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Form preview 2019 form 540nr california non... 26 27 Add line 25b and line 26. Continue to Side 2. 27 For Privacy Act Notice get form FTB 1131. 540NR99109 Form 540NR. C1 1999 Side 1 Step 6 Special Credits Nonrefundable Renter s Step 7 Other Taxes Step 8 Payments Step 9 Overpaid Tax or Tax Due Amount from Side 1 line 27. 70 71 AMOUNT YOU OWE. Add line 55 and line 69. Make a check/money order payable to Franchise Tax Board for the full amount. Write your social security number and 1999 Form 540NR on it. Attach it to the front of your Form 540NR and mail to 72 Interest late return penalties and late payment penalties. Print and Reset Form Reset Form California Nonresident or Part-Year Resident Income Tax Return 1999 FORM 540NR Fiscal year filers only Enter month of year end month year 2000. 67 62 California Firefighters Memorial Fund. 62 Interest and Penalties 66 Emergency Food Assistance 60 State Children s Trust Fund for the 65 California Mexican American 59 Rare and Endangered Species Refund or Amount You Owe 64 D.A.R.E. California Drug Abuse Disorders Fund. 57 Alternative minimum tax. Attach Schedule P 540NR. 44 Other taxes and credit recapture. See instructions. 45 California income tax withheld. Enter total from your 1999 Form s W-2 W-2G 1099-MISC 1099-R 592-B 594 or 597. 57 Alternative minimum tax. Attach Schedule P 540NR. 44 Other taxes and credit recapture. See instructions. 45 California income tax withheld. Enter total from your 1999 Form s W-2 W-2G 1099-MISC 1099-R 592-B 594 or 597. Also attach the form s to Side 1. 47 1999 CA estimated tax amount applied from 1998 return etc. See instructions 48 Excess SDI. Write your social security number and 1999 Form 540NR on it. Attach it to the front of your Form 540NR and mail to 72 Interest late return penalties and late payment penalties. 73 Underpayment of estimated tax. Fill in circle FTB 5805 attached FTB 5805F attached. 73 74 If you do not need California income tax forms mailed to you next year fill in the circle. Step 1 Place label here or print Name and Address Your first name Initial Last name If joint return spouse s first name P AC Apt. no. Present home address number and street including PO Box or rural route State City town or post office Your social security number - SSN Step 2 Filing Status Fill in only one. Step 3 Exemptions Attach check or money order here. Spouse s social security number PMB no. ZIP Code A R RP IMPORTANT is required* Single 2 Married filing joint return even if only one spouse had income Head of household with qualifying person. STOP. See instructions. Qualifying widow er with dependent child. Enter year spouse died 19. 6 If your parent or someone else can claim you or your spouse if married as a dependent on his or her tax return even if he or she chooses not to fill in this circle. 6 For line 7 line 8 line 9 and line 11 Multiply the amount you enter in the box by the pre-printed dollar amount for that line. 7 Personal If you filled in 1 3 or 4 above enter 1 in the box. If you filled in 2 or 5 enter 2 in the box.
