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    
                       


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    
                       


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-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             RIGHT SIDE OF FORM - 2D BARCODE SHOULD BE DISPLAYED VERTICALLY  
      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-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-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 VERSION 2
REVISED 07/2024		  
      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    
    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-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    
                       


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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