REQUIRED BY IRC §280C (RSA 77-A:4, IX)	28	11	0-9	NUMERIC	9(11)	Y
	6E	ADJEXPIN	ADD EXPENSES RELATED TO FEDERAL CONSTITUTIONALLY EXEMPT INCOME (RSA 77-A:4, X)	29	11	0-9	NUMERIC	9(11)	Y
	6F	ADJRESRCH	DEDUCT RESEARCH CONTRIBUTION (ATTACH COMPUTATION) (RSA 77-A:4, XII)	30	11	0-9	NUMERIC	9(11)	Y
	6G-A	ADJGBPINCA	ADD THE AMOUNT OF THE INCREASE IN THE BASIS OF ASSETS FEDERALLY, DUE TO THE SALE OR EXCHANGE…	31	11	0-9	NUMERIC	9(11)	Y
		ELECTFLG	ELECTION (CHECKBOX, YES)	32	1	X	CHECKBOX	X	N
		MULTIFLG	MULTIPLE TRANSACTIONS (CHECKBOX, YES)	33	1	X	CHECKBOX	X	N
	6G-B	ADJGBPINCD	IF NOT MAKING AN ELECTION, DEDUCT THE BASIS INCREASE ASSOCIATED WITH THE SALE OR…	34	11	0-9	NUMERIC	9(11)	Y
	6G-C	ADJDEPR	ADD THE AMOUNT OF DEPRECIATION / AMORTIZATION ON THE FEDERAL RETURN…	35	11	0-9	NUMERIC	9(11)	Y
	6G-D	ADJNETGNL	UPON THE SALE OF ASSETS, ADJUST THE NET GAIN OR LOSS ATTRIBUTABLE TO AN INCREASE IN THE BASIS…	36	11	0-9	NUMERIC	9(11)	Y
	6G	ADJCHPT168	NET LINES 6(g) - A THROUGH 6(g) - D	37	11	0-9	NUMERIC	9(11)	Y
	6H	ADJQICPROF	ADD QUALIFIED INVESTMENT COMPANY (QIC) HOLDERS' PROPORTIONAL SHARE OF QIC PROFITS…	38	11	0-9	NUMERIC	9(11)	Y
	6I	ADJASSISTP	DEDUCT ASSISTANCE PAYMENTS UNDER 12 USC § 1823 (RSA 77-A:4, XVI)	39	11	0-9	NUMERIC	9(11)	Y
	6J-A	DEDBUSINT	DEDUCT CURRENT YEAR BUSINESS INTEREST EXPENSE DISALLOWED UNDER IRC §163(j) (RSA 77-A:4, XX).	40	11	0-9	NUMERIC	9(11)	Y	NEW FIELDS ADDED IN TY24.
	6J-B	ADDBUSINT	ADD THE AMOUNT OF DISALLOWED BUSINESS INTEREST EXPENSE CARRYFORWARD DEDUCTED…	41	11	0-9	NUMERIC	9(11)	Y
	6J-C	DED3RDBUSINT	DEDUCT 1/3 OF THE TOTAL DISALLOWED BUSINESS INTEREST EXPENSE CARRYFORWARD UNDER IRC…	42	11	0-9	NUMERIC	9(11)	Y
	6J	NETBUSINT	NET LINES 6(j) - A THROUGH 6(j) - C	43	11	0-9	NUMERIC	9(11)	Y
	6K	ADJTOTAL	NET LINES 6(a) THROUGH 6(j)	44	13	0-9	NUMERIC	9(13)	Y
	7	NHINCTAX	ADJUSTED GROSS BUSINESS PROFITS (SUM OF LINES 5 AND 6(k))	45	13	0-9	NUMERIC	9(13)	Y
	8	PCTAPPN	NH APPORTIONMENT (IF OTHER THAN 100%, COMPLETE FORM DP-80 BPT APPORTIONMENT…	46	9	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9.999999	N
	9	NHBPPRENOL	NH BUSINESS PROFITS BEFORE NOL (LINE 7 MULTIPLIED BY LINE 8. IF NEGATIVE, ENTER ZERO.)	47	11	0-9	NUMERIC	9(11)	Y
	10A	ADJNOLAVAI	NOLD AVAILABLE	48	11	0-9	NUMERIC	9(11)	Y
	10	ADJNOLDED	LESS NOLD USED THIS TAX PERIOD	49	11	0-9	NUMERIC	9(11)	Y
	10B	ADJNOLCRYF	NOLD TO BE CARRIED FORWARD	50	11	0-9	NUMERIC	9(11)	Y
	11	NHTXBUSPRF	NH TAXABLE BUSINESS PROFITS (LINE 9 MINUS LINE 10. IF NEGATIVE, ENTER ZERO.)	51	11	0-9	NUMERIC	9(11)	Y
	12	TAXAMT	COMPUTE TAX (LINE 11 MULTIPLIED BY 7.5%)	52	11	0-9	NUMERIC	9(11)	Y
	13A	CRBET	(a) BET CREDIT ONLY (ATTACH BET CREDIT WORKSHEET)	53	13	0-9	NUMERIC	9(13)	Y
	13B	CRTAXCR	(b) OTHER CREDITS INCLUDING BET (ATTACH FORM DP-160)	54	9	0-9	NUMERIC	9(09)	Y
	14	TAXNETSTCR	NH BUSINESS PROFITS TAX NET OF STATUTORY CREDITS (LINE 12 MINUS LINE 13(a) OR 13(b), AS…	55	13	0-9	NUMERIC	9(13)	Y
		*EOD*	END OF FILE	56	5	*EOD* (STATIC VALUE)	ALPHA / NUMERIC	*EOD*	N

NH-1041-ES

	2D SPECS: NH-1041-ES PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)
	LINE	FIELD NAME	IDENTIFICATION	FIELD NUMBER	MAX LENGTH	ACCEPTABLE VALUES	TYPE	FORMAT	CAN BE NEGATIVE?	2D BARCODE PLACEMENT
	NH-1041-ES FORM									BOTTOM LEFT - ON EACH PAYMENT FORM CENTERED UNDER 1D BARCODE
			HEADER FIELD	H1	2	T1 (STATIC VALUE)	ALPHA / NUMERIC	T1	N
			DEVELOPER CODE	H2	4	SAME AS VENDOR CODE (ISSUED BY NACTP)	NUMERIC	9999	N	VERSION 1 REVISED 06/2024
			STATE	H3	2	NH (STATIC VALUE)	ALPHA	NH	N
			FORM ID & YEAR	H4	8	A-Z, 0-9	ALPHA / NUMERIC	1041ESyy	N
		PERBEGDT	TAXABLE PERIOD (BEGINNING)	1	8	0-9	NUMERIC	mmddyyyy	N
		PERENDDT	TAXABLE PERIOD (ENDING)	2	8	0-9	NUMERIC	mmddyyyy	N
		BUSIDNO	TAXPAYER IDENTIFICATION NUMBER	3	9	0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES	ALPHA / NUMERIC	999999999 SM9999999 NL9999999	N
		PRIMNM	NAME OF ESTATE OR TRUST	4	46	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(46)	N
		STRADDR1	NUMBER & STREET ADDRESS	5	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		STRADDR2	ADDRESS (CONTINUED)	6	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		CITY	CITY / TOWN	7	20	A-Z PLUS SPACE	ALPHA / NUMERIC	X(20)	N
		STATE	STATE	8	2	A-Z	ALPHA	XX	N
		ZIPPSTLCD	ZIP CODE + 4	9	10	0-9, A-Z, PLUS (-)	ALPHA / NUMERIC	99999-9999 A1A 1A1	N
	1	ESTAMTBE	1/4 BET	10	9	0-9	NUMERIC	9(09)	N
	2	ESTAMTBP	1/4 BPT	11	9	0-9	NUMERIC	9(09)	N
	3	ESTAMTTOT	AMOUNT OF PAYMENT	12	9	0-9	NUMERIC	9(09)	N
		*EOD*	END OF FILE	13	5	*EOD* (STATIC VALUE)	ALPHA / NUMERIC	*EOD*	N

