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New Hampshire 2011 DP59A Department of Revenue Administration 0DP59A1110841 PAYMENT FORM AND APPLICATION FOR 7MONTH EXTENSION OF TIME TO FILE INTEREST AND DIVIDENDS TAX RETURN TO MAKE YOUR PAYMENTS

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Do not file this is a form that should not be submitted for filing.

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The purpose of do not file this is to remind individuals or entities not to turn in this form for filing.

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