EFTA00089297¶
New Hampshire Department of Revenue Administration¶
PA-34¶
00PR341438475¶
INVENTORY OF PROPERTY TRANSFER¶
STEP 6 - PREPARER¶
EFTA00089298¶
New Hampshire Department of Revenue Administration¶
PA-34¶
OPA34S1418475¶
INVENTORY OF PROPERTY TRANSFER¶
Signature Page¶
STEP 7 - SIGNATURES¶
Power of Attorney (POA): By checking this box and signing below, you authorize the preparer listed on this document to act on your behalf for this document only, including entering the book and page numbers and filing this document electronically.¶
[FAXPAYER’S SIGNATURE & INFORMATION](Purchaser’s Signature is Required)¶
penalties of perjury, I declare that I have examined this return and to the best of my belief it is true, correct and complete.¶
Purchaser’s Signature¶
MMDDYYYY¶
Purchaser’s Printed Name¶
te Reality LLC, By: Jeffrey W. Roberts, Manager¶
Purchaser 2 Signature¶
MMDDYYYY¶
Purchaser 2 Printed Name¶
Purchaser 3 Signature¶
MMDDYYYY¶
Purchaser 3 Printed Name¶
PREPARER’S SIGNATURE & INFORMATION(If prepared by someone other than the Purchaser)¶
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. (If prepared by a person other than the taxpayer, this declaration is based on all information of which the preparer has knowledge.)¶
Preparer’s Signature (if other than taxpayer)¶
MMDDYYYY¶
Preparer’s Printed Name (required if POA box is checked)¶
12/13/2019¶
Rebecca Russo¶
Page 4 of 4¶