Form preview 2019 form 1 massachusetts resi... GO TO MASS.GOV/DOR FOR MORE INFORMATION. Form 1 Massachusetts Resident Income Tax Return FIRST NAME M. 3 37 2015 overpayment applied to your 2016 estimated tax from 2015 Form 1 line 45 or Form 1-NR/PY line 50 do not enter 2015 refund. 3 38 2016 Massachusetts estimated tax payments do not include amount in line 38. 3 39 Payments made with extension. Make payable to Commonwealth of Massachusetts. Mail to Massachusetts DOR PO Box 7003 Boston MA 02204. Add to total in line 48 if applicable Interest 3 Penalty 3 M-2210 amount 3 Exception. Enclose Form M-2210 BE SURE TO SIGN RETURN ON PAGE 1 AND ENCLOSE SCHEDULE HC. Once your documentation is received it will be reviewed by the Massachusetts Health Connector and you may be required to attend a hearing on your case. You will be required to file your claims under the pains and penalties of perjury. Note If you are filing an appeal make sure you have calculated the penalty amount that you are appealing but do not assess yourself or enter a penalty amount on your Form 1 or Form 1-NR/PY. You will be required to file your claims under the pains and penalties of perjury. Note If you are filing an appeal make sure you have calculated the penalty amount that you are appealing but do not assess yourself or enter a penalty amount on your Form 1 or Form 1-NR/PY. Also do not include any hardship documentation with your original return. You will be required to submit substantiating hardship documentation at a later date during the appeal process. I wish to appeal the penalty. I authorize DOR to share this tax return including this schedule with the Massachusetts Health Connector for purposes of deciding this appeal.. Gov for more information on the federal requirements. If you are subject to a federal penalty you must enter that amount on Form 1 line 35c or Form 1-NR/PY line 39c. Important Information If You Are Filing An Appeal You will receive a follow-up letter asking you to state your grounds for appeal in writing and submit supporting documentation. Failure to respond to that letter within the time specified in the letter will lead to dismissal of your appeal and will result in a future assessment of a penalty. Once your documentation is received it will be reviewed by the Massachusetts Health Connector and you may be required to attend a hearing on your case. The appeal will be heard by the Massachusetts Health Connector. By filling in the oval below you or your spouse if married filing jointly are authorizing DOR to share information from your tax return including this schedule with the Massachusetts Health Connector for purposes of deciding your appeal. Note You may also be subject to a separate federal penalty if you were uninsured. Visit irs. gov for more information on the federal requirements. If you are subject to a federal penalty you must enter that amount on Form 1 line 35c or Form 1-NR/PY line 39c. Important Information If You Are Filing An Appeal You will receive a follow-up letter asking you to state your grounds for appeal in writing and submit supporting documentation. Failure to respond to that letter within the time specified in the letter will lead to dismissal of your appeal and will result in a future assessment of a penalty. 3 9 SIGN HERE. Under penalties of perjury I declare that to the best of my knowledge and belief this return and enclosures are true correct and complete. Your signature Date Print paid preparer s name / Spouse s signature if filing jointly May DOR discuss this return with the preparer I do not want my preparer to file my return electronically Paid preparer s phone Yes 3 Paid preparer s signature Preparer s SSN or PTIN EIN FOR PRIVACY ACT NOTICE SEE INSTRUCTIONS. Fill in if self-employed SOCIAL SECURITY NUMBER 2016 FORM 1 PAGE 2 TOTAL 5. 1 INCOME. Add lines 3 through 9. Be sure to subtract any loss es in lines 6 or 7. 10 DEDUCTIONS a. Amount you paid to Social Security Medicare Railroad U.S. or Mass.
Form preview 2019 form 540 2ez california i... Dependent 1 First Name Last Name SSN relationship to you 3111183 Form 540 2EZ 2018 Side 1 RP Your name Taxable Income and Credits Whole dollars only 9 Total wages federal Form W-2 box 16. This space reserved for 2D barcode Side 2 Form 540 2EZ 2018 Voluntary Contributions Code Amount California Seniors Special Fund. See instructions 400 Rare and Endangered Species Preservation Voluntary Tax Contribution Program.. TAXABLE YEAR FORM 2018 California Resident Income Tax Return 540 2EZ Check here if this is an AMENDED return. Your first name Initial Last name Suffix Your SSN or ITIN A If joint tax return spouse s/RDP s first name Spouse s/RDP s SSN or ITIN R Additional information see instructions Street address number and street or PO box Apt. no/ste. no. City If you have a foreign address see instructions. Foreign country name Date of Birth Prior Name State PMB/private mailbox ZIP code Foreign province/state/county Your DOB mm/dd/yyyy Foreign postal code Spouse s/RDP s DOB mm/dd/yyyy Your prior name see instructions Spouse s/RDP s prior name see instructions If your California filing status is different from your federal filing status check the box here. Filing Status Check the box for your filing status. See instructions. Check only one. Single Married/RDP filing jointly even if only one spouse/RDP had income Head of household. STOP See instructions. Qualifying widow er. Enter year spouse/RDP died* See instructions. Exemptions 6 If another person can claim you or your spouse/RDP as a dependent on his or her tax return even if he or she chooses not to you must see the instructions. 