NH-1065

	2D SPECS: NH-1065 PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)
	LINE	FIELD NAME	IDENTIFICATION	FIELD NUMBER	MAX LENGTH	ACCEPTABLE VALUES	TYPE	FORMAT	CAN BE NEGATIVE?	2D BARCODE PLACEMENT
	NH-1065 FORM									BOTTOM CENTER - PAGE 4
			HEADER FIELD	H1	2	T1 (STATIC VALUE)	ALPHA / NUMERIC	T1	N
			DEVELOPER CODE	H2	4	SAME AS VENDOR CODE (ISSUED BY NACTP)	NUMERIC	9999	N	VERSION 2 REVISED 09/2024
			STATE	H3	2	NH (STATIC VALUE)	ALPHA	NH	N
			FORM ID & YEAR	H4	8	A-Z, 0-9	ALPHA / NUMERIC	001065yy	N
		PRIMNM	BUSINESS ORGANIZATION NAME	1	46	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(46)	N
		BUSIDNO	TAXPAYER IDENTIFICATION NUMBER	2	9	0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES	ALPHA / NUMERIC	999999999 SM9999999 NL9999999	N
		PERBEGDT	TAXABLE PERIOD (BEGINNING)	3	8	0-9	NUMERIC	mmddyyyy	N
		PERENDDT	TAXABLE PERIOD (ENDING)	4	8	0-9	NUMERIC	mmddyyyy	N
	1A	INCORDIN	ENTER THE AMOUNT OF ORDINARY BUSINESS INCOME (LOSS) REPORTED ON FEDERAL…	5	11	0-9	NUMERIC	9(11)	Y
	1B	INCREACT	ENTER THE AMOUNT OF NET RENTAL REAL ESTATE INCOME (LOSS) REPORTED ON…	6	11	0-9	NUMERIC	9(11)	Y
	1C	INCREACOTH	ENTER THE AMOUNT OF OTHER NET RENTAL INCOME (LOSS) REPORTED ON FEDERAL…	7	11	0-9	NUMERIC	9(11)	Y
	1D	GUARPYMT	ENTER THE AMOUNT OF GUARANTEED PAYMENTS REPORTED ON FEDERAL FORM…	8	11	0-9	NUMERIC	9(11)	Y
	1E	INCPORTINT	ENTER THE AMOUNT OF INTEREST INCOME REPORTED ON FEDERAL FORM 1065…	9	11	0-9	NUMERIC	9(11)	Y
	1F	INCPORTDIV	ENTER THE AMOUNT OF DIVIDEND INCOME REPORTED ON FEDERAL FORM 1065…	10	11	0-9	NUMERIC	9(11)	Y
	1G	INCPORTROY	ENTER THE AMOUNT OF ROYALTY INCOME REPORTED ON FEDERAL FORM 1065…	11	11	0-9	NUMERIC	9(11)	Y
	1H	CAPGNASTSS	ENTER THE NET SHORT TERM CAPITAL GAINS, BUT NOT BELOW ZERO, REPORTED ON...	12	11	0-9	NUMERIC	9(11)	Y
		CAPLSASTSS	IF NET SHORT TERM LOSS, ENTER LOSS HERE	13	13	0-9	NUMERIC	9(13)	Y
	1I	CAPGNASTSL	ENTER THE NET LONG TERM CAPITAL GAINS, BUT NOT BELOW ZERO, REPORTED ON…	14	11	0-9	NUMERIC	9(11)	Y
	1J	NETGN1231	ENTER THE AMOUNT OF NET §1231 GAIN (LOSS) REPORTED ON FEDERAL FORM 1065…	15	11	0-9	NUMERIC	9(11)	Y
	1K	INCOTHER	ENTER THE AMOUNT OF OTHER INCOME (LOSS) REPORTED ON FEDERAL FORM 1065…	16	11	0-9	NUMERIC	9(11)	Y
	1L	INCOTHERNR	ENTER THE AMOUNT OF ANY OTHER ITEM OF INCOME (LOSS) NOT REPORTED ON FEDERAL…	17	11	0-9	NUMERIC	9(11)	Y
	1M	IRC179DED	ENTER THE AMOUNT OF SECTION 179 DEDUCTION REPORTED ON FEDERAL FORM…	18	11	0-9	NUMERIC	9(11)	Y
	1N	CONTRPTD	ENTER THE AMOUNT OF CONTRIBUTIONS REPORTED ON FEDERAL FORM 1065…	19	11	0-9	NUMERIC	9(11)	Y
	1O	INVINTEXP	ENTER THE AMOUNT OF INVESTMENT INTEREST EXPENSE REPORTED ON FEDERAL…	20	11	0-9	NUMERIC	9(11)	Y
	1P	IRC59EEXP	ENTER THE AMOUNT OF IRC §59(e)(2) EXPENDITURES REPORTED ON FEDERAL…	21	11	0-9	NUMERIC	9(11)	Y
	1Q	OTHDEDRPT	ENTER THE AMOUNT OF OTHER DEDUCTIONS REPORTED ON FEDERAL FORM 1065…	22	11	0-9	NUMERIC	9(11)	Y
	1R	FRGNINCEXP	ENTER THE AMOUNT OF FOREIGN TAXES PAID OR ACCRUED AS REPORTED ON FEDERAL…	23	11	0-9	NUMERIC	9(11)	Y
	1S	GRBPSUB	COMBINE LINES 1(a) THROUGH 1(l) AND FROM THE RESULT SUBTRACT LINES 1(m)…	24	11	0-9	NUMERIC	9(11)	Y
	2A	IRC179EXP	ADD AMOUNT OF IRC §179 EXPENSE TAKEN ON FEDERAL RETURN IN EXCESS OF THE…	25	13	0-9	NUMERIC	9(13)	Y
	2B	IRCBONDEPR	ADD THE AMOUNT OF BONUS DEPRECIATION TAKEN ON THE FEDERAL RETURN FOR…	26	13	0-9	NUMERIC	9(13)	Y
	2C	IRCOTHDEDF	ADD ANY OTHER DEDUCTIONS OR EXCLUSIONS TAKEN ON THE FEDERAL RETURN THAT NEED…	27	13	0-9	NUMERIC	9(13)	Y
	2D	IRCADDDEPR	DEDUCT REGULAR DEPRECIATION RELATED TO IRC §179 AND BONUS DEPRECIATION NOT…	28	13	0-9	NUMERIC	9(13)	Y
	2E	IRCOTHITEM	DEDUCT ANY OTHER ITEMS INCLUDED ON THE FEDERAL RETURN THAT NEED TO BE…	29	13	0-9	NUMERIC	9(13)	Y
	2F	IRCSLSALL	INCREASE OR DECREASE THE NET GAIN OR LOSS ON THE SALE OF ASSETS USED IN THE…	30	13	0-9	NUMERIC	9(13)	Y
	2G	IRCSUBTOT	NET LINES 2(a) THROUGH 2(f)	31	13	0-9	NUMERIC	9(13)	Y
	3	IRCCNETINC	SUBTOTAL LINE 1(s) ADJUSTED BY LINE 2(g)	32	13	0-9	NUMERIC	9(13)	Y
	4	ADJNTITY	SEPARATE ENTITY ITEMS OF INCOME OR EXPENSE (ATTACH SCHEDULE)	33	11	0-9	NUMERIC	9(11)	Y
	5	GRBPTOT	GROSS BUSINESS PROFITS (COMBINE LINE 3 AND LINE)	34	13	0-9	NUMERIC	9(13)	Y
	6A	DEDINTDVD	DEDUCT INTEREST AND DIVIDENDS SUBJECT TO TAX UNDER RSA 77 (RSA 77-A:4, I)	35	9	0-9	NUMERIC	9(09)	Y
	6B	ADJUSTINT	DEDUCT INTEREST ON DIRECT US OBLIGATIONS (RSA 77-A:4, II)	36	9	0-9	NUMERIC	9(09)	Y
	6C	DEDCOMP	DEDUCT COMPENSATION DEDUCTION FOR PERSONAL SERVICES (RSA 77-A:4, III)	37	11	0-9	NUMERIC	9(11)	Y
	6D	ADJTAXES	ADD INCOME TAXES OR FRANCHISE TAXES MEASURED BY INCOME (ATTACH…	38	9	0-9	NUMERIC	9(09)	Y
	6E	ADJWAGES	DEDUCT WAGE ADJUSTMENT REQUIRED BY IRC §280C (RSA 77-A:4, IX)	39	9	0-9	NUMERIC	9(09)	Y
	6F	ADJDIVIDND	ADD EXPENSES RELATED TO FEDERAL CONSTITUTIONALLY EXEMPT INCOME…	40	9	0-9	NUMERIC	9(09)	Y
	6G	ADJRESRCH	DEDUCT RESEARCH CONTRIBUTION (ATTACH COMPUTATION) (RSA 77-A:4, XII)	41	11	0-9	NUMERIC	9(11)	Y
	6H-A	ADJGBPINCA	ADD THE AMOUNT OF THE INCREASE IN THE BASIS OF ASSETS FEDERALLY, DUE TO THE…	42	11	0-9	NUMERIC	9(11)	Y
		ELECTFLG	ELECTION (CHECKBOX, YES)	43	1	X	CHECKBOX	X	N
		MULTIFLG	MULTIPLE TRANSACTIONS (CHECKBOX, YES)	44	1	X	CHECKBOX	X	N
	6H-B	ADJGBPINCD	IF NOT MAKING AN ELECTION, DEDUCT THE BASIS INCREASE ASSOCIATED WITH THE…	45	11	0-9	NUMERIC	9(11)	Y
	6H-C	ADJDEPR	ADD THE AMOUNT OF DEPRECIATION / AMORTIZATION ON THE FEDERAL RETURN…	46	11	0-9	NUMERIC	9(11)	Y
	6H-D	ADJNETGNL	UPON THE SALE OF ASSETS, ADJUST THE NET GAIN OR LOSS ATTRIBUTABLE TO AN…	47	11	0-9	NUMERIC	9(11)	Y
	6H	ADJCHPT168	NET LINES 6(h) - A THROUGH 6(h) - D	48	11	0-9	NUMERIC	9(11)	Y
	6I	ADJQICPROF	ADD QUALIFIED INVESTMENT COMPANY (QIC) HOLDERS PROPORTIONAL SHARE OF QIC…	49	11	0-9	NUMERIC	9(11)	Y
	6J-A	DEDBUSINT	DEDUCT CURRENT YEAR BUSINESS INTEREST EXPENSE DISALLOWED UNDER IRC §163(j)…	50	11	0-9	NUMERIC	9(11)	Y	NEW FIELDS ADDED IN TY24.
	6J-B	ADDBUSINT	ADD THE AMOUNT OF DISALLOWED BUSINESS INTEREST EXPENSE CARRYFORWARD DEDUCTED…	51	11	0-9	NUMERIC	9(11)	Y
	6J-C	DED3RDBUSINT	DEDUCT 1/3 OF THE TOTAL DISALLOWED BUSINESS INTEREST EXPENSE CARRYFORWARD…	52	11	0-9	NUMERIC	9(11)	Y
	6J	NETBUSINT	NET LINES 6(j) - A THROUGH 6(j) - C	53	11	0-9	NUMERIC	9(11)	Y
	6K	DEDTOTAL	NET LINES 6(a) THROUGH 6(j)	54	11	0-9	NUMERIC	9(11)	Y
	7	NHINCTAX	ADJUSTED GROSS BUSINESS PROFITS (SUM OF LINES 5 AND 6(k))	55	13	0-9	NUMERIC	9(13)	Y
	8	PCTAPPN	NH APPORTIONMENT (IF OTHER THAN 100%, COMPLETE FORM DP-80 BPT…	56	9	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9.999999	N
	9	NHBPPRENOL	NH BUSINESS PROFITS BEFORE NOL (LINE 7 MULTIPLIED BY LINE 8. IF NEGATIVE, ENTER…	57	11	0-9	NUMERIC	9(11)	Y
	10A	ADJNOLAVAI	DEDUCT NH NET OPERATING LOSS DEDUCTION (NOLD) (ATTACH FORM DP-132) (RSA 77-A:4…	58	11	0-9	NUMERIC	9(11)	Y
	10	ADJNOLDED	LESS NOLD USED THIS TAX PERIOD	59	11	0-9	NUMERIC	9(11)	Y
	10B	ADJNOLCRYF	NOLD TO BE CARRIED FORWARD	60	11	0-9	NUMERIC	9(11)	Y
	11	NHTXBUSPRF	NH TAXABLE BUSINESS PROFITS (LINE 9 MINUS LINE 10. IF NEGATIVE, ENTER ZERO.)	61	11	0-9	NUMERIC	9(11)	Y
	12	TAXAMT	COMPUTE TAX (LINE 11 MULTIPLIED BY 7.5%)	62	11	0-9	NUMERIC	9(11)	Y
	13A	CRBET	(a) BET CREDIT ONLY (ATTACH BET CREDIT WORKSHEET)	63	13	0-9	NUMERIC	9(13)	Y
	13B	CRTAXCR	(b) OTHER CREDITS INCLUDING BET (ATTACH FORM DP-160)	64	9	0-9	NUMERIC	9(09)	Y
	14	TAXNETSTCR	NH BUSINESS PROFITS TAX NET OF STATUTORY CREDITS (LINE 12 MINUS LINE 13(a) OR 13…	65	13	0-9	NUMERIC	9(13)	Y
		*EOD*	END OF FILE	66	5	*EOD* (STATIC VALUE)	ALPHA / NUMERIC	*EOD*	N

NH-1065-ES

	2D SPECS: NH-1065-ES PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)
	LINE	FIELD NAME	IDENTIFICATION	FIELD NUMBER	MAX LENGTH	ACCEPTABLE VALUES	TYPE	FORMAT	CAN BE NEGATIVE?	2D BARCODE PLACEMENT
	NH-1065-ES FORM									BOTTOM LEFT - ON EACH PAYMENT FORM CENTERED UNDER 1D BARCODE
			HEADER FIELD	H1	2	T1 (STATIC VALUE)	ALPHA / NUMERIC	T1	N
			DEVELOPER CODE	H2	4	SAME AS VENDOR CODE (ISSUED BY NACTP)	NUMERIC	9999	N	VERSION 1 REVISED 06/2024
			STATE	H3	2	NH (STATIC VALUE)	ALPHA	NH	N
			FORM ID & YEAR	H4	8	A-Z, 0-9	ALPHA / NUMERIC	1065ESyy	N
		PERBEGDT	TAXABLE PERIOD (BEGINNING)	1	8	0-9	NUMERIC	mmddyyyy	N
		PERENDDT	TAXABLE PERIOD (ENDING)	2	8	0-9	NUMERIC	mmddyyyy	N
		BUSIDNO1	TAXPAYER IDENTIFICATION NUMBER	3	9	0-9 AND NL PERMITTED IN THE FIRST TWO SPACES	ALPHA / NUMERIC	999999999 NL9999999	N
		PRIMNM1	NAME OF PARTNERSHIP / LIMITED LIABILITY COMPANY	4	46	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(46)	N
		STRADDR1	NUMBER & STREET ADDRESS	5	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		STRADDR2	ADDRESS (CONTINUED)	6	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		CITY	CITY / TOWN	7	20	A-Z PLUS SPACE	ALPHA / NUMERIC	X(20)	N
		STATE	STATE	8	2	A-Z	ALPHA	XX	N
		ZIPPSTLCD	ZIP CODE + 4	9	10	A-Z, 0-9, PLUS (-), PLUS SPACE	ALPHA / NUMERIC	99999-9999 A1A 1A1	N
	1	ESTAMTBE	1/4 BET	10	9	0-9	NUMERIC	9(09)	N
	2	ESTAMTBP	1/4 BPT	11	9	0-9	NUMERIC	9(09)	N
	3	ESTAMTTOT	AMOUNT OF PAYMENT	12	9	0-9	NUMERIC	9(09)	N
		*EOD*	END OF FILE	13	5	*EOD* (STATIC VALUE)	ALPHA / NUMERIC	*EOD*	N

