Form ED-03 "Education Tax Credit Scholarship Receipt" - New Hampshire

What Is Form ED-03?

This is a legal form that was released by the New Hampshire Department of Revenue Administration - a government authority operating within New Hampshire. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on June 1, 2020;
  • The latest edition provided by the New Hampshire Department of Revenue Administration;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form ED-03 by clicking the link below or browse more documents and templates provided by the New Hampshire Department of Revenue Administration.

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Download Form ED-03 "Education Tax Credit Scholarship Receipt" - New Hampshire

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New Hampshire
2020-2021
Department of
ED-03
Revenue Administration
FOR DRA USE ONLY
EDUCATION TAX CREDIT SCHOLARSHIP RECEIPT
PRINT OR TYPE
STEP 1
1.
4.
RECEIVING SCHOLARSHIP ORGANIZATION:
FEDERAL TAXPAYER IDENTIFICATION NUMBER:
2.
STREET ADDRESS:
ADDRESS (CONTINUED):
3.
CITY/STATE/ZIP:
STEP 2
5.
8.
DONATING BUSINESS ORGANIZATION/ENTERPRISE OR INDIVIDUAL NAME:
FEDERAL TAXPAYER IDENTIFICATION NUMBER/SOCIAL SECURITY NUMBER:
6.
STREET ADDRESS:
ADDRESS (CONTINUED):
7.
CITY/STATE/ZIP:
STEP 3
DONATION AMOUNT: ....................................................................................................................................... $
DATE THE DONATION WAS RECEIVED OR POSTMARKED, WHICHEVER IS EARLIER: ................................
STEP 4
I certify that the scholarship organization received the donation listed from the business organization/enterprise or
individual on the date shown above.
AUTHORIZED SIGNATURE (IN INK)
DATE
PRINT SIGNATORY NAME & TITLE
This Scholarship Receipt must be filed with the Department of Revenue Administration and a copy sent to the donating
business organization/enterprise or individual within 15 days of receipt of the donation.
MAIL TO:
NH DRA
EDUCATION TAX CREDIT
PO BOX 457
CONCORD NH 03302-0457
ED-03
Version 1.5 06/2020
New Hampshire
2020-2021
Department of
ED-03
Revenue Administration
FOR DRA USE ONLY
EDUCATION TAX CREDIT SCHOLARSHIP RECEIPT
PRINT OR TYPE
STEP 1
1.
4.
RECEIVING SCHOLARSHIP ORGANIZATION:
FEDERAL TAXPAYER IDENTIFICATION NUMBER:
2.
STREET ADDRESS:
ADDRESS (CONTINUED):
3.
CITY/STATE/ZIP:
STEP 2
5.
8.
DONATING BUSINESS ORGANIZATION/ENTERPRISE OR INDIVIDUAL NAME:
FEDERAL TAXPAYER IDENTIFICATION NUMBER/SOCIAL SECURITY NUMBER:
6.
STREET ADDRESS:
ADDRESS (CONTINUED):
7.
CITY/STATE/ZIP:
STEP 3
DONATION AMOUNT: ....................................................................................................................................... $
DATE THE DONATION WAS RECEIVED OR POSTMARKED, WHICHEVER IS EARLIER: ................................
STEP 4
I certify that the scholarship organization received the donation listed from the business organization/enterprise or
individual on the date shown above.
AUTHORIZED SIGNATURE (IN INK)
DATE
PRINT SIGNATORY NAME & TITLE
This Scholarship Receipt must be filed with the Department of Revenue Administration and a copy sent to the donating
business organization/enterprise or individual within 15 days of receipt of the donation.
MAIL TO:
NH DRA
EDUCATION TAX CREDIT
PO BOX 457
CONCORD NH 03302-0457
ED-03
Version 1.5 06/2020
New Hampshire
2020-2021
Department of
ED-03
Revenue Administration
EDUCATION TAX CREDIT SCHOLARSHIP RECEIPT INSTRUCTIONS
WHO MUST FILE?
LINE-BY-LINE INSTRUCTIONS
Scholarship organizations who received donations
under RSA 77-G must file an Education Tax Credit
STEP 1
Scholarship Receipt (Form ED-03) for each business
organization, business enterprise or individual who
LINE 1 Enter the scholarship organization's name.
made a donation.
LINE 2 Enter the scholarship organization's street
WHEN TO FILE?
address.
Form ED-03 must be filed with the Department of
Revenue Administration and a copy sent to the
LINE 3 Enter the scholarship organization's city,
donating business organization/enterprise, or individual
state and zip code.
within 15 days of receipt of the donation.
LINE 4 Enter the scholarship organization's Federal
WHERE TO FILE?
Taxpayer Identification Number.
Form ED-03 may be mailed to:
STEP 2
NH DRA
LINE 5
Education Tax Credit
PO Box 457
Enter the donating business organization's, business
enterprise's, or individual's name.
Concord, NH 03302-0457
Or may be hand-delivered to the Department of
LINE 6
Revenue Administration during business hours
Enter the donating business organization's, business
(Monday through Friday, 8:00 a.m. to 4:30 p.m.) at:
enterprise's, or individual's street address.
Governor Hugh J. Gallen Office Park South
LINE 7
109 Pleasant Street
Enter the donating business organization's, business
Medical and Surgical Building
enterprise's, or individual's city, state and zip code.
Concord, NH 03301
LINE 8
NEED HELP?
Enter the donating business organization's or business
enterprise's Federal Taxpayer Identification Number,
Call the Department at (603) 230-5920, Monday
through Friday, 8:00am - 4:30pm. For more information
or the donating individual's Social Security Number.
visit us on the web at: www.revenue.nh.gov. Hearing or
speech impaired individuals may call TDD Access:
STEP 3
Relay NH 1-800-735-2964.
Enter the donation amount from the business
organization, business enterprise, or individual, and
the date the donation was received or postmarked,
whichever is earlier.
STEP 4
The application must be dated and signed in ink by
an officer or authorized agent, or by the individual. In
addition, print the name and title of the officer,
authorized agent, or individual signing the application.
ED-03
Version 1.5 06/2020
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