7 Senior If you or your spouse/RDP are 65 or older enter 1 if both are 65 or older enter 2. 8 Dependents Do not include yourself or your spouse/RDP Enter number of dependents here. See instructions. 9 10 Total interest income Form 1099-INT box 1. See instructions. 10 11 Total dividend income Form 1099-DIV box 1a. See instructions. 11 13 Total capital gains distributions from mutual funds Form 1099-DIV box 2a. 12 Total pension income Enclose but do not staple any payment. Use Tax 16 Add line 9 line 10 line 11 line 12 and line 13. 16 17 Using the 2EZ Table for your filing status enter the tax for the amount on line 16. Caution If you checked the box on line 6 STOP. See instructions for completing the Dependent Tax Worksheet. 17 18 Senior exemption See instructions. If you are 65 or older and entered 1 in the box on line 7 enter 118. If you entered 2 in the box on line 7 enter 236. 18 19 Nonrefundable renter s credit. See instructions. 19 20 Credits. Add line 18 and line 19. 20 21 Tax. Subtract line 20 from line 17. If zero or less enter -0-. 21 22 Total tax withheld federal Form W-2 box 17 or Form 1099-R box 12. 22 23 Earned Income Tax Credit EITC. See instructions for FTB 3514. 23 24 Total payments. Add line 22 and line 23. 24 26 Payments balance. If line 24 is more than line 25 subtract line 25 from line 24. 26 27 Use Tax balance. If line 25 is more than line 24 subtract line 24 from line 25.
Form preview 2019 form 100 california corpo... 10 11 Total lines 9 and 10. Enter here and on Form 100 Side 1 line 5. If losses exceed gains carry forward losses to 2019. Other additions. Attach schedule s. Total. Add line 1 through line 8. 3601183 Form 100 2018 Side 1 22 Net income for tax purposes. Do not leave blank. Business activity Product or service Side 2 Form 100 2018 State Country H Date business began in California or date income was first derived from California sources. 10 Dividends received deduction. Attach Schedule H 100. 11 Additional depreciation allowed under CA law. Attach form FTB 3885. 12 Capital gain from federal Form 1120 line 8. 13 Charitable Contributions. 14 Other deductions. 2 Cost of goods sold. Attach federal Form 1125-A California Schedule V. 3 Gross profit. Subtract line 2 from line 1c. 4 Total dividends. Attach federal Schedule C California Schedule H 100. 5 a Interest on obligations of the United States and U.S. instrumentalities. Kind of property and description Example 100 shares of Z Co. Date acquired Date sold Gross sales price e Cost or other basis plus expense of sale 2 Short-term capital gain from installment sales from form FTB 3805E line 26 or line 37. 4 Total dividends. Attach federal Schedule C California Schedule H 100. 5 a Interest on obligations of the United States and U.S. instrumentalities. Other interest. Attach schedule. 6 Gross rents. 7 Gross royalties. 8 Capital gain net income. Attach federal Schedule D California Schedule D. 9 Ordinary gain loss. Attach federal Form 4797 California Schedule D-1. 10 Other income loss. Attach schedule. California Corporation 2018 Franchise or Income Tax Return TAXABLE YEAR For calendar year 2018 or fiscal year beginning mm/dd/yyyy Corporation name FORM and ending Additional information. See instructions. RP. FEIN California Secretary of State file number Street address suite/room no. PMB no. City If the corporation has a foreign address see instructions. State Foreign country name Foreign province/state/county Schedule Q Questions A FINAL RETURN ZIP code Foreign postal code continued on Side 2 Dissolved Surrendered withdrawn Merged/Reorganized IRC Section 338 sale QSub election Enter date mm/dd/yyyy B 1. Is income included in a combined report of a unitary group. If Yes indicate Wholly within CA R TC 25101. 15 Within and outside of CA Yes No 2. Is there a change in the members listed in Schedule R-7 from the prior year. 3. Enter the number of members including parent or key corporation listed in the Schedule R-7 Part I Section A subject to income or franchise tax. 4. Is form FTB 3544 and/or 3544A attached to the return. C 1. During this taxable year did another person or legal entity acquire control or majority ownership more than a 50 interest of this corporation or any of its subsidiaries that owned California real property i*e* land buildings leased such property for a term of 35 years or more or leased such property from a government agency for any term. more than a 50 interest in another legal entity that owned California real property i*e* land buildings leased such property for a term of 35 years or more or leased such property from a government agency for any term.