NH-1120

	2D SPECS: NH-1120 PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)
	LINE	FIELD NAME	IDENTIFICATION	FIELD NUMBER	MAX LENGTH	ACCEPTABLE VALUES	TYPE	FORMAT	CAN BE NEGATIVE?	2D BARCODE PLACEMENT
	NH-1120 FORM									BOTTOM CENTER - PAGE 3
			HEADER FIELD	H1	2	T1 (STATIC VALUE)	ALPHA / NUMERIC	T1	N
			DEVELOPER CODE	H2	4	SAME AS VENDOR CODE (ISSUED BY NACTP)	NUMERIC	9999	N	VERSION 1 REVISED 04/2024
			STATE	H3	2	NH (STATIC VALUE)	ALPHA	NH	N
			FORM ID & YEAR	H4	8	A-Z, 0-9	ALPHA / NUMERIC	001120yy	N
		PRIMNM	BUSINESS ORGANIZATION NAME	1	46	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(46)	N
		BUSIDNO	TAXPAYER IDENTIFICATION NUMBER	2	9	0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES	ALPHA / NUMERIC	999999999 SM9999999 NL9999999	N
		PERBEGDT	TAXABLE PERIOD (BEGINNING)	3	8	0-9	NUMERIC	mmddyyyy	N
		PERENDDT	TAXABLE PERIOD (ENDING)	4	8	0-9	NUMERIC	mmddyyyy	N
	1	GRBPSUB	FEDERAL TAXABLE INCOME/(LOSS) ENTER AMOUNT REPORTED ON…	5	15	0-9	NUMERIC	9(15)	Y
	2A	IRC179EXP	ADD AMOUNT OF IRC §179 EXPENSE TAKEN ON FEDERAL FORM 4562 IN EXCESS OF THE…	6	15	0-9	NUMERIC	9(15)	Y
	2B	IRCBONDEPR	ADD THE AMOUNT OF BONUS DEPRECIATION TAKEN ON THE FEDERAL RETURN FOR ASSETS…	7	15	0-9	NUMERIC	9(15)	Y
	2C	IRCOTHDEDF	ADD ANY OTHER DEDUCTIONS OR EXCLUSIONS TAKEN ON THE FEDERAL RETURN THAT NEED…	8	15	0-9	NUMERIC	9(15)	Y
	2D	IRCADDDEPR	DEDUCT REGULAR DEPRECIATION RELATED TO IRC §179 AND BONUS DEPRECIATION NOT…	9	15	0-9	NUMERIC	9(15)	Y
	2E	IRCOTHITEM	DEDUCT ANY OTHER ITEMS INCLUDED ON THE FEDERAL RETURN THAT NEED TO BE…	10	15	0-9	NUMERIC	9(15)	Y
	2F	IRCSLSALL	INCREASE OR DECREASE FOR THE NET GAIN OR LOSS ON THE SALE OF ASSETS USED IN THE…	11	15	0-9	NUMERIC	9(15)	Y
	2G	IRCSUBTOT	NET LINES 2(a) THROUGH 2(f)	12	15	0-9	NUMERIC	9(15)	Y
	3	IRCCNETINC	SUBTOTAL LINE 1 ADJUSTED BY LINE 2(g)	13	15	0-9	NUMERIC	9(15)	Y
	4	ADJNTITY	SEPARATE ENTITY ITEMS OF INCOME OR EXPENSE (ATTACH SCHEDULE)	14	15	0-9	NUMERIC	9(15)	Y
	5	GRBPTOT	GROSS BUSINESS PROFITS (COMBINE LINE 3 AND LINE 4)	15	15	0-9	NUMERIC	9(15)	Y
	6A	ADJUSINT	DEDUCT INTEREST ON DIRECT US OBLIGATIONS (RSA 77-A:4, II)	16	13	0-9	NUMERIC	9(13)	Y
	6B	ADJTAXES	ADD INCOME TAXES OR FRANCHISE TAXES MEASURED BY INCOME (ATTACH SCHEDULE…	17	13	0-9	NUMERIC	9(13)	Y
	6C	ADJIRC337	ADD FEDERAL NON-RECOGNIZED IRC §337 GAIN (RSA 77-A:4, VIII)	18	15	0-9	NUMERIC	9(15)	Y
	6D	ADJWAGES	DEDUCT WAGE ADJUSTMENT REQUIRED BY IRC §280C (RSA 77-A:4, IX)	19	13	0-9	NUMERIC	9(13)	Y
	6E	ADJEXPEXIN	ADD EXPENSES RELATED TO FEDERAL CONSTITUTIONALLY EXEMPT INCOME…	20	13	0-9	NUMERIC	9(13)	Y
	6F	ADJFORGN	DEDUCT FOREIGN DIVIDEND GROSS-UP (IRC §78) (RSA 77-A:4, XI)	21	13	0-9	NUMERIC	9(13)	Y
	6G	ADJRESRCH	DEDUCT RESEARCH CONTRIBUTION (ATTACH COMPUTATION) (RSA 77-A:4, XII)	22	13	0-9	NUMERIC	9(13)	Y
	6H-A	ADJGBPINCA	ADD THE AMOUNT OF THE INCREASE IN THE BASIS OF ASSETS FEDERALLY, DUE TO THE…	23	11	0-9	NUMERIC	9(11)	Y
		ELECTFLG	ELECTION (CHECKBOX, YES)	24	1	X	CHECKBOX	X	N
		MULTIFLG	MULTIPLE TRANSACTIONS (CHECKBOX, YES)	25	1	X	CHECKBOX	X	N
	6H-B	ADJGBPINCD	IF NOT MAKING AN ELECTION, DEDUCT THE BASIS INCREASE ASSOCIATED WITH THE SALE…	26	11	0-9	NUMERIC	9(11)	Y
	6H-C	ADJDEPR	ADD THE AMOUNT OF DEPRECIATION / AMORTIZATION ON THE FEDERAL RETURN…	27	11	0-9	NUMERIC	9(11)	Y
	6H-D	ADJNETGNL	UPON THE SALE OF ASSETS, ADJUST THE NET GAIN OR LOSS ATTRIBUTABLE TO AN…	28	11	0-9	NUMERIC	9(11)	Y
	6H	ADJINCASTS	NET LINES 6(h) - A THROUGH 6(h) - D	29	11	0-9	NUMERIC	9(11)	Y
	6I	ADJQICPROF	ADD QUALIFIED INVESTMENT COMPANY (QIC) HOLDERS PROPORTIONAL SHARE OF QIC…	30	13	0-9	NUMERIC	9(13)	Y
	6J	ADJASSISTP	DEDUCT ASSISTANCE PAYMENTS UNDER 12 USC §1823 (RSA 77-A:4, XVI)	31	13	0-9	NUMERIC	9(13)	Y
	6K-A	DEDBUSINT	DEDUCT CURRENT YEAR BUSINESS INTEREST EXPENSE DISALLOWED UNDER IRC §163(j)…	32	13	0-9	NUMERIC	9(13)	Y	NEW FIELDS ADDED IN TY24.
	6K-B	ADDBUSINT	ADD THE AMOUNT OF DISALLOWED BUSINESS INTEREST EXPENSE CARRYFORWARD...	33	13	0-9	NUMERIC	9(13)	Y
	6K-C	DED3RDBUSINT	DEDUCT 1/3 OF THE TOTAL DISALLOWED BUSINESS INTEREST EXPENSE CARRYFORWARD…	34	13	0-9	NUMERIC	9(13)	Y
	6K	NETBUSINT	NET LINES 6(k) - A THROUGH 6(k) - C	35	13	0-9	NUMERIC	9(13)	Y
	6L	ADJTOTAL	NET LINES 6(a) THROUGH 6(k)	36	15	0-9	NUMERIC	9(15)	Y
	7	NHINCTAX	ADJUSTED GROSS BUSINESS PROFITS (SUM OF LINES 5 AND 6(l))	37	15	0-9	NUMERIC	9(15)	Y
	8	PCTAPPN	NH APPORTIONMENT (IF OTHER THAN 100%, COMPLETE FORM DP-80 BPT…	38	9	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9.999999	N
	9	NHBPPRENOL	NH BUSINESS PROFITS BEFORE NOL (LINE 7 MULTIPLIED BY LINE 8. IF NEGATIVE, ENTER…	39	13	0-9	NUMERIC	9(13)	Y
	10A	ADJNOLAVAI	DEDUCT NH NET OPERATING LOSS DEDUCTION (NOLD) (ATTACH FORM DP-132) (RSA 77-A:4...	40	13	0-9	NUMERIC	9(13)	Y
	10	ADJNOLDED	LESS NOLD USED THIS TAX PERIOD	41	15	0-9	NUMERIC	9(15)	Y
	10B	ADJNOLCRYF	NOLD TO BE CARRIED FORWARD	42	13	0-9	NUMERIC	9(13)	Y
	11	NHTXBUSPRF	NH TAXABLE BUSINESS PROFITS (LINE 9 MINUS LINE 10. IF NEGATIVE, ENTER ZERO.)	43	13	0-9	NUMERIC	9(13)	Y
	12	TAXAMT	COMPUTE TAX (LINE 11 MULTIPLIED BY 7.5%)	44	13	0-9	NUMERIC	9(13)	Y
	13A	CRBET	(a) BET CREDIT ONLY (ATTACH FORM BET CREDIT WORKSHEET)	45	15	0-9	NUMERIC	9(15)	Y
	13B	CRTAXCR	(b) OTHER CREDIT INCLUDING BET (ATTACH FORM DP-160)	46	11	0-9	NUMERIC	9(11)	Y
	14	TAXNETSTCR	NH BUSINESS PROFITS TAX NET OF STATUTORY CREDITS (LINE 12 MINUS LINE 13(a) OR 13(b)...	47	15	0-9	NUMERIC	9(15)	Y
		*EOD*	END OF FILE	66	5	*EOD* (STATIC VALUE)	ALPHA / NUMERIC	*EOD*	N

