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Get NH Form 5-RE 2010-2024

271-1039 http://www.nh.gov/nhrec License # Date Processed _________________ ___________________ Check # Amount _____________________________________ Receipt No. (FOR OFFICE USE ONLY) AMENDMENT NOTIFICATION/CHANGE REQUEST FORM To avoid delays in processing, provide all information required that pertains to your amendment. If more than one change occurred at the same time and each change requires a $20 fee, only one $20 fee is required. Pursuant to Administrative Rule Rea 404.02, licensees are .

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