FORM                                       NEW HAMPSHIRE DEPARTMENT OF REVENUE ADMINISTRATION
  DP-145                                         SCHEDULE A - SUMMARY OF ESTATE
Schedule A

ESTATE OF:   LAST NAME                                                       FIRST NAME                                                  MIDDLE INITIAL                                                          DECEDENT'S SSN

PART I    SUMMARY OF SPECIFIC BEQUESTS                                                                                                                   VALUE OF ITEMS TO:
                                                        RELATIONSHIP                             NON-TAXABLE              TAXABLE
                   NAME OF LEGATEE                      TO DECEDENT       ITEM                        LEGATEES                 LEGATEES
  1                                                                                                                                             1 $$
  2                                                                                                                                             2 $$
  3                                                                                                                                             3 $$
  4                                                                                                                                             4 $$
  5                                                                                                                                             5 $$
  6   Total From Supplemental Schedule ....................................................................................................   6   $                                                                                                                                                                     $

  7   Total Specific Bequests (Non-Taxable).............................................................................................. 7       $
  8   Total Specific Bequests (Taxable)...................................................................................................... 8   123456789012345678901234123456789012345678901234123456789012345678901234123456789012345678901234123456789012345678901234123456789012345678901234123456789012345678901234567123456789012345678901234567123456789012345678901234567123456789012345678901234567123456789012345678901234567123456789012345678901234567123456789012345678901234567$

PART II    SUMMARY OF GIFTS, TRANSFERS, JOINT TENANCIES AND TRUSTS                                                           VALUE OF ITEMS TO:
                                                                                                  NON-TAXABLE               TAXABLE
                                                           RELATIONSHIP                           LEGATEES OR            LEGATEES OR
              NAME OF LEGATEE                              TO DECEDENT    ITEM                    JOINT TENANT          JOINT TENANT
  9                                                                                                                                             9 $                                                                                                                                                                     $
10                                                                                                                                            10 $$
11                                                                                                                                            11 $                                                                                                                                                                      $
12                                                                                                                                            12 $                                                                                                                                                                      $
13                                                                                                                                              13 $                                                                                                                                                                    $
14   Total From Supplemental Schedule ..................................................................................................... 14 $$
15   Total Gifts, Transfers, Joint Tenancies and Trusts (Non-Taxable)...................................................... 15 $
16   Total Gifts, Transfers, Joint Tenancies and Trusts (Taxable).............................................................                16123456789012345678901234123456789012345678901234123456789012345678901234123456789012345678901234123456789012345678901234123456789012345678901234123456789012345678901234123456789012345678901234567123456789012345678901234567123456789012345678901234567123456789012345678901234567123456789012345678901234567123456789012345678901234567$

PART III    SUMMARY OF REST AND RESIDUE
                     COMPLETE THIS PART AFTER YOU HAVE COMPLETED PAGE 2 LINES 1 - 24
                                                                  % OF                                                                                                  AMOUNT TO:
                                                        RELATIONSHIP     REST AND        REST AND              NON-TAXABLE           TAXABLE
                   NAME OF LEGATEE                      TO DECEDENT       RESIDUE            RESIDUE                  LEGATEES               LEGATEES

17                                                                                                                                            17 $                                                                                                                                                                      $
18                                                                                                                                            18 $$
19                                                                                                                                            19 $$
20                                                                                                                                            20 $$
21                                                                                                                                            21 $$

22   Total From Supplemental Schedule ....................................................................................................    22 $                                                                                                                                                                      $
23   Total Amount of Rest & Residue (Non-Taxable).................................................................................            23 $
24    Total Amount of Rest & Residue (Taxable).........................................................................................       24123456789012345678901234123456789012345678901234123456789012345678901234123456789012345678901234123456789012345678901234123456789012345678901234123456789012345678901234567123456789012345678901234567123456789012345678901234567123456789012345678901234567123456789012345678901234567123456789012345678901234567123456789012345678901234567$
                                                                                                                                                                                                                                                                                                                         DP-145
                                                                                                                                                                                                                                                                                                                         Schedule A
                                                                        3                                                                                                                                                                                                                                                Rev. 11/00