Form preview Apply for an extension of time... IT-370 2018 Page 3 of 3 Worksheet instructions Complete the following worksheet to determine if you must make a payment with Form IT-370. Do not include your spouse s SSN or name on your separate Form IT-370. file a joint Form IT-370 will have the monies paid with that form divided equally between the spouses accounts. Also enter this amount on line 1 on the front of this form. expect to enter on Form IT-201 line 76 or Form IT-203 line 66 excluding the amount paid with Form IT-370. When to file File one completed Form IT-370 on or before the filing deadline for your return extension applications filed after the filing deadline for the return are invalid. Department of Taxation and Finance Application for Automatic Six-Month Extension of Time to File for Individuals with instructions IT-370 Instructions General information Purpose File Form IT-370 on or before the due date of the return to get an automatic six-month extension of time to file Form IT 201 Resident Income Tax Return or Form IT-203 Nonresident and Part-Year Resident Income Tax Return. Note We no longer accept a copy of the federal extension form in place of Form IT-370. Both their accounts will be applied to their joint return when they file it. file a Form IT-203-C Nonresident or Part-Year Resident Spouse s Certification do not list the spouse with no New York source income on Form IT-370. 2 Total payment. Page 2 of 3 IT-370 2018 reasonable cause for paying late. This penalty is in addition to the interest charged for late payments. 8. Note You may be subject to penalties if you underestimate the balance due. How to claim credit for payment made with this form Include the amount paid with Form IT-370 on Form IT-201 line 75 or Form IT-203 line 65. If you have to file Form Y-203 Yonkers Nonresident Earnings Tax Return the time to file is automatically extended when you Form Y-203 see the instructions for the form* We cannot grant an extension of time to file for more than six months if you live in the United States. However you may qualify for an extension of time to file beyond six months under section 157. 3 b 1 of the personal income tax regulations because you are outside the United States and Puerto Rico or you intend to claim nonresident status under section 605 b 1 A ii of the Tax Law 548-day rule as explained in the instructions for Form IT-203 under Additional information* Also see the special condition code instructions for the return you will be filing Form IT-201 or Form IT-203. Generally the filing deadline is the fifteenth day of the fourth month following the close of your tax year April 15 2019 for calendar-year filers. However you must file your return on or before October 15 2019 if your due date is April 15 2019 or on or before December 16 2019 if you are a nonresident alien and See Special condition codes on page 2. Payment may be made by check or money order. See Payment options below. Penalties Late payment penalty If you do not pay your tax liability when due determined with regard to any extension of time to pay you will have to pay a penalty of of 1 of the unpaid amount for each month or part of a month it is not paid up to a maximum of 25.
