Application for Voluntary Merger

In accordance with NH RSA 674:39-a, any owner of two (2) or more contiguous pre-existing approved or subdivided lots or parcels, wishing to merge them into one (1) lot for municipal regulation and taxation purposes, may do so by applying to the Tuftonboro Planning Board, and presenting the Board with a copy of the deed. After a determination that the merger does not create a violation of a Town ordinance or regulation, the Planning Board shall approve said request for merger. No such merged parcel shall thereafter be separately transferred without subdivision approval. A notice of Voluntary Merger shall be recorded at the Carroll County Registry of Deeds and with the Tuftonboro assessing officials.

Landowner(s) Name:______________________________________________________

Address:____________________________________________________

Name:______________________________________________________

Address:____________________________________________________

Parcels to be merged:

Tax Map parcel #:_______________ Deed/plan reference: Book___Page___

Date:_________________ Signature of Owner(s):

__________________________________________

Voluntary Merger Checklist (To be filled out by Planning Board)

Date application received ____________ Date of Board review

4 year exemption per RSA 674:39 Applies_______ Does not apply_______

Merger does/does not create a violation of Town Ordinance or Regulation:

Comments: ____________________________________________________________________________

______________________________________________________________________________________

Approved by Tuftonboro Planning Board Date:________________________

Copy to Carroll County Registry of Deeds Date:________________________

Copy to Tuftonboro Tax Assessor Date:________________________

*Please use black ink to fill out the above form.