New Hampshire Real Estate Transfer Tax Declaration of Consideration (Purchaser)

Real Estate Transfer Tax Declaration of Consideration (Purchaser)
CD-57-P Form
DO NOT STAPLE
New Hampshire
Department of
Revenue Administration

Print Form

Reset Form

*0CD57P2411862*

CD-57-P

0CD57P2411862

REAL ESTATE TRANSFER TAX DECLARATION OF CONSIDERATION REAL ESTATE PURCHASER (GRANTEE)
STEP 1 - PURCHASER

Grantee / Assignee / Transferee

Entity Type - (Check One):

Individual

(use new mailing address)

Partnership

Joint

Corporation

Trust

Original Return
LLC
Amended Return

Last Name / Entity

First Name

FEIN / SSN

Last Name / Entity

First Name

FEIN / SSN

Street No.

Street Name

City

State

STEP 2 - SELLER

Phone Number

Apt / Unit

Zip Code + 4 (or Canadian Postal Code)

Grantor / Assignor / Transferor

Last Name / Entity

First Name

Last Name / Entity

First Name

STEP 3 - REAL ESTATE
Municipality

County

Street No.

Street Name

If Yes, list municipalities:

Multi Town Sale?
Yes

Apt / Unit

No

STEP 4 - DEED

Deed Type
(Check one):

CD-57-P
Version 1 09/2024

Recording Date

Transfer Date

Book No.

Warranty

Quitclaim

Mortgage

Sheriffs

Commissioner's

Fiduciary

Probate

In Lieu of Foreclosure

Tax

Page No.

Foreclosure
Transfer on Death

Page 1 of 3

New Hampshire
Department of
Revenue Administration

CD-57-P

*0CD57P2421862*
0CD57P2421862

REAL ESTATE TRANSFER TAX DECLARATION OF CONSIDERATION REAL ESTATE PURCHASER (GRANTEE)
STEP 5 - TAX AMOUNT
a) Full price or consideration for the real estate

b) Divide Line 5(a) by $100

0

c) Tax rate per $100 at time of transfer

.

7

5

d) Subtotal of Purchaser's tax (Minimum of $20 for all considerations $4,000 or less, per RSA 78-B:1)
e) Total tax paid to County on behalf of Seller and Purchaser
Are you claiming tax
exemption under
RSA 78-B:2, IX?

Yes

No

DO NOT file form CD-57-P for transfers specifically exempted from taxation under RSA 78-B:2, EXCEPT transfers exempted
by RSA 78-B:2, IX. Form CD-57-P must be filed for non-contractual transfers exempted under RSA 78-B:2, IX.

STEP 6 - TAXPAYER'S SIGNATURE & INFORMATION (Purchaser's Signature is Required)
Under penalties of perjury, I declare that I have examined this return and to the best of my belief it is true, correct and complete. I also agree and affirm that the full
price or consideration paid for the real estate transferred by this deed is as reported in Step 5(a) of this form.
Purchaser 1 Signature

MMDDYYYY

Purchaser1 Printed Name

Purchaser 2 Signature

MMDDYYYY

Purchaser 2 Printed Name

CD-57-P
Version 1 09/2024

Page 2 of 3

New Hampshire
Department of
Revenue Administration

*0CD57P2431862*

CD-57-P

0CD57P2431862

REAL ESTATE TRANSFER TAX DECLARATION OF CONSIDERATION REAL ESTATE PURCHASER (GRANTEE)
SIGNATURE PAGE
STEP 7 - PREPARER'S SIGNATURE & INFORMATION (If prepared by someone other than the Purchaser)
Power of Attorney (POA): By checking this box and signing Step 6, you authorize the preparer listed on this return to act on your behalf for this return
only, including entering the book and page numbers and filing this return electronically.
Under penalties of perjury, I declare that I have examined this return and to the best of my belief it is true, correct and complete. (If prepared by a person other
than the taxpayer, this declaration is based on all information of which the preparer has knowledge.)
MMDDYYYY

Preparer's Signature (if other than taxpayer)

Preparer's Printed Name (required if POA box is checked)

Entity

Last Name

Street No.

City

First Name

Street Name

Apt / Unit

State

CD-57-P
Version 1 09/2024

Phone Number

Zip Code + 4 (or Canadian Postal Code)

Page 3 of 3