Form preview 2019 form 540 california resid... Attach Schedule P 540. Mental Health Services Tax. See instructions. Other taxes and credit recapture. Attach Schedule P 540. Add line 40 through line 46. These are your total credits. 47 Alternative minimum tax. Other Taxes Side 2 Form 540 2018 FTB 3800 FTB 3803. Schedule G-1 FTB 5870A. 2018 CA estimated tax and other payments. Transfer this amount to line 32. 11 3101183 Whole dollars only Form 540 2018 Side 1 Taxable Income Your name Enter federal adjusted gross income from Form 1040 line 7. 13 California adjustments subtractions. Enter the amount from Schedule CA 540 line 37 column B. Subtract line 14 from line 13. If less than zero enter the result in parentheses. See instructions. Tax. Check the box if from Enter the larger of Your California itemized deductions from Schedule CA 540 Part II line 30 OR Single or Married/RDP filing separately. TAXABLE YEAR FORM 2018 California Resident Income Tax Return Check here if this is an AMENDED return. Your first name Fiscal year filers only Enter month of year end month year 2019. Dependent 1 First Name Last Name SSN relationship to you X 118 Total dependent exemptions. X 367 Exemption amount Add line 7 through line 10. Transfer this amount to line 32. 11 3101183 Whole dollars only Form 540 2018 Side 1 Taxable Income Your name Enter federal adjusted gross income from Form 1040 line 7. 13 California adjustments subtractions. Enter the amount from Schedule CA 540 line 37 column B. Subtract line 14 from line 13. 13 California adjustments subtractions. Enter the amount from Schedule CA 540 line 37 column B. Subtract line 14 from line 13. If less than zero enter the result in parentheses. See instructions. Tax. Check the box if from Enter the larger of Your California itemized deductions from Schedule CA 540 Part II line 30 OR Single or Married/RDP filing separately. 4 401 Tax Table Tax Rate Schedule Exemption credits. Enter the amount from line 11. If your federal AGI is more than 194 504 Tax. See instructions. 72 Withholding Form 592-B and/or 593. See instructions. 73 Excess SDI or VPDI withheld. See instructions. 74 Earned Income Tax Credit EITC. 75 Add lines 71 through 75. These are your total payments. See instructions. 76 Use Tax. Do not leave blank. See instructions. Use Tax Payments California income tax withheld. Initial Last name Suffix Your SSN or ITIN A If joint tax return spouse s/RDP s first name Spouse s/RDP s SSN or ITIN Additional information see instructions PBA code Street address number and street or PO box Apt. no/ste. no. City If you have a foreign address see instructions State Foreign country name Prior Date of Name Birth R PMB/private mailbox ZIP code Foreign province/state/county Your DOB mm/dd/yyyy RP Foreign postal code Spouse s/RDP s DOB mm/dd/yyyy Your prior name see instructions Spouse s/RDP s prior name see instructions Filing Status If your California filing status is different from your federal filing status check the box here. Single Head of household with qualifying person. See instructions. Married/RDP filing jointly. See inst.
Form preview 2019 form 541 california fiduc... 4 Capital gain or loss. Attach Schedule D 541. 5 Rents royalties partnerships other estates and trusts etc. Attach federal Schedule E Form 1040. 33 Total payments. Add line 29 line 30 line 31 and line 32. 34 Use tax. See instructions. Tax and Payments 3161183 Form 541 2018 Side 1 Payments balance. Side 2 Form 541 2018 Schedule B Income Distribution Deduction. 2 Adjusted tax-exempt interest and nontaxable gain from installment sale of small business stock. E Nonresident beneficiaries. I Part II Income Allocation. Complete column A through column F. Enter the amounts from lines 1-9 column F on Form 541 Side 1 lines 1-9. 11 Total distributions. Add line 9 and line 10. If the result is greater than line 8 see federal Form 1041 Schedule B line 11 instructions to see if you must complete Schedule J 541. Enter the amounts from lines 10-15b Column H on Form 541 Side 1 lines 10-15b. Type of Deduction G Total Deductions H Amounts Allocable To California 11 Taxes 16 Total deductions Voluntary Contributions Code Amount Alzheimer s Disease and Related Dementia Voluntary Tax Contribution Fund. If less than zero enter -0-. 26 Alternative minimum tax. Attach Schedule P 541. 27 Mental Health Services Tax. See instructions. 28 Total tax. Add line 25 line 26 and line 27. 29 California income tax withheld. See instructions. 31 Withholding Form 592-B and/or 593. See instructions. 