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NEW HAMPSHIRE DEPARTMENT OF REVENUE ADMINISTRATION
FORM
FOREIGN DIVIDEND FACTOR INCREMENTS
NH-1120-WE
SCHEDULE III
Schedule III
SEQUENCE #12
For the CALENDAR year 2008 or other taxable period beginning and ending
Mo Day Year Mo Day Year
Column A B C D
DIVIDEND
NAME OF PAYOR TAXABLE INCOME PERCENTAGE
(B ÷ C)
1
2
3
4
5
6
7
8
TOTAL
Column E F G H I
SALES AND RECEIPTS PAYROLL BEGINNING PROPERTY ENDING PROPERTY AVERAGE PROPERTY
(G + H) ÷ 2
1
2
3
4
5
6
7
8
Column J K L M N
MODIFIED SALES MODIFIED PAYROLL MODIFIED PROPERTY
RENTS x 8 TOTAL PROPERTY
(D x E) (D x F) (D x K)
(I + J)
1
2
3
4
5
6
7
8
TOTALS [Carry total modified factor amounts to
Schedule II, Line 1(b), 2(b) and 3(b)]
NH-1120-WE - Schedule III
Rev. 09/2008
page 76