NH-1120-ES

	2D SPECS: NH-1120-ES PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)
	LINE	FIELD NAME	IDENTIFICATION	FIELD NUMBER	MAX LENGTH	ACCEPTABLE VALUES	TYPE	FORMAT	CAN BE NEGATIVE?	2D BARCODE PLACEMENT
	NH-1120-ES FORM									BOTTOM LEFT - ON EACH PAYMENT FORM CENTERED UNDER 1D BARCODE
			HEADER FIELD	H1	2	T1 (STATIC VALUE)	ALPHA / NUMERIC	T1	N
			DEVELOPER CODE	H2	4	SAME AS VENDOR CODE (ISSUED BY NACTP)	NUMERIC	9999	N	VERSION 1 REVISED 06/2024
			STATE	H3	2	NH (STATIC VALUE)	ALPHA	NH	N
			FORM ID & YEAR	H4	8	A-Z, 0-9	ALPHA / NUMERIC	1120ESyy	N
		PERBEGDT	TAXABLE PERIOD (BEGINNING)	1	8	0-9	NUMERIC	mmddyyyy	N
		PERENDDT	TAXABLE PERIOD (ENDING)	2	8	0-9	NUMERIC	mmddyyyy	N
		BUSIDNO1	TAXPAYER IDENTIFICATION NUMBER	3	9	0-9 AND NL PERMITTED IN THE FIRST TWO SPACES	ALPHA / NUMERIC	999999999 NL9999999	N
		PRIMNM1	NAME OF CORPORATION / LIMITED LIABILITY COMPANY	4	46	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(46)	N
		STRADDR1	NUMER & STREET ADDRESS	5	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		STRADDR2	ADDRESS (CONTINUED)	6	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		CITY	CITY / TOWN	7	20	A-Z PLUS SPACE	ALPHA / NUMERIC	X(20)	N
		STATE	STATE	8	2	A-Z	ALPHA	XX	N
		ZIPPSTLCD	ZIP CODE + 4	9	10	A-Z, 0-9, PLUS (-)	ALPHA / NUMERIC	99999-9999 A1A 1A1	N
	1	ESTAMTBE	1/4 BET	10	9	0-9	NUMERIC	9(09)	N
	2	ESTAMTBP	1/4 BPT	11	9	0-9	NUMERIC	9(09)	N
	3	ESTAMTTOT	AMOUNT OF PAYMENT	12	9	0-9	NUMERIC	9(09)	N
		*EOD*	END OF FILE	13	5	*EOD* (STATIC VALUE)	ALPHA / NUMERIC	*EOD*	N

NH-1120-WE

	2D SPECS: NH-1120-WE PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)
	LINE	FIELD NAME	IDENTIFICATION	FIELD NUMBER	MAX LENGTH	ACCEPTABLE VALUES	TYPE	FORMAT	CAN BE NEGATIVE?	2D BARCODE PLACEMENT
	NH-1120-WE FORM									BOTTOM CENTER - PAGE 3
			HEADER FIELD	H1	2	T1 (STATIC VALUE)	ALPHA / NUMERIC	T1	N
			DEVELOPER CODE	H2	4	SAME AS VENDOR CODE (ISSUED BY NACTP)	NUMERIC	9999	N	VERSION 1 REVISED 04/2024
			STATE	H3	2	NH (STATIC VALUE)	ALPHA	NH	N
			FORM ID & YEAR	H4	8	A-Z, 0-9	ALPHA / NUMERIC	1120WEyy	N
		PRIMNM	BUSINESS ORGANIZATION NAME	1	46	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(46)	N
		BUSIDNO	TAXPAYER IDENTIFICATION NUMBER	2	9	0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES	ALPHA / NUMERIC	999999999 SM9999999 NL9999999	N
		PERBEGDT	TAXABLE PERIOD (BEGINNING)	3	8	0-9	NUMERIC	mmddyyyy	N
		PERENDDT	TAXABLE PERIOD (ENDING)	4	8	0-9	NUMERIC	mmddyyyy	N
		PRBUS1120CB	1120 (CHECKBOX)	5	1	X	CHECKBOX	X	N
		PRBUS1120SCB	1120S (CHECKBOX)	6	1	X	CHECKBOX	X	N
		PRBUS1065CB	1065 (CHECKBOX)	7	1	X	CHECKBOX	X	N
		PRBUS1041CB	1041 (CHECKBOX)	8	1	X	CHECKBOX	X	N
		PRBUS1040CB	1040 (CHECKBOX)	9	1	X	CHECKBOX	X	N
	1	USCONSOLID	US CONSOLIDATED REPORTED ON FEDERAL FORM 1120, LINE 28	10	13	0-9	NUMERIC	9(13)	Y
	2	OVERSEABUS	LESS OVERSEAS BUSINESS ORGANIZATIONS INCLUDED IN LINE 1 ABOVE	11	13	0-9	NUMERIC	9(13)	Y
	3	NONUNITARY	LESS NON-UNITARY ENTITIES INCLUDED IN LINE 1 ABOVE	12	13	0-9	NUMERIC	9(13)	Y
	4	CONSELIMIN	ADD CONSOLIDATING ELIMINATIONS ATTRIBUTABLE TO ENTITIES INCLUDE IN LINE 2…	13	13	0-9	NUMERIC	9(13)	Y
	5	UNITARYENT	ADD NON-CONSOLIDATED UNITARY MEMBERS FROM SCHEDULE I-A, LINE 7	14	15	0-9	NUMERIC	9(15)	Y
	6	INTERCOINC	ELIMINATE INTER-COMPANY (INCOME) EXPENSE (REPORT INCOME AS A NEGATIVE AMOUNT...	15	13	0-9	NUMERIC	9(13)	Y
	7	SUBTOTAL	SUBTOTAL (LINE 1 MINUS LINE 2 AND 3, PLUS LINES 4 THROUGH LINE 6)	16	15	0-9	NUMERIC	9(15)	Y
	8A	INCEXEMPT	LESS INCOME EXEMPT UNDER FEDERAL CONSTITUTIONAL LAW	17	13	0-9	NUMERIC	9(13)	Y
	8B	RELEXPENSE	ADD EXPENSES RELATED TO CONSTITUTIONALLY EXEMPT INCOME RSA 77-A:4, X	18	13	0-9	NUMERIC	9(13)	Y
	9	COMBNETINC	SUBTOTAL (LINE 7 ADJUSTED BY LINES 8(a) AND 8(b))	19	15	0-9	NUMERIC	9(15)	Y
	10A	IRC179EXP	ADD AMOUNT OF IRC §179 EXPENSE TAKEN ON FEDERAL RETURN IN EXCESS OF THE AMOUNT…	20	13	0-9	NUMERIC	9(13)	Y
	10B	IRCBONDEPR	ADD THE AMOUNT OF BONUS DEPRECIATION TAKEN ON THE FEDERAL RETURN THAT NEED TO…	21	13	0-9	NUMERIC	9(13)	Y
	10C	IRCOTHDEDF	ADD ANY OTHER DEDUCTIONS OR EXCLUSIONS TAKEN ON THE FEDERAL RETURN THAT NEED TO…	22	13	0-9	NUMERIC	9(13)	Y
	10D	IRCADDDEPR	DEDUCT REGULAR DEPRECIATION RELATED TO IRC §179 AND BONUS DEPRECIATION NOT ALLOWED…	23	13	0-9	NUMERIC	9(13)	Y
	10E	IRCOTHITEM	DEDUCT ANY OTHER ITEMS INCLUDED ON THE FEDERAL RETURN THAT NEED TO BE ELIMINATED…	24	13	0-9	NUMERIC	9(13)	Y
	10F	IRSLSALL	INCREASE OR DECREASE THE NET GAIN OR LOSS ON THE SALE OF ASSETS USED IN THE BUSINESS…	25	13	0-9	NUMERIC	9(13)	Y
	10G	IRCSUBTOT	NET LINES 10(a) THROUGH 10(f) (IF NEGATIVE, USE MINUS SIGN)	26	13	0-9	NUMERIC	9(13)	Y
	11A	INCTAXABLE	LINE 9 ADJUSTED BY LINE 10(g)	27	13	0-9	NUMERIC	9(13)	Y
	11B	ADJNTITY	SEPARATE ENTITY ITEMS OF INCOME OR EXPENSE NOT ALLOWED FOR ON THIS FORM (ATTACH…	28	13	0-9	NUMERIC	9(13)	Y
	11C	GRBPSUB	SUBTOTAL (LINE 11(a) ADJUSTED BY LINE 11(b)) IF NEGATIVE, USE MINUS SIGN) (SEE…	29	13	0-9	NUMERIC	9(13)	Y
	11D	FRDIVIDND	DEDUCT FOREIGN DIVIDENDS AS DEFINED IN RSA 77-A:1, XVII AND REV 304.12 (MUST BE THE…	30	13	0-9	NUMERIC	9(13)	Y
	11E	GRBPTOT	NH COMBINED NET INCOME (LINE 11(c) ADJUSTED BY LINE 11(d)) (IF NEGATIVE, USE MINUS SIGN)	31	13	0-9	NUMERIC	9(13)	Y
	12A	ADJINTDIV	DEDUCT INTEREST AND DIVIDENDS SUBJECT TO TAX UNDER RSA 77 (RSA 77-A:4, I)	32	13	0-9	NUMERIC	9(13)	Y
	12B	ADJUSINT	DEDUCT INTEREST ON DIRECT US OBLIGATIONS (RSA 77-A:4, II)	33	11	0-9	NUMERIC	9(11)	Y
	12C	ADJCOMPDED	DEDUCT COMPENSATION DEDUCTION FOR PERSONAL SERVICES (RSA 77-A:4, III) (DOES NOT…	34	13	0-9	NUMERIC	9(13)	Y
	12D	ADJTAXES	ADD INCOME TAXES OR FRANCHISE TAXES MEASURED BY INCOME (ATTACH SCHEDULE OF...	35	11	0-9	NUMERIC	9(11)	Y
	12E	ADJIRC337	ADD FEDERAL NON-RECOGNIZED IRC §337 GAIN (RSA 77-A:4, VIII)	36	13	0-9	NUMERIC	9(13)	Y
	12F	ADJWAGES	DEDUCT WAGE ADJUSTMENT REQUIRED BY IRC §280C (RSA 77-A:4, IX)	37	11	0-9	NUMERIC	9(11)	Y
	12G	ADJFORGN	DEDUCT FOREIGN DIVIDEND GROSS-UP (IRC §78) (RSA 77-A:4, XI)	38	11	0-9	NUMERIC	9(11)	Y
	12H	ADJRESRCH	DEDUCT RESEARCH CONTRIBUTION (ATTACH COMPUTATION) (RSA 77-A:4, XII)	39	11	0-9	NUMERIC	9(11)	Y
	12I-A	ADJGBPINCA	ADD THE AMOUNT OF THE INCREASE IN THE BASIS OF ASSETS FEDERALLY, DUE TO THE SALE OR…	40	11	0-9	NUMERIC	9(11)	Y
		ELECTFLG	ELECTION (CHECKBOX, YES)	41	1	X	CHECKBOX	X	N
		MULTIFLG	MULTIPLE TRANSACTIONS (CHECKBOX, YES)	42	1	X	CHECKBOX	X	N
	12I-B	ADJGBPINCD	IF NOT MAKING AN ELECTION, DEDUCT THE BASIS INCREASE ASSOCIATED WITH THE SALE OR…	43	11	0-9	NUMERIC	9(11)	Y
	12I-C	ADJDEPR	ADD THE AMOUNT OF DEPRECIATION / AMORTIZATION ON THE FEDERAL RETURN…	44	11	0-9	NUMERIC	9(11)	Y
	12I-D	ADJNETGNL	UPON THE SALE OF ASSETS, ADJUST THE NET GAIN OR LOSS ATTRIBUTABLE TO AN INCREASE IN THE…	45	11	0-9	NUMERIC	9(11)	Y
	12I	ADJINCASTS	NET LINES 12(i) - A THROUGH 12(i) - D	46	13	0-9	NUMERIC	9(13)	Y
	12J	ADJQICPROF	ADD QUALIFIED INVESTMENT COMPANY (QIC) HOLDER'S PROPORTIONAL SHARE OF QIC…	47	13	0-9	NUMERIC	9(13)	Y
	12K	ADJASSISTP	DEDUCT ASSISTANCE PAYMENTS UNDER 12 USC §1823 (RSA 77-A:4, XVI)	48	13	0-9	NUMERIC	9(13)	Y
	12L-A	DEDBUSINT	DEDUCT CURRENT YEAR BUSINESS INTEREST EXPENSE DISALLOWED UNDER IRC §163(j)…	49	13	0-9	NUMERIC	9(13)	Y	NEW FIELDS ADDED IN TY24.
	12L-B	ADDBUSINT	ADD THE AMOUNT OF DISALLOWED BUSINESS INTEREST EXPENSE CARRYFORWARD DEDUCTED…	50	13	0-9	NUMERIC	9(13)	Y
	12L-C	DED3RDBUSINT	DEDUCT 1/3 OF THE TOTAL DISALLOWED BUSINESS INTEREST EXPENSE CARRYFORWARD…	51	13	0-9	NUMERIC	9(13)	Y
	12L	NETBUSINT	NET LINES 12(l) - A THROUGH 12(l) - C	52	13	0-9	NUMERIC	9(13)	Y
	12M	ADJTOTAL	NET LINES 12(a) THROUGH 12(l)	53	15	0-9	NUMERIC	9(15)	Y
	13	NHINCTAX	ADJUSTED GROSS BUSINESS PROFITS (LINE 11(e) ADJUSTED BY LINE 12(m))	54	15	0-9	NUMERIC	9(15)	Y
	14	PCTAPPN	NH APPORTIONMENT (FORM DP-80, LINE 1(c)) (EXPRESS AS A DECIMAL TO 6 PLACES)	55	9	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9.999999	N
	15	NHBUSPRSUB	NH WATER'S EDGE TAXABLE BUSINESS PROFITS BEFORE NOL (LINE 13 MULTIPLIED BY LINE 14)	56	13	0-9	NUMERIC	9(13)	Y
	16	FRDIVPRF	NH FOREIGN DIVIDENDS TAXABLE BUSINESS PROFITS (FROM SCHEDULE II, LINE 3)	57	13	0-9	NUMERIC	9(13)	Y
	17A	ADJNOLAVAI	NOLD AVAILABLE	58	11	0-9	NUMERIC	9(11)	Y
	17	ADJNOLDED	LESS NOLD USED THIS TAX PERIOD	59	11	0-9	NUMERIC	9(11)	Y
	17B	ADJNOLCRYF	NOLD TO BE CARRIED FORWARD	60	11	0-9	NUMERIC	9(11)	Y
	18	NHTXBUSPRF	NH TAXABLE BUSINESS PROFITS TAX (LINE 15 PLUS LINE 16 MINUS LINE 17) (IF NEGATIVE, ENTER…	61	11	0-9	NUMERIC	9(11)	Y
	19	TAXAMT	NH BUSINESS PROFITS TAX (LINE 18 MULTIPLIED BY 7.5%)	62	11	0-9	NUMERIC	9(11)	Y
	20A	CRBET	(a) BET CREDIT ONLY (ATTACH FORM BET CREDIT WORKSHEET ON BET RETURN)	63	13	0-9	NUMERIC	9(13)	Y
	20B	CRTAXCR	(b) OTHER CREDIT INCLUDING BET (ATTACH FORM DP-160)	64	9	0-9	NUMERIC	9(09)	Y
	21	TAXNETSTCR	NH BUSINESS PROFITS TAX NET OF STATUTORY CREDITS (LINE 19 MINUS LINE 20(a) OR 20(b)…	65	13	0-9	NUMERIC	9(13)	Y
		*EOD*	END OF FILE	66	5	*EOD* (STATIC VALUE)	ALPHA / NUMERIC	*EOD*	N

