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STATE OF HAWAII — DEPARTMENT OF TAXATION
FORM
N-30
CORPORATION INCOME TAX RETURN
(REV. 2009)
2009
CALENDAR YEAR
or other tax year beginning ________________ , 2009
and ending _________________ , 20 ____
CBF091
AMENDED Return
NOL
PNT
INT
Federal Employer I.D. No.
Name
Business Activity Code No. (Use code shown on federal
Dba or C/O
form 1120 or 1120A)
Address (number and street)
Date business began in Hawaii
City or town, State, and Postal/ZIP Code. If foreign address, see Instructions.
Hawaii Business Activity
Hawaii Tax I.D. No.
THIS RETURN IS (CHECK BOX, IF APPLICABLE):
For a multi-state corporation using separate accounting.
A combined return of a unitary group of corporations. (See instructions)
A separate return of a member corporation of a unitary group. (See instructions)
A consolidated return. (Domestic (Hawaii) corporations only.) (Attach a copy of Hawaii Forms N-303 and N-304 for each subsidiary)
FOR LINES 1 - 5 and 7 - 10, ENTER AMOUNTS FROM COMPARABLE LINES ON FEDERAL RETURN.
1
a Gross receipts or sales $___________________ b Less returns and allowances $ __________________ c Bal
1c
2
2
Cost of goods sold and/or operations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
3
Interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4
4
Gross rents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5
5
Gross royalties . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6
(a) Capital gain net income (attach Hawaii Schedule D) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6(a)
(b) Net gain or (loss) from Hawaii Schedule D-1, Part II, line 19 (attach Schedule D-1). . . . