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Credit Claim for Real Estate Transfer Tax Stamps

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Print and Reset Form FORM NEW HAMPSHIRE DEPARTMENT OF REVENUE ADMINISTRATION DP-65 CREDIT CLAIM FOR REAL ESTATE TRANSFER TAX STAMPS Rev 809.06(a) 072 NAME: REGISTER OF DEEDS COUNTY: AMOUNT OF CLAIM: $ Documentation on Errors or Voided Stamps: 1 DATE OF ISSUE: 2 NUMBER AND DENOMINATION OF STAMPS ISSUED: 3 NAME AND ADDRESS OF GRANTOR: 4 NAME AND ADDRESS OF GRANTEE: 5 BOOK AND PAGE NUMBER WHERE DEED IS RECORDED: 6 CIRCUMSTANCES UNDER WHICH ERRONEOUS ISSUE WAS MADE: 7 ENCLOSE A PHOTO COPY OF THE DOCUMENT PAGE UPON WHICH THE ERRONEOUS STAMP/INDICIA WAS AFFIXED. 8 SIGNATURE OF REGISTER OF DEEDS OR AUTHORIZED AGENT DATE WHERE TO FILE: This form should be attached to the DP-4 for the period in which the credit is being claimed. WHEN TO FILE: Pursuant to Rev 809.06(a), Form DP-65 Credit Claim for Real Estate Transfer Tax Stamps or indicia erroneously issued and placed on a recorded document shall be filed with the Department for erroneously issued tax stamps or indicia. FOR DRA USE ONLY DP-65 Rev. 7/2008

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Credit Claim for Real Estate Transfer Tax Stamps

  • 1. Print and Reset Form FORM NEW HAMPSHIRE DEPARTMENT OF REVENUE ADMINISTRATION DP-65 CREDIT CLAIM FOR REAL ESTATE TRANSFER TAX STAMPS Rev 809.06(a) 072 NAME: REGISTER OF DEEDS COUNTY: AMOUNT OF CLAIM: $ Documentation on Errors or Voided Stamps: 1 DATE OF ISSUE: 2 NUMBER AND DENOMINATION OF STAMPS ISSUED: 3 NAME AND ADDRESS OF GRANTOR: 4 NAME AND ADDRESS OF GRANTEE: 5 BOOK AND PAGE NUMBER WHERE DEED IS RECORDED: 6 CIRCUMSTANCES UNDER WHICH ERRONEOUS ISSUE WAS MADE: 7 ENCLOSE A PHOTO COPY OF THE DOCUMENT PAGE UPON WHICH THE ERRONEOUS STAMP/INDICIA WAS AFFIXED. 8 SIGNATURE OF REGISTER OF DEEDS OR AUTHORIZED AGENT DATE WHERE TO FILE: This form should be attached to the DP-4 for the period in which the credit is being claimed. WHEN TO FILE: Pursuant to Rev 809.06(a), Form DP-65 Credit Claim for Real Estate Transfer Tax Stamps or indicia erroneously issued and placed on a recorded document shall be filed with the Department for erroneously issued tax stamps or indicia. FOR DRA USE ONLY DP-65 Rev. 7/2008