SCHD I-A

	2D SPECS: SCHEDULE I-A (4th page of NH-1120-WE) PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)
	LINE	FIELD NAME	IDENTIFICATION	FIELD NUMBER	MAX LENGTH	ACCEPTABLE VALUES	TYPE	FORMAT	CAN BE NEGATIVE?	2D BARCODE PLACEMENT
	SCHEDULE I-A									BOTTOM OF PAGE 4 OF NH-1120-WE
			HEADER FIELD	H1	2	T1 (STATIC VALUE)	ALPHA / NUMERIC	T1	N
			DEVELOPER CODE	H2	4	SAME AS VENDOR CODE (ISSUED BY NACTP)	NUMERIC	9999	N	VERSION 1 REVISED 04/2024
			STATE	H3	2	NH (STATIC VALUE)	ALPHA	NH	N
			FORM ID & YEAR	H4	8	A-Z, 0-9	ALPHA / NUMERIC	1120WEyy	N
		PRIMNM	PRINCIPAL BUSINESS ORGANIZATION NAME	1	46	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(46)	N
		BUSIDNO	TAXPAYER IDENTIFICATION NUMBER	2	9	0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES	ALPHA / NUMERIC	999999999 SM9999999 NL9999999	N
		PERBEGDT	TAXABLE PERIOD (BEGINNING)	3	8	0-9	NUMERIC	mmddyyyy	N
		PERENDDT	TAXABLE PERIOD (ENDING)	4	8	0-9	NUMERIC	mmddyyyy	N
	1	MBRSCORP	NON-CONSOLIDATED CORPORATE MEMBERS AS REPORTED ON FEDERAL FORM 1120…	5	13	0-9	NUMERIC	9(13)	Y
	2	MBRS1120S	FEDERAL FORM 1120S MEMBERS FROM FORM DP-120, LINE 2	6	13	0-9	NUMERIC	9(13)	Y
	3	MBRSPARTN	PARTNERSHIP MEMBERS FROM FORM DP-120-P, LINE 2	7	13	0-9	NUMERIC	9(13)	Y
	4	MBRSPROP	PROPRIETORSHIP MEMBERS FROM FORM DP-121, PART ONE, LINE 10	8	13	0-9	NUMERIC	9(13)	Y
	5	MBRSLLC	SINGLE MEMBER LIMITED LIABILITY COMPANY (SMLLC) MEMBERS FROM FORM…	9	13	0-9	NUMERIC	9(13)	Y
	6	MBRSTRUST	TRUST MEMBERS FROM FORM DP-121, PART TWO, LINE 10	10	13	0-9	NUMERIC	9(13)	Y
	7	MBRSTOTAL	TOTAL OF LINES 1 THROUGH 6; REPORT ON FORM NH-1120-WE, PAGE 1, LINE 5	11	15	0-9	NUMERIC	9(15)	Y
		*EOD*	END OF FILE	12	5	*EOD* (STATIC VALUE)	ALPHA / NUMERIC	*EOD*	N

NH-1310

	2D SPECS: NH-1310 PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)
	LINE	FIELD NAME	IDENTIFICATION	FIELD NUMBER	MAX LENGTH	ACCEPTABLE VALUES	TYPE	FORMAT	CAN BE NEGATIVE?	2D BARCODE PLACEMENT
	NH-1310 FORM									BOTTOM CENTER
			HEADER FIELD	H1	2	T1 (STATIC VALUE)	ALPHA / NUMERIC	T1	N
			DEVELOPER CODE	H2	4	SAME AS VENDOR CODE (ISSUED BY NACTP)	NUMERIC	9999	N	VERSION 1 REVISED 01/2024
			STATE	H3	2	NH (STATIC VALUE)	ALPHA	NH	N
			FORM ID & YEAR	H4	8	A-Z, 0-9	ALPHA / NUMERIC	001310yy	N
		PERBEGDT	TAXABLE PERIOD (BEGINNING)	1	8	0-9	NUMERIC	99999999	N
		PERENDDT	TAXABLE PERIOD (ENDING)	2	8	0-9	NUMERIC	99999999	N
		DECEASEDNAME	NAME - DECEASED	3	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		DEATHDATE	DATE OF DEATH	4	8	0-9	NUMERIC	99999999	N
		DECEASEDID	TAXPAYER IDENTIFICATION NUMBER - DECEASED	5	9	0-9	NUMERIC	999999999	N
		DECSTADDR	ADDRESS - DECEASED	6	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		DECCITY	CITY / TOWN - DECEASED	7	20	A-Z PLUS SPACE	ALPHA / NUMERIC	X(20)	N
		DECSTATE	STATE - DECEASED	8	2	A-Z	ALPHA	XX	N
		DECZIP	ZIP CODE + 4 - DECEASED	9	10	A-Z, 0-9, PLUS (-), PLUS SPACE	ALPHA / NUMERIC	99999-9999 A1A 1A1	N
		CLAIMNTNAME	NAME - CLAIMANT	10	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		CLAIMSTADDR	ADDRESS - CLAIMANT	11	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
		CLAIMCITY	CITY / TOWN - CLAIMANT	12	20	A-Z PLUS SPACE	ALPHA / NUMERIC	X(20)	N
		CLAIMSTATE	STATE - CLAIMANT	13	2	A-Z	ALPHA	XX	N
		CLAIMZIP	ZIP CODE + 4 - CLAIMANT	14	10	A-Z, 0-9, PLUS (-), PLUS SPACE	ALPHA / NUMERIC	99999-9999 A1A 1A1	N
	A	SURVSPSE	SURVIVING SPOUSE (CHECKBOX)	15	1	X	CHECKBOX	X	N
	B	EXECUTOR	ADMINISTRATOR OR EXECUTOR (CHECKBOX)	16	1	X	CHECKBOX	X	N
	C	TRUSTEE	TRUSTEE OF THE TRUST (CHECKBOX)	17	1	X	CHECKBOX	X	N
	D	OTHERCB	PERSON OTHER THAN A, B, OR C (CHECKBOX)	18	1	X	CHECKBOX	X	N	ADDITIONAL CHECKBOXES ADDED IN 2024.
	1	WILLCBYES	LEAVE A WILL (CHECKBOX, YES)	19	1	X	CHECKBOX	X	N
	1	WILLCBNO	LEAVE A WILL (CHECKBOX, NO)	20	1	X	CHECKBOX	X	N
	2A	ESTREPCBYES	COURT APPOINTED REPRESENTATIVE FOR ESTATE (CHECKBOX, YES)	21	1	X	CHECKBOX	X	N
	2A	ESTREPCBNO	COURT APPOINTED REPRESENTATIVE FOR ESTATE - (CHECKBOX, NO)	22	1	X	CHECKBOX	X	N
	2B	APPREPCBYES	ANSWERED "NO" TO 2A (CHECKBOX, YES)	23	1	X	CHECKBOX	X	N
	2B	APPREPCBNO	ANSWERED "NO" TO 2A (CHECKBOX, NO)	24	1	X	CHECKBOX	X	N
	3	REFUNDCBYES	PERSON CLAIMING A REFUND (CHECKBOX, YES)	25	1	X	CHECKBOX	X	N
	3	REFUNDCBNO	PERSON CLAIMING A REFUND (CHECKBOX, NO)	26	1	X	CHECKBOX	X	N
		SIGNEDFLG	SIGNATURE OF CLAIMANT	27	1	X	ALPHA	X	N
		*EOD*	END OF FILE	28	5	*EOD* (STATIC VALUE)	ALPHA / NUMERIC	*EOD*	N

