New Hampshire Request for Department Identification Number (DIN)

Request for Department Identification Number (DIN)
dp-200-2021.pdf
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New Hampshire
Department of
Revenue Administration

DP-200

Reset Form

*0DP2002311862*
0DP2002311862

REQUEST FOR DEPARTMENT IDENTIFICATION NUMBER (DIN)
BUSINESS ENTITY INFORMATION
Business Name
Number & Street Address

DO NOT FILE THIS FORM FOR AN SMLLC
THAT ALREADY HAS ITS OWN FEIN
State

City / Town

Zip Code + 4 (or Canadian Postal Code)

You must use your Department Identification Number (DIN) on all of the documents filed with the DRA instead of the Federal Employer Identification Number (FEIN) or
Social Security Number (SSN).

MEMBER OR TAXPAYER INFORMATION
Taxpayer Identification Number

Member or Taxpayer Name
Number & Street Address
City / Town

ENTITY TYPE:

FEIN
State

CORPORATION

SSN

Zip Code + 4 (or Canadian Postal Code)

COMBINED GROUP

FIDUCIARY

PARTNERSHIP

PROPRIETORSHIP

For federal income tax purposes, the income of the SMLLC will be reported on the tax return of the member as listed above.
For federal income tax purposes, the income of the SMLLC will NOT be reported on the tax return of the member as listed above.

THE INCOME WILL BE REPORTED ON THE TAX RETURN FOR:
Taxpayer Identification Number

Member or Taxpayer Name
Number & Street Address
City / Town

FEIN
State

SSN

Zip Code + 4 (or Canadian Postal Code)

SIGNATURE & INFORMATION
Under penalties of perjury, I declare that I have examined this document and to the best of my belief it is true, correct and complete.
MMDDYYYY

Signature (in ink) of Applicant

Print Signatory Name & Title

FILE ONLINE AT GRANITE TAX CONNECT WWW.REVENUE.NH.GOV/GTC OR
MAIL TO: NH DRA, PO BOX 637, CONCORD NH 03302-0637

DP-200
Version 1 08/2023

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New Hampshire
Department of
Revenue Administration

DP-200

INSTRUCTIONS

WHO MUST REQUEST A DIN
Any taxpayer who shares a taxpayer identification number with another taxpayer subject to taxation, any taxpayer who is not
required to obtain a federal taxpayer identification number or Social Security Number. Each taxpayer must have a unique federal
or state taxpayer identification number. A SMLLC shall not use an SSN.

PURPOSE
To obtain an identifying number which is required to file New Hampshire tax related documents. SMLLCs are required by New
Hampshire Law to file a separate entity tax return even though the SMLLC does NOT file a separate federal tax return. If the SMLLC
shares a tax identification number with another entity, a New Hampshire Department Identification Number (DIN), is necessary in
order to process all tax related documents for taxpayers as described in "Who Must Request a DIN" above.

WHEN TO FILE
This form must be filed at least 30 days prior to the due date of your first business tax document. Any changes in the registration
information must be provided to the Department at least 30 days prior to the change.

WHERE TO FILE
File online at Granite Tax Connect www.revenue.nh.gov/gtc or mail forms to the New Hampshire Department of Revenue
Administration, Taxpayer Services Division, PO Box 637, Concord, NH 03302-0637.

NEED HELP?
Call the Department of Revenue Administration, Taxpayer Services at (603) 230-5920. Individuals with hearing or speech
impairments may call TDD Access: Relay NH 1-800-735-2964.

FORMS SHALL NOT BE FILED BY FAX OR EMAIL

DP-200
Version 1 08/2023

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