Form U-6 Rev 2009 Public Service Company Tax Return

STATE OF HAWAII — DEPARTMENT OF TAXATION
PUBLIC SERVICE COMPANY TAX RETURN
FORM U-6 (REV. 2009)

DO NOT WRITE OR STAPLE IN THIS SPACE

Calendar Year:

Or other tax year beginning , 2010 and ending , 20

(NOTE: Do NOT use Form U-6 to calculate and/or remit the counties’ share of the public service company tax.)

Name: Office Audit:

DBA or C/O: Field Audit:

Number and Street: Hawaii Tax I.D. No.:

City, State, and Postal/ZIP Code: Federal Employer I.D. No.:

Amount paid with this return $ TOTAL TAX (from page 2; Do Not enter TAX DUE amount) $

Year of Operation: Check if 1st year 2nd year Final Amended

SECTION I - COMPUTATION OF ADJUSTED GROSS INCOME

GROSS INCOME FROM PRECEDING TAXABLE YEAR BEGINNING IN 2009

1 Gross Income from Public Utility Business (describe fully from what sources received)

a (1) Passenger Fares for Transportation Between Points on a Scheduled Route By Land

(2) Worthless Accounts Charged Off for Net Income Tax Purposes (see Instructions)

(3) Adjusted Gross Income (line 1a(1) minus line 1a(2))

b (1) Sales of Products or Services to Another Public Utility for Resale to the Consumer

(2) Worthless Accounts Charged Off for Net Income Tax Purposes (see Instructions)

(3) Adjusted Gross Income (line 1b(1) minus line 1b(2))

c (1) Sales of Telecommunication Services to a Person Defined in Section 237-13(6)(D), HRS, for Resale to the Consumer

(2) Worthless Accounts Charged Off for Net Income Tax Purposes (see Instructions)

(3) Adjusted Gross Income (line 1c(1) minus line 1c(2))

d (1)

(2) Deduction and Exemption From Gross Income (see Instructions)

(3) Adjusted Gross Income (line 1d(1) minus line 1d(2))

2 Equipment Rentals Received (attach schedule and describe fully)

3 Joint Facility Rentals Received

4 Non-Operating Income from Public Utility Business (attach schedule and describe fully)

5 TOTAL ADJUSTED GROSS INCOME (add lines 1 through 4)

DECLARATION — I declare, under the penalties set forth in section 231-36, HRS, that this return (including any accompanying schedules or statements) has been examined by me and, to the best of my knowledge and belief is a true, correct, and complete return, made in good faith, for the taxable year stated, pursuant to the Public Service Company Tax Law, Chapter 239, HRS.

Firm’s name (or yours if self-employed),

Federal E.I. No.

Address, and Postal/Zip Code

Phone No.

SECTION II — COMPUTATION OF TAX

Line references are to lines on page 1. Note: Enter TOTAL TAX amount on page 1.

PART I. — FOR PUBLIC UTILITIES TAXED UNDER SECTION 239-5 (a), (b) and (c), HRS.

A Line 5 less lines 1a(3), 1b(3), and 1c(3). x 4.0% (fixed rate) TAX AMOUNT A

B Line 1a(3). x 5.35% (fixed rate) TAX AMOUNT B

C Line 1b(3). x .5% (fixed rate) TAX AMOUNT C

D Line 1c(3). x .5% TAX AMOUNT D

E TOTAL TAX (add lines A, B, C, and D)

F Nonrefundable Tax Credit - Credit for Lifeline Telephone Service Subsidy (see Instructions)

G Nonrefundable Tax Credit - Ko Olina Resort and Marina Attractions and Educational Facilities Tax Credit (attach Form N-336)

H Total Nonrefundable Tax Credits (add lines F and G)

I Balance (line E minus line H, but not less than zero)

J Payment with Extension (attach Form N-755) (see Instructions)

K Tax Installment Payments (see Instructions)

L Total Payments (add lines J and K)

M TAX DUE (if line I is larger than L), enter AMOUNT OWED.

N OVERPAYMENT (if line L is larger than line I), enter AMOUNT OVERPAID.

PART II. — FOR PUBLIC UTILITIES TAXED ONLY UNDER SECTION 239-5(b), HRS.

A TOTAL TAX (line 1a(3) x 5.35% (fixed rate))

B Nonrefundable Tax Credit - Ko Olina Resort and Marina Attractions and Educational Facilities Tax Credit (attach Form N-336)

C Balance (line A minus line B, but not less than zero)

D Payment with Extension (attach Form N-755) (see Instructions)

E Tax Installment Payments (see Instructions)

F Total Payments (add lines D and E)

G TAX DUE (if line C is larger than line F), enter AMOUNT OWED.

H OVERPAYMENT (if line F is larger than line C), enter AMOUNT OVERPAID.

PART III. — FOR PUBLIC UTILITIES TAXED ONLY UNDER SECTION 239-5(c), HRS.

A Line 1b(3). x .5% (fixed rate) TAX AMOUNT A

B Line 1c(3). x .5% TAX AMOUNT B

C TOTAL TAX (add lines A and B)

D Nonrefundable Tax Credit - Ko Olina Resort and Marina Attractions and Educational Facilities Tax Credit (attach Form N-336)

E Balance (line C minus line D, but not less than zero)

F Payment with Extension (attach Form N-755) (see Instructions)

G Tax Installment Payments (see Instructions)

H Total Payments (add lines F and G)

I TAX DUE (if line E is larger than line H), enter AMOUNT OWED.

J OVERPAYMENT (if line H is larger than line E), enter AMOUNT OVERPAID.