32 2018 CA estimated tax amount applied from 2017 tax return and payment with form FTB 3563. FORM TAXABLE YEAR California Fiduciary Income Tax Return For calendar year 2018 or fiscal year beginning mm/dd/yyyy Type of entity. and ending mm/dd/yyyy Name of estate or trust. FEIN A Check all that apply. Decedent s estate Name and title of all fiduciaries see instructions Simple trust 3 Complex trust Additional information see instructions 4 Grantor trust 5 Bankruptcy estate R Chapter 7 Pooled income PBA code Street address number and street or PO box Apt no. /suite no. State RP PMB/private mailbox ZIP code fund ESBT QSST 10 Apportioning Foreign country name Foreign province/state/county Foreign postal code Trust Check Initial tax return Final tax return REMIC applicable boxes Amended tax return Change in fiduciary s name or address Income Complete Schedule G on Side 3 if Trust has nonresident trustees and/or nonresident beneficiaries. 1 Interest income. 2 Dividends. 3 Business income or loss. Attach federal Schedule C or C-EZ Form 1040. 6 Farm income or loss. Attach federal Schedule F Form 1040. 7 Ordinary gain or loss. Attach Schedule D-1. 8 Other income. See instructions. State nature of income. 9 Total income. Add line 1 through line 8. Apportioning fiduciaries Complete Schedule G on Side 3. 10 Interest. 10 11 Taxes. 11 12 Fiduciary fees. 13 Charitable deduction* Enter the amount from Side 2 Schedule A line 5. 14 Attorney accountant and tax return preparer fees. 14 15 a Other deductions not subject to 2 floor. Attach Schedule. 15a b Allowable misc* itemized deductions subject to 2 floor.
Form preview N 15 rev 2019 nonresident and... Send Form N-200V with your payment. Make check or money order payable to the Hawaii State Tax Collector. 6e ID NO 01 FORM N-15 Form N-15 Rev. 2015 Your Social Security Number Page 2 of 4 Your Spouse s SSN Name s as shown on return Col. A - Total Income Col. B - Hawaii Income 7 Wages salaries tips etc. attach Form s W-2. Clear Form FORM Rev. 2015 N-15 JCF151 AMENDED Return STATE OF HAWAII DEPARTMENT OF TAXATION Individual Income Tax Return NONRESIDENT and PART-YEAR RESIDENT Calendar Year 2015 Enter tax year dates in MMDDYY format. 24 Health savings account deduction.. 25 Moving expenses attach Form N-139. 26 Deductible part of self-employment tax. 27 Self-employed health insurance deduction.. 29 Penalty on early withdrawal of savings. 30 Alimony paid Enter name and SS No. of recipient 31 Payments to an individual housing account. 32 First 6 198 of military reserve or Hawaii national guard duty pay. 15 IRA distributions. 16 Pensions and annuities see Instructions and 17 Rents royalties partnerships estates trusts etc.. Do not enter OR dash - e.g. 123115. NOL Tax Year thru Place an X in applicable box es Carryback Part-Year Resident Nonresident Nonresident Alien or Dual-Status Alien Enter period of Hawaii residency above FOR OFFICE USE ONLY There are features on this form that are only supported by Adobe 6. 0 or higher. You must use Adobe 6. 0 or higher with this form. Do NOT Submit a Photocopy Place an X in the applicable box if appropriate First Time Filer Address or Name Change ATTACH A COPY OF YOUR 2015 FEDERAL INCOME TAX RETURN Place Label Here ATTACH CHECK OR MONEY ORDER AND FORM N-200V HERE ATTACH COPY 2 OF FORM W-2 HERE Your First Name M. 65 Estimated tax penalty. See page 34 of Instr. Do not include this amount in line 59 or 65. Place an X in this box if Form N-210 is attached. 66 67 AMENDED RETURN ONLY - Amount paid overpaid on original return. See Instructions attach Sch. AMD. 67 DESIGNEE if this refund will If designating another person to discuss this return with the Hawaii Department of Taxation complete the following. Do not enter OR dash - e*g* 123115. NOL Tax Year thru Place an X in applicable box es Carryback Part-Year Resident Nonresident Nonresident Alien or Dual-Status Alien Enter period of Hawaii residency above FOR OFFICE USE ONLY There are features on this form that are only supported by Adobe 6. 0 or higher. You must use Adobe 6. 0 or higher with this form* Do NOT Submit a Photocopy Place an X in the applicable box if appropriate First Time Filer Address or Name Change ATTACH A COPY OF YOUR 2015 FEDERAL INCOME TAX RETURN Place Label Here ATTACH CHECK OR MONEY ORDER AND FORM N-200V HERE ATTACH COPY 2 OF FORM W-2 HERE Your First Name M. I. Your Last Name Spouse s First Name M. I. Spouse s Last Name u IMPORTANT Complete this Section u Enter the first four letters of your last name. Use ALL CAPITAL letters Care Of See Instructions page 8. Your Social Security Number Present mailing or home address Number and street including Rural Route City town or post office.