PA-34

	2D SPECS: PA-34 PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)
	LINE	FIELD NAME	IDENTIFICATION	FIELD NUMBER	MAX LENGTH	ACCEPTABLE VALUES	TYPE	FORMAT	CAN BE NEGATIVE?	2D BARCODE PLACEMENT
	PA-34 FORM									PAGE 3 - BOTTOM CENTER
			HEADER FIELD	H1	2	T1 (STATIC VALUE)	ALPHA / NUMERIC	T1	N
			DEVELOPER CODE	H2	4	SAME AS VENDOR CODE (ISSUED BY NACTP)	NUMERIC	9999	N	VERSION 2 REVISED 09/2024
			STATE	H3	2	NH (STATIC VALUE)	ALPHA	NH	N
			FORM ID & YEAR	H4	8	A-Z, 0-9	ALPHA / NUMERIC	00PA34yy	N
	STEP 1	BYR1LNAM	LAST NAME / ENTITY (PURCHASER 1)	1	30	A-Z, 0-9, PLUS SPACE, DASH, COMMA, PERIOD, #, /, &, @	ALPHA / NUMERIC	X(30)	N
		BYR1FNAM	FIRST NAME (PURCHASER 1)	2	15	A-Z, 0-9, PLUS SPACE, DASH, COMMA, PERIOD, #, /, &, @	ALPHA / NUMERIC	X(15)	N
	STEP 3	TOWN	MUNICIPALITY	3	20	A-Z, 0-9, PLUS SPACE, DASH, COMMA, PERIOD, #, /, &, @	ALPHA / NUMERIC	X(20)	N
		COUNTY	COUNTY	4	20	A-Z, 0-9, PLUS SPACE, DASH, COMMA, PERIOD, #, /, &, @	ALPHA / NUMERIC	X(20)	N
		STNUM	STREET NUMBER	5	6	A-Z, 0-9	ALPHA / NUMERIC	X(6)	N
		STNAME	STREET NAME	6	30	A-Z, 0-9, PLUS SPACE, DASH, COMMA, PERIOD, #, /, &, @	ALPHA / NUMERIC	X(30)	N
	STEP 4	TDATE	TRANSFER DATE	7	8	0-9	NUMERIC	mmddyyyy	N
		BOOK	BOOK NUMBER	8	6	0-9	NUMERIC	999999	N
		PAGE	PAGE NUMBER	9	6	0-9	NUMERIC	999999	N
		PRICE	SALE PRICE	10	10	0-9	NUMERIC	9(10)	N
		*EOD*	END OF FILE	11	5	*EOD* (STATIC VALUE)	ALPHA / NUMERIC	*EOD*	N

PYMNT VCHR

	2D SPECS: PAYMENT VOUCHER PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)
	LINE	FIELD NAME	IDENTIFICATION	FIELD NUMBER	MAX LENGTH	ACCEPTABLE VALUES	TYPE	FORMAT	CAN BE NEGATIVE?	2D BARCODE PLACEMENT
	PYMT VCHR FORM									BOTTOM CENTER
			HEADER FIELD	H1	2	T1 (STATIC VALUE)	ALPHA / NUMERIC	T1	N
			DEVELOPER CODE	H2	4	SAME AS VENDOR CODE (ISSUED BY NACTP)	NUMERIC	9999	N	VERSION 1 REVISED 07/2024
			STATE	H3	2	NH (STATIC VALUE)	ALPHA	NH	N
			FORM ID & YEAR	H4	8	A-Z, 0-9	ALPHA / NUMERIC	0NHPYTyy	N
	1 TAX TYPE	TAXBXBS	BUSINESS (CHECKBOX)	1	1	X	CHECKBOX	X	N
	2 ENTITY TYPE	ENTBX2	CORPORATION (CHECKBOX)	2	1	X	CHECKBOX	X	N
	2 ENTITY TYPE	ENTBX6	COMBINED (CHECKBOX)	3	1	X	CHECKBOX	X	N
	2 ENTITY TYPE	ENTBX3	PARTNERSHIP (CHECKBOX)	4	1	X	CHECKBOX	X	N
	2 ENTITY TYPE	ENTBX1	PROPRIETORSHIP (CHECKBOX)	5	1	X	CHECKBOX	X	N
	2 ENTITY TYPE	ENTBX4	FIDUCIARY (CHECKBOX)	6	1	X	CHECKBOX	X	N
	2 ENTITY TYPE	ENTBX5	NON-PROFIT (CHECKBOX)	7	1	X	CHECKBOX	X	N
	1 TAX TYPE	TAXBXID	INTEREST & DIVIDENDS (CHECKBOX)	8	1	X	CHECKBOX	X	N
	2 ENTITY TYPE	ENTBXIJT	INDIVIDUAL / JOINT (CHECKBOX)	9	1	X	CHECKBOX	X	N
	2 ENTITY TYPE	ENTBXPRT	PARTNERSHIP (CHECKBOX)	10	1	X	CHECKBOX	X	N
	2 ENTITY TYPE	ENTBXFID	ESTATE (CHECKBOX)	11	1	X	CHECKBOX	X	N
	1 TAX TYPE	TAXBXMR	MEALS & RENTALS (CHECKBOX)	12	1	X	CHECKBOX	X	N
	2 ENTITY TYPE	ENTBXALL	ALL ENTITY TYPES (CHECKBOX)	13	1	X	CHECKBOX	X	N
	3	PERBEGDT	TAXABLE PERIOD (BEGINNING)	14	8	0-9	NUMERIC	mmddyyyy	N
	3	PERENDDT	TAXABLE PERIOD (ENDING)	15	8	0-9	NUMERIC	mmddyyyy	N
	4	IDBXF	FEIN (CHECKBOX)	16	1	X	CHECKBOX	X	N
	4	IDBXS	SSN (CHECKBOX)	17	1	X	CHECKBOX	X	N
	4	IDBXD	DIN (CHECKBOX)	18	1	X	CHECKBOX	X	N
	4	IDBXL	M&R LICENSE # (CHECKBOX)	19	1	X	CHECKBOX	X	N
	4	TXPYRREF	TAXPAYER IDENTIFICATION # (FIELD)	20	9	0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES	ALPHA / NUMERIC	999999999 SM9999999 NL9999999	N
	5	AMTPD	AMOUNT PAID	21	13	0-9	NUMERIC	9(13)	N
	6	LNAME	LAST NAME (TAXPAYER)	22	30	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(30)	N
	6	FNAME	FIRST NAME (TAXPAYER)	23	15	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(15)	N
	6	MIDINIT	MIDDLE INITIAL (TAXPAYER)	24	1	A-Z	ALPHA	X(1)	N
	6	PRIMNM	BUSINESS NAME	25	46	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(46)	N
	6	STRADDR1	ADDRESS	26	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
	6	STRADDR2	ADDRESS (CONTINUED)	27	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
	6	CITY	CITY / TOWN	28	20	A-Z PLUS SPACE	ALPHA / NUMERIC	X(20)	N
	6	STATE	STATE	29	2	A-Z	ALPHA	XX	N
	6	ZIPPSTLCD	ZIP CODE + 4	30	10	A-Z, 0-9, PLUS (-), PLUS SPACE	ALPHA / NUMERIC	99999-9999 X1X 1X1	N
		*EOD*	END OF FILE	31	5	*EOD* (STATIC VALUE)	ALPHA / NUMERIC	*EOD*	N

SCHD II

	2D SPECS: SCHEDULE II PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)
	LINE	FIELD NAME	IDENTIFICATION	FIELD NUMBER	MAX LENGTH	ACCEPTABLE VALUES	TYPE	FORMAT	CAN BE NEGATIVE?	2D BARCODE PLACEMENT
	SCHEDULE II FORM									BOTTOM CENTER - PAGE 1
			HEADER FIELD	H1	2	T1 (STATIC VALUE)	ALPHA / NUMERIC	T1	N
			DEVELOPER CODE	H2	4	SAME AS VENDOR CODE (ISSUED BY NACTP)	NUMERIC	9999	N	VERSION 1 REVISED 06/2024
			STATE	H3	2	NH (STATIC VALUE)	ALPHA	NH	N
			FORM ID & YEAR	H4	8	A-Z, 0-9	ALPHA / NUMERIC	SCHD02yy	N
		PRIMNM	BUSINESS ORGANIZATION NAME	1	46	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(46)	N
		BUSIDNO	TAXPAYER IDENTIFICATION #	2	9	0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES	ALPHA / NUMERIC	999999999 SM9999999 NL9999999	N
		PERBEGDT	TAXABLE PERIOD (BEGINNING)	3	8	0-9	NUMERIC	mmddyyyy	N
		PERENDDT	TAXABLE PERIOD (ENDING)	4	8	0-9	NUMERIC	mmddyyyy	N
	1A	SLSINCALL	ENTER THE AMOUNTS FROM FORM DP-80, LINE 1 (EVERYWHERE)	5	13	0-9	NUMERIC	9(13)	Y
	1A	SLSINCNH	ENTER THE AMOUNTS FROM FORM DP-80, LINE 1 (NEW HAMPSHIRE)	6	13	0-9	NUMERIC	9(13)	Y
	1B	SLSFDIVALL	ENTER THE TOTAL FOREIGN DIVIDEND SALES FACTOR INCREMENT… (EVERYWHERE)	7	13	0-9	NUMERIC	9(13)	Y
	1C	SLSADJALL	ENTER THE ADJUSTED SALES FACTOR (LINE 1(a) PLUS LINE 1(b)) (EVERYWHERE)	8	13	0-9	NUMERIC	9(13)	Y
	1C	SLSADJNH	ENTER THE ADJUSTED SALES FACTOR (LINE 1(a) PLUS LINE 1(b)) (NEW HAMPSHIRE)	9	13	0-9	NUMERIC	9(13)	Y
	1D	SLSPCTNH	ENTER LINE 1(c) NEW HAMPSHIRE DIVIDED BY LINE 1(c) EVERYWHERE	10	8	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9.999999	Y
	2	FRDIVIDND	FOREIGN DIVIDENDS AS DEFINED IN RSA 77-A:1, XVII AND REV 304.12 (THIS AMOUNT…	11	13	0-9	NUMERIC	9(13)	Y
	3	NHFDIVTXBP	NEW HAMPSHIRE FOREIGN DIVIDENDS TAXABLE BUSINESS PROFITS (LINE 2…	12	13	0-9	NUMERIC	9(13)	Y
	4A	PYRINCALL	ENTER THE AMOUNTS FROM FORM DP-80, LINE 2 (EVERYWHERE)	13	13	0-9	NUMERIC	9(13)	Y
	4A	PYRINCNH	ENTER THE AMOUNTS FROM FORM DP-80, LINE 2 (NEW HAMPSHIRE)	14	13	0-9	NUMERIC	9(13)	Y
	4B	PYRFDIVALL	ENTER THE TOTAL FOREIGN DIVIDEND PAYROLL FACTOR INCREMENT FROM… (EVERYWHERE)	15	13	0-9	NUMERIC	9(13)	Y
	4C	PYRADJALL	ENTER THE ADJUSTED PAYROLL FACTOR (LINE 4(a) PLUS LINE 4(b)) (EVERYWHERE)	16	13	0-9	NUMERIC	9(13)	Y
	4C	PYRADJNH	ENTER THE ADJUSTED PAYROLL FACTOR (LINE 4(a) PLUS LINE 4(b)) (NEW HAMPSHIRE)	17	13	0-9	NUMERIC	9(13)	Y
	4D	PYRPCTEVW	ENTER LINE 4(c) NEW HAMPSHIRE DIVIDEND BY LINE 4(c) EVERYWHERE	18	8	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9.999999	N
	5A	PRPINCALL	ENTER THE AMOUNTS FROM FORM DP-80, LINE 3 (EVERYWHERE)	19	13	0-9	NUMERIC	9(13)	Y
	5A	PRPINCNH	ENTER THE AMOUNTS FROM FORM DP-80, LINE 3 (NEW HAMPSHIRE)	20	13	0-9	NUMERIC	9(13)	Y
	5B	PRPFDIVALL	ENTER THE TOTAL AMOUNT OF FOREIGN DIVIDEND PROPERTY FACTOR… (EVERYWHERE)	21	13	0-9	NUMERIC	9(13)	Y
	5C	PRPADJALL	ENTER THE ADJUSTED PROPERTY FACTOR (LINE 5(a) PLUS LINE 5(b)) (EVERYWHERE)	22	13	0-9	NUMERIC	9(13)	Y
	5C	PRPADJNH	ENTER THE ADJUSTED PROPERTY FACTOR (LINE 5(a) PLUS LINE 5(b)) (NEW HAMPSHIRE)	23	13	0-9	NUMERIC	9(13)	Y
	5D	PRPPCTEVW	ENTER LINE 5(c) NEW HAMPSHIRE, DIVIDEND BY LINE 5(c) EVERYWHERE	24	8	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9.999999	N
		*EOD*	END OF FILE	25	5	*EOD* (STATIC VALUE)	ALPHA / NUMERIC	*EOD*	N

