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

Real Estate Transfer Tax Declaration of Consideration for Holding Companies (Purchaser)
CD-57-HC-P Form
Print Form

New Hampshire

*CD57HP2311862*

CD-57-HC-P

Department of
Revenue Administration

Reset Form

CD57HP2311862

REAL ESTATE TRANSFER TAX DECLARATION OF CONSIDERATION FOR REAL ESTATE HOLDING COMPANIES (PURCHASER)
STEP 1 - PURCHASER

Grantee / Assignee / Transferee

(use mailing address)
Original Return

Entity Type - (Check One):

Individual

Partnership

Joint

Corporation

Trust

LLC

Last Name / Entity

First Name

FEIN / SSN

Last Name / Entity

First Name

FEIN / SSN

Street No.

Street Name

Apt / Unit

City

State

Amended Return

Phone Number

Zip Code + 4 (or Canadian Postal Code)

Email (optional)

STEP 2 - SELLER

(use mailing address)

Grantor / Assignor / Transferor

Last Name / Entity

First Name

Last Name / Entity

First Name

Street No.

Street Name

Apt / Unit

State

City

Phone Number

Zip Code + 4 (or Canadian Postal Code)

Email (optional)

STEP 3 - REAL ESTATE HOLDING COMPANY
Entity Type - (Check One):

Proprietorship

Corporation / Combined Group

Street Name

Apt / Unit

State

City

Fiduciary

FEIN

Entity

Street No.

Partnership

Phone Number

Zip Code + 4 (or Canadian Postal Code)

Email (optional)

CD-57-HC-P
Version 2 07/2024

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New Hampshire
Department of
Revenue Administration

*CD57HP2321862*

CD-57-HC-P

CD57HP2321862

REAL ESTATE TRANSFER TAX DECLARATION OF CONSIDERATION FOR REAL ESTATE HOLDING COMPANIES (PURCHASER)
STEP 4 - REAL ESTATE

`
County

Municipality

Street No.

Apt / Unit

Street Name

Tax Map

Block

Lot

Acreage
Number of Parcels Purchased
Multi Town Sale?
Yes

If Yes, list municipalities:
No

Property Use
(Check One):

Residential

Commercial

Mixed Res / Comm

Industrial

Other

Property Type
(Check All
That Apply):

Land Only

Building Only

Land & Building

Condo

Condex

Multi-unit

Timber Rights

Mineral Rights

Features
(Check One):

Manufactured Housing

Waterfront

Water Access

Land & Manufactured Housing

If multi-unit building, how many units?

STEP 5 - TRANSFER DATE

Transfer Date

STEP 6 - CALCULATE THE TAX AMOUNT
1) Fair market value of all NH real estate
2) Percentage of interest transferred (decimal)
3) Consideration (Line 1 multiplied by Line 2)

4) Divide Line 3 by $100
5) Tax rate per $100 at time of transfer (See instructions)

0

.

6) Subtotal of Tax (Minimum of $20 for all considerations $4,000 or less, per RSA 78-B:1)

7(a) Interest
7(b) Penalties
8) Total of Lines 6, 7(a), and 7(b). Make check payable to State of NH.
Enclose your payment with this return
Are you claiming tax
exemption under
RSA 78-B:2?

CD-57-HC-P
Version 2 07/2024

If Yes, please explain:
Yes

No

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7

5

New Hampshire
Department of
Revenue Administration

*CD57HP2331862*

CD-57-HC-P

CD57HP2331862

REAL ESTATE TRANSFER TAX DECLARATION OF CONSIDERATION FOR REAL ESTATE HOLDING COMPANIES (PURCHASER)
STEP 7 - PREPARER
Entity

First Name

Last Name

Street No.

Street Name

City

Phone Number

Apt / Unit

State

Zip Code + 4 (or Canadian Postal Code)

Email (optional)

STEP 8 - SIGNATURES
Power of Attorney (POA): By checking this box and signing below, you authorize the preparer listed on this return to act on your behalf for this return
only.

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 interest transferred through this transaction is as reported in Step 6(3) of this form.
Purchaser 1 Signature

MMDDYYYY

Purchaser 1 Printed Name

Purchaser 2 Signature

MMDDYYYY

Purchaser 2 Printed Name

PREPARER'S SIGNATURE & INFORMATION (If prepared by someone other than the Purchaser)
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.)
Preparer's Signature (if other than taxpayer)

MMDDYYYY

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

CD-57-HC-P
Version 2 07/2024

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