FORM                                   NEW HAMPSHIRE DEPARTMENT OF REVENUE ADMINISTRATION
DP-145                                 LEGACY AND SUCCESSION TAX RETURN
Schedule A                             SCHEDULE A - SUMMARY OF ESTATE INSTRUCTIONS
Instructions
                        Complete Parts I and II before completing Form DP-145 Legacy and Succession Tax Return
            Complete Part III after completing page 2 lines 1 - 24 of Form DP-145 Legacy and Succession Tax Return

PART I      Report all the decedent's non-taxable and taxable specific bequests granted through the Will.  To complete this part, list the name of each
            legatee, the legatee's relationship to the decedent and the item specifically bequeathed to the legatee.
SPECIFIC
BEQUESTS    Refer to the LEGATEE CHECKLIST under the general instructions to determine if the legatee is a taxable or non-taxable legatee.  Report in
            the appropriate column (Non-Taxable Legatee or Taxable Legatee) the fair market value of the bequeathed item as of the date of death.
            If additional lines are necessary, attach a supplemental schedule using the same format.  Enter on line 6 the totals from the supplemental
            schedule, if applicable.  Note: A joint tenant asserting a claim of separate interest in joint ownership property shall provide an affidavit or
            proof as outlined in Rev. 1303.04 that the property was totally or partially his/her own.
            Enter on line 7 the total of the "Non-Taxable Legatee" column.  Enter on line 8 the total of the "Taxable Legatee" column.

PART II     Report all gifts, transfers, joint tenancies and trusts as reported on the Form AU-101-B.  List the name of each legatee or  joint tenant, the
GIFTS,      relationship to the decedent, the item given, transferred or jointly held.  Refer to the LEGATEE CHECKLIST under the general instructions to
TRANSFERS,  determine if the legatee/joint tenant is a taxable or non-taxable legatee.  Report in the appropriate column (Non-Taxable Legatee/Joint Tenant
JOINT       or Taxable Legatee/Joint Tenant) the fair market value as of the date of death of the gifts, transfers, jointly held property or trusts.  If
TENANCIES   additional lines are necessary, attach a supplemental schedule using the same format.  Enter on line 14 the totals from the supplemental
AND TRUSTS  schedule, if applicable.
            Enter on line 15 the total of the "Non-Taxable Legatee/Joint Tenant" column.
            Enter on line 16 the total of the "Taxable Legatee/Joint Tenant" column.

PART III                               Complete lines 1 - 24 on Form DP-145 before completing PART III
SUMMARY
OF REST     Report all the decedent's non-taxable and taxable rest and residue granted through the Will or granted by intestate laws.  List the names
AND         of each legatee, the legatee's relationship to the decedent, and the legatee's percentage of the rest and residue.  NOTE:  The sum of all
RESIDUE     the legatees' percentage of rest and residue must equal 100%.
            Enter on each line in the "Rest and Residue" column the amount of Rest & Residue from Form DP-145, line 24.
            Refer to the LEGATEE CHECKLIST under the general instructions to determine whether the legatee is a taxable or non-taxable legatee.
            Report in the appropriate column (Non-Taxable Legatee or Taxable Legatee) the legatee's percentage of rest and residue times the
            amount of rest and residue.

            EXAMPLE:
                                                                       REST &                        NON-TAXABLE             TAXABLE
                   NAME RELATIONSHIP    PERCENTAGE                     RESIDUE                                  LEGATEE        LEGATEE
             Joe Jones         Son        25%              x           100,000           =                 25,000
            John Jones     Brother                    75%  x           100,000           =                                     75,000
            If additional lines are necessary, attach a supplemental schedule using the same format.  Enter on Schedule A, line 22, the totals from
            the supplemental schedule, if applicable.
            Enter on Schedule A, line 23 the total of the "Non-Taxable Legatee" column.
            Enter on line 24 the total of the "Taxable Legatee" column.
            NOTE: The sum of Schedule A, line 23 and Schedule A, line 24 must equal the total amount of Rest and Residue (Form DP-145, line 24).

                                                                                                                                            DP-145
                                                                                                                                      Schedule A
                                                                                                                                      Instructions
                                                                                                                                            Rev. 11/00