SCHD III

	2D SPECS: SCHEDULE III PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)
	LINE	FIELD NAME	IDENTIFICATION	FIELD NUMBER	MAX LENGTH	ACCEPTABLE VALUES	TYPE	FORMAT	CAN BE NEGATIVE?	2D BARCODE PLACEMENT
	SCHEDULE III FORM									BOTTOM CENTER - PAGE 2
			HEADER FIELD	H1	2	T1 (STATIC VALUE)	ALPHA / NUMERIC	T1	N
			DEVELOPER CODE	H2	4	SAME AS VENDOR CODE (ISSUED BY NACTP)	NUMERIC	9999	N	VERSION 1 REVISED 06/2024
			STATE	H3	2	NH (STATIC VALUE)	ALPHA	NH	N
			FORM ID & YEAR	H4	8	A-Z, 0-9	ALPHA / NUMERIC	SCHD03yy	N
		PRIMNM	PRINCIPAL BUSINESS ORGANIZATION NAME	1	46	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(46)	N
		BUSIDNO	TAXPAYER IDENTIFICATION NUMBER	2	9	0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES	ALPHA / NUMERIC	999999999 SM9999999 NL9999999	N
		PERBEGDT	TAXABLE PERIOD (BEGINNING)	3	8	0-9	NUMERIC	mmddyyyy	N
		PERENDDT	TAXABLE PERIOD (ENDING)	4	8	0-9	NUMERIC	mmddyyyy	N
	1A	PAYOR1	NAME OF PAYOR (COLUMN A)	5	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
	1B	DIVIDEND1	DIVIDEND (COLUMN B)	6	13	0-9	NUMERIC	9(13)	Y
	1C	TAXINC1	TAXABLE INCOME (COLUMN C)	7	13	0-9	NUMERIC	9(13)	Y
	1D	PERCENT1	PERCENTAGE (COLUMN D)	8	8	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9.999999	N
	2A	PAYOR2	NAME OF PAYOR (COLUMN A)	9	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
	2B	DIVIDEND2	DIVIDEND (COLUMN B)	10	13	0-9	NUMERIC	9(13)	Y
	2C	TAXINC2	TAXABLE INCOME (COLUMN C)	11	13	0-9	NUMERIC	9(13)	Y
	2D	PERCENT2	PERCENTAGE (COLUMN D)	12	13	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9.999999	N
	3A	PAYOR3	NAME OF PAYOR (COLUMN A)	13	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
	3B	DIVIDEND3	DIVIDEND (COLUMN B)	14	13	0-9	NUMERIC	9(13)	Y
	3C	TAXINC3	TAXABLE INCOME (COLUMN C)	15	13	0-9	NUMERIC	9(13)	Y
	3D	PERCENT3	PERCENTAGE (COLUMN D)	16	13	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9.999999	N
	4A	PAYOR4	NAME OF PAYOR (COLUMN A)	17	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
	4B	DIVIDEND4	DIVIDEND (COLUMN B)	18	13	0-9	NUMERIC	9(13)	Y
	4C	TAXINC4	TAXABLE INCOME (COLUMN C)	19	13	0-9	NUMERIC	9(13)	Y
	4D	PERCENT4	PERCENTAGE (COLUMN D)	20	13	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9.999999	N
	5A	PAYOR5	NAME OF PAYOR (COLUMN A)	21	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
	5B	DIVIDEND5	DIVIDEND (COLUMN B)	22	13	0-9	NUMERIC	9(13)	Y
	5C	TAXINC5	TAXABLE INCOME (COLUMN C)	23	13	0-9	NUMERIC	9(13)	Y
	5D	PERCENT5	PERCENTAGE (COLUMN D)	24	13	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9.999999	N
	6A	PAYOR6	NAME OF PAYOR (COLUMN A)	25	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
	6B	DIVIDEND6	DIVIDEND (COLUMN B)	26	13	0-9	NUMERIC	9(13)	Y
	6C	TAXINC6	TAXABLE INCOME (COLUMN C)	27	13	0-9	NUMERIC	9(13)	Y
	6D	PERCENT6	PERCENTAGE (COLUMN D)	28	13	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9.999999	N
	7A	PAYOR7	NAME OF PAYOR (COLUMN A)	29	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
	7B	DIVIDEND7	DIVIDEND (COLUMN B)	30	13	0-9	NUMERIC	9(13)	Y
	7C	TAXINC7	TAXABLE INCOME (COLUMN C)	31	13	0-9	NUMERIC	9(13)	Y
	7D	PERCENT7	PERCENTAGE (COLUMN D)	32	13	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9.999999	N
	8A	PAYOR8	NAME OF PAYOR (COLUMN A)	33	40	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(40)	N
	8B	DIVIDEND8	DIVIDEND (COLUMN B)	34	13	0-9	NUMERIC	9(13)	Y
	8C	TAXINC8	TAXABLE INCOME (COLUMN C)	35	13	0-9	NUMERIC	9(13)	Y
	8D	PERCENT8	PERCENTAGE (COLUMN D)	36	13	0-9 PLUS DECIMAL	ALPHA / NUMERIC	9.999999	N
		TOTDIV	TOTAL DIVIDENDS	37	13	0-9	NUMERIC	9(13)	Y
	1E	SALESREC1	SALES AND RECEIPTS (COLUMN E)	38	13	0-9	NUMERIC	9(13)	Y
	1F	PAYROLL1	PAYROLL (COLUMN F)	39	13	0-9	NUMERIC	9(13)	Y
	1G	BEGPROP1	BEGINNING PROPERTY (COLUMN G)	40	13	0-9	NUMERIC	9(13)	Y
	1H	ENDPROP1	ENDING PROPERTY (COLUMN H)	41	13	0-9	NUMERIC	9(13)	Y
	1I	AVGPROP1	AVERAGE PROPERTY (COLUMN I)	42	13	0-9	NUMERIC	9(13)	Y
	2E	SALESREC2	SALES AND RECEIPTS (COLUMN E)	43	13	0-9	NUMERIC	9(13)	Y
	2F	PAYROLL2	PAYROLL (COLUMN F)	44	13	0-9	NUMERIC	9(13)	Y
	2G	BEGPROP2	BEGINNING PROPERTY (COLUMN G)	45	13	0-9	NUMERIC	9(13)	Y
	2H	ENDPROP2	ENDING PROPERTY (COLUMN H)	46	13	0-9	NUMERIC	9(13)	Y
	2I	AVGPROP2	AVERAGE PROPERTY (COLUMN I)	47	13	0-9	NUMERIC	9(13)	Y
	3E	SALESREC3	SALES AND RECEIPTS (COLUMN E)	48	13	0-9	NUMERIC	9(13)	Y
	3F	PAYROLL3	PAYROLL (COLUMN F)	49	13	0-9	NUMERIC	9(13)	Y
	3G	BEGPROP3	BEGINNING PROPERTY (COLUMN G)	50	13	0-9	NUMERIC	9(13)	Y
	3H	ENDPROP3	ENDING PROPERTY (COLUMN H)	51	13	0-9	NUMERIC	9(13)	Y
	3I	AVGPROP3	AVERAGE PROPERTY (COLUMN I)	52	13	0-9	NUMERIC	9(13)	Y
	4E	SALESREC4	SALES AND RECEIPTS (COLUMN E)	53	13	0-9	NUMERIC	9(13)	Y
	4F	PAYROLL4	PAYROLL (COLUMN F)	54	13	0-9	NUMERIC	9(13)	Y
	4G	BEGPROP4	BEGINNING PROPERTY (COLUMN G)	55	13	0-9	NUMERIC	9(13)	Y
	4H	ENDPROP4	ENDING PROPERTY (COLUMN H)	56	13	0-9	NUMERIC	9(13)	Y
	4I	AVGPROP4	AVERAGE PROPERTY (COLUMN I)	57	13	0-9	NUMERIC	9(13)	Y
	5E	SALESREC5	SALES AND RECEIPTS (COLUMN E)	58	13	0-9	NUMERIC	9(13)	Y
	5F	PAYROLL5	PAYROLL (COLUMN F)	59	13	0-9	NUMERIC	9(13)	Y
	5G	BEGPROP5	BEGINNING PROPERTY (COLUMN G)	60	13	0-9	NUMERIC	9(13)	Y
	5H	ENDPROP5	ENDING PROPERTY (COLUMN H)	61	13	0-9	NUMERIC	9(13)	Y
	5I	AVGPROP5	AVERAGE PROPERTY (COLUMN I)	62	13	0-9	NUMERIC	9(13)	Y
	6E	SALESREC6	SALES AND RECEIPTS (COLUMN E)	63	13	0-9	NUMERIC	9(13)	Y
	6F	PAYROLL6	PAYROLL (COLUMN F)	64	13	0-9	NUMERIC	9(13)	Y
	6G	BEGPROP6	BEGINNING PROPERTY (COLUMN G)	65	13	0-9	NUMERIC	9(13)	Y
	6H	ENDPROP6	ENDING PROPERTY (COLUMN H)	66	13	0-9	NUMERIC	9(13)	Y
	6I	AVGPROP6	AVERAGE PROPERTY (COLUMN I)	67	13	0-9	NUMERIC	9(13)	Y
	7E	SALESREC7	SALES AND RECEIPTS (COLUMN E)	68	13	0-9	NUMERIC	9(13)	Y
	7F	PAYROLL7	PAYROLL (COLUMN F)	69	13	0-9	NUMERIC	9(13)	Y
	7G	BEGPROP7	BEGINNING PROPERTY (COLUMN G)	70	13	0-9	NUMERIC	9(13)	Y
	7H	ENDPROP7	ENDING PROPERTY (COLUMN H)	71	13	0-9	NUMERIC	9(13)	Y
	7I	AVGPROP7	AVERAGE PROPERTY (COLUMN I)	72	13	0-9	NUMERIC	9(13)	Y
	8E	SALESREC8	SALES AND RECEIPTS (COLUMN E)	73	13	0-9	NUMERIC	9(13)	Y
	8F	PAYROLL8	PAYROLL (COLUMN F)	74	13	0-9	NUMERIC	9(13)	Y
	8G	BEGPROP8	BEGINNING PROPERTY (COLUMN G)	75	13	0-9	NUMERIC	9(13)	Y
	8H	ENDPROP8	ENDING PROPERTY (COLUMN H)	76	13	0-9	NUMERIC	9(13)	Y
	8I	AVGPROP8	AVERAGE PROPERTY (COLUMN I)	77	13	0-9	NUMERIC	9(13)	Y
	1J	RENTX81	RENTS X 8 (COLUMN J)	78	13	0-9	NUMERIC	9(13)	Y
	1K	TOTPROP1	TOTAL PROPERTY (COLUMN K)	79	13	0-9	NUMERIC	9(13)	Y
	1L	MODSALES1	MODIFIED SALES (COLUMN L)	80	13	0-9	NUMERIC	9(13)	Y
	1M	MODPYRL1	MODIFIED PAYROLL (COLUMN M)	81	13	0-9	NUMERIC	9(13)	Y
	1N	MODPROP1	MODIFIED PROPERTY (COLUMN N)	82	13	0-9	NUMERIC	9(13)	Y
	2J	RENTX82	RENTS X 8 (COLUMN J)	83	13	0-9	NUMERIC	9(13)	Y
	2K	TOTPROP2	TOTAL PROPERTY (COLUMN K)	84	13	0-9	NUMERIC	9(13)	Y
	2L	MODSALES2	MODIFIED SALES (COLUMN L)	85	13	0-9	NUMERIC	9(13)	Y
	2M	MODPYRL2	MODIFIED PAYROLL (COLUMN M)	86	13	0-9	NUMERIC	9(13)	Y
	2N	MODPROP2	MODIFIED PROPERTY (COLUMN N)	87	13	0-9	NUMERIC	9(13)	Y
	3J	RENTX83	RENTS X 8 (COLUMN J)	88	13	0-9	NUMERIC	9(13)	Y
	3K	TOTPROP3	TOTAL PROPERTY (COLUMN K)	89	13	0-9	NUMERIC	9(13)	Y
	3L	MODSALES3	MODIFIED SALES (COLUMN L)	90	13	0-9	NUMERIC	9(13)	Y
	3M	MODPYRL3	MODIFIED PAYROLL (COLUMN M)	91	13	0-9	NUMERIC	9(13)	Y
	3N	MODPROP3	MODIFIED PROPERTY (COLUMN N)	92	13	0-9	NUMERIC	9(13)	Y
	4J	RENTX84	RENTS X 8 (COLUMN J)	93	13	0-9	NUMERIC	9(13)	Y
	4K	TOTPROP4	TOTAL PROPERTY (COLUMN K)	94	13	0-9	NUMERIC	9(13)	Y
	4L	MODSALES4	MODIFIED SALES (COLUMN L)	95	13	0-9	NUMERIC	9(13)	Y
	4M	MODPYRL4	MODIFIED PAYROLL (COLUMN M)	96	13	0-9	NUMERIC	9(13)	Y
	4N	MODPROP4	MODIFIED PROPERTY (COLUMN N)	97	13	0-9	NUMERIC	9(13)	Y
	5J	RENTX85	RENTS X 8 (COLUMN J)	98	13	0-9	NUMERIC	9(13)	Y
	5K	TOTPROP5	TOTAL PROPERTY (COLUMN K)	99	13	0-9	NUMERIC	9(13)	Y
	5L	MODSALES5	MODIFIED SALES (COLUMN L)	100	13	0-9	NUMERIC	9(13)	Y
	5M	MODPYRL5	MODIFIED PAYROLL (COLUMN M)	101	13	0-9	NUMERIC	9(13)	Y
	5N	MODPROP5	MODIFIED PROPERTY (COLUMN N)	102	13	0-9	NUMERIC	9(13)	Y
	6J	RENTX86	RENTS X 8 (COLUMN J)	103	13	0-9	NUMERIC	9(13)	Y
	6K	TOTPROP6	TOTAL PROPERTY (COLUMN K)	104	13	0-9	NUMERIC	9(13)	Y
	6L	MODSALES6	MODIFIED SALES (COLUMN L)	105	13	0-9	NUMERIC	9(13)	Y
	6M	MODPYRL6	MODIFIED PAYROLL (COLUMN M)	106	13	0-9	NUMERIC	9(13)	Y
	6N	MODPROP6	MODIFIED PROPERTY (COLUMN N)	107	13	0-9	NUMERIC	9(13)	Y
	7J	RENTX87	RENTS X 8 (COLUMN J)	108	13	0-9	NUMERIC	9(13)	Y
	7K	TOTPROP7	TOTAL PROPERTY (COLUMN K)	109	13	0-9	NUMERIC	9(13)	Y
	7L	MODSALES7	MODIFIED SALES (COLUMN L)	110	13	0-9	NUMERIC	9(13)	Y
	7M	MODPYRL7	MODIFIED PAYROLL (COLUMN M)	111	13	0-9	NUMERIC	9(13)	Y
	7N	MODPROP7	MODIFIED PROPERTY (COLUMN N)	112	13	0-9	NUMERIC	9(13)	Y
	8J	RENTX88	RENTS X 8 (COLUMN J)	113	13	0-9	NUMERIC	9(13)	Y
	8K	TOTPROP8	TOTAL PROPERTY (COLUMN K)	114	13	0-9	NUMERIC	9(13)	Y
	8L	MODSALES8	MODIFIED SALES (COLUMN L)	115	13	0-9	NUMERIC	9(13)	Y
	8M	MODPYRL8	MODIFIED PAYROLL (COLUMN M)	116	13	0-9	NUMERIC	9(13)	Y
	8N	MODPROP8	MODIFIED PROPERTY (COLUMN N)	117	13	0-9	NUMERIC	9(13)	Y
		TOTMODSLS	TOTAL MODIFIED SALES	118	13	0-9	NUMERIC	9(13)	Y
		TOTMODPYR	TOTAL MODIFIED PAYROLL	119	13	0-9	NUMERIC	9(13)	Y
		TOTMODPRP	TOTAL MODIFIED PROPERTY	120	13	0-9	NUMERIC	9(13)	Y
		*EOD*	END OF FILE	121	5	*EOD* (STATIC VALUE)	ALPHA / NUMERIC	*EOD*	N