Form preview Form n 35 rev 2019 s corporati... 8 Net long-term capital gain loss Schedule D Form N-35. 9 Net gain loss under IRC section 1231 attach Schedule D-1. 10 Other income loss attach schedule. b. Attributable to Hawaii Elsewhere 3a 3b 3c 11 Charitable contributions attach schedule. Clear Form STATE OF HAWAII DEPARTMENT OF TAXATION FORM REV. 2017 For calendar year THIS SPACE FOR DATE RECEIVED STAMP S CORPORATION INCOME TAX RETURN N-35 or other tax year beginning 2017 and ending 20 Dba or C/O Business Activity Code Use code shown on federal Form 1120S Hawaii Tax I. D. No* Mailing Address number and street City or town State and Postal/ZIP Code. If foreign address see Instructions. Enter the number of Schedules NS attached to this return INCOME Federal Employer I. D. No* DEDUCTIONS Attach Forms N-4 and Payment Here AMENDED Return Attach Sch AMD Is the corporation electing to be an S corporation beginning with this tax year. Yes No Check if 1 Initial Return 2 Final Return 3 S Election Termination or Revocation 4 Name Change 5 Change of Address 6 IRS Adjustment How many months in 2017 was this corporation in operation Was this corporation in operation at the end of 2017. Yes No CAUTION Include only trade or business income and expenses on lines 1a through 20. See Instructions for more information* 1 a Gross receipts or sales see Instructions. 1a b Returns and allowances. 1b c Line 1a minus line 1b. 1c 2 Cost of goods sold Schedule A line 8. 2 3 Gross profit line 1c minus line 2. 3 4 Net gain or loss from Schedule D-1 Part II line 19 attach Schedule D-1. 4 5 Other income see Instructions attach schedule. 5 6 TOTAL income loss Add lines 3 through 5 and enter here. 6 7 Compensation of officers. 8 Salaries and wages less employment credit. 9 Repairs and maintenance. 10 Bad debts see Instructions. 10 11 Rents. 11 12 Taxes and licenses attach schedule. 12 13 Interest. 13 14 Depreciation from federal Form 4562 not claimed elsewhere on return see Instructions. 14 15 Depletion Do not deduct oil and gas depletion* See Instructions. 15 16 Advertising*. 16 17 Pension profit-sharing etc* plans. 17 18 Employee benefit programs. 18 19 Other deductions attach schedule. 19 20 TOTAL deductions Add lines 7 through 19 and enter here. 20 21 Ordinary income loss from trade or business activities line 6 minus line 20 To Sch* K line 1. 21 Please Sign Here PRINT OR TYPE Name 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 true correct and complete made in good faith for the taxable year stated pursuant to the Hawaii Income Tax Law Chapter 235 HRS* Declaration of preparer other than taxpayer is based on all information of which preparer has any knowledge. Signature of officer Date Type or print name and title of officer May the Hawaii Department of Taxation discuss this return with the preparer shown below. See page 3 of the Instructions This designation does not replace Form N-848 Power of Attorney. Preparer s Signature Paid Preparer s Information Yes No Preparer s identification no.

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