SCHD IV

	2D SPECS: SCHEDULE IV PDF-417 2D BARCODE - field delimiter is <CR> (Hex 0d)
	LINE	FIELD NAME	IDENTIFICATION	FIELD NUMBER	MAX LENGTH	ACCEPTABLE VALUES	TYPE	FORMAT	CAN BE NEGATIVE?	2D BARCODE PLACEMENT
	SCHEDULE IV FORM									BOTTOM CENTER
			HEADER FIELD	H1	2	T1 (STATIC VALUE)	ALPHA / NUMERIC	T1	N
			DEVELOPER CODE	H2	4	SAME AS VENDOR CODE (ISSUED BY NACTP)	NUMERIC	9999	N	VERSION 1 REVISED 06/2024
			STATE	H3	2	NH (STATIC VALUE)	ALPHA	NH	N
			FORM ID & YEAR	H4	8	A-Z, 0-9	ALPHA / NUMERIC	SCHD04yy	N
		PRIMNM	BUSINESS ORGANIZATION NAME	1	46	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(46)	N
		BUSIDNO	TAXPAYER IDENTIFICATION NUMBER	2	9	0-9, AND SM OR NL PERMITTED IN THE FIRST TWO SPACES	ALPHA / NUMERIC	999999999 SM9999999 NL9999999	N
		PERBEGDT	TAXABLE PERIOD (BEGINNING)	3	8	0-9	NUMERIC	mmddyyyy	N
		PERENDDT	TAXABLE PERIOD (ENDING)	4	8	0-9	NUMERIC	mmddyyyy	N
	PART A 1	GILTIFDADD	FOREIGN DIVIDENDS CONSISTING OF GILTI THAT WERE NOT PREVIOUSLY SUBJECT TO BUSINESS PROFITS TAX.	5	11	0-9	NUMERIC	9(11)	N
	2	FORDIVTCJA	FOREIGN DIVIDENDS CONSISTING OF DEEMED ONE-TIME REPATRIATION UNDER THE TAX CUTS AND…	6	11	0-9	NUMERIC	9(11)	N
	3	CHARDED	CHARITABLE DEDUCTIONS IN EXCESS OF THE LIMITATION IN THE TCJA.	7	11	0-9	NUMERIC	9(11)	N
	4	IRC181DED	AMOUNTS DEDUCTED UNDER IRC §181.	8	11	0-9	NUMERIC	9(11)	N
	5 - DESC	MISCA1	MISC. ADDITIONS (LINE 5)	9	46	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(46)	N	FIELDS THAT HAVE MOVED UP AND RENUMBERED FROM PRIOR YEAR VERSIONS.
	5 - AMT	MISCA1AMT	MISC. ADDITIONS AMOUNT (LINE 5)	10	11	0-9	NUMERIC	9(11)	N
	6 - DESC	MISCA2	MISC. ADDITIONS (LINE 6)	11	46	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(46)	N
	6 - AMT	MISCA2AMT	MISC. ADDITIONS AMOUNT (LINE 6)	12	11	0-9	NUMERIC	9(11)	N
	7 - DESC	MISCA3	MISC. ADDITIONS (LINE 7)	13	46	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(46)	N
	7 - AMT	MISCA3AMT	MISC. ADDITIONS AMOUNT (LINE 7)	14	11	0-9	NUMERIC	9(11)	N
	8 - DESC	MISCA4	MISC. ADDITIONS (LINE 8)	15	46	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(46)	N	NEW FIELDS ADDED IN TY2024.
	8 - AMT	MISCA4AMT	MISC. ADDITIONS AMOUNT (LINE 8)	16	11	0-9	NUMERIC	9(11)	N
	9	TOTIRCADD	TOTAL ADDITIONS	17	11	0-9	NUMERIC	9(11)	N
	PART B 1	GILTIADD	GLOBAL INTANGIBLE LOW-TAXED INCOME (GILTI) DEDUCTION AS DETERMINED UNDER IRC §250(a).	18	11	0-9	NUMERIC	9(11)	N
	2 - DESC	MISCB1	MISC. DEDUCTIONS (LINE 2)	19	46	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(46)	N
	2 - AMT	MISCB1AMT	MISC. DEDUCTIONS AMOUNT (LINE 2)	20	11	0-9	NUMERIC	9(11)	N
	3 - DESC	MISCB2	MISC. DEDUCTIONS (LINE 3)	21	46	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(46)	N
	3 - AMT	MISCB2AMT	MISC. DEDUCTIONS AMOUNT (LINE 3)	22	11	0-9	NUMERIC	9(11)	N
	4 - DESC	MISCB3	MISC. DEDUCTIONS (LINE 4)	23	46	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(46)	N
	4 - AMT	MISCB3AMT	MISC. DEDUCTIONS AMOUNT (LINE 4)	24	11	0-9	NUMERIC	9(11)	N
	5 - DESC	MISCB4	MISC. DEDUCTIONS (LINE 5)	25	46	A-Z, 0-9, PLUS SPACE, DASH, PERIOD, COMMA, #, /, &, @	ALPHA / NUMERIC	X(46)	N
	5 - AMT	MISCB4AMT	MISC. DEDUCTIONS AMOUNT (LINE 5)	26	11	0-9	NUMERIC	9(11)	N
	6	TOTIRCDED	TOTAL DEDUCTIONS	27	11	0-9	NUMERIC	9(11)	N
		*EOD*	END OF FILE	28	5	*EOD* (STATIC VALUE)	ALPHA / NUMERIC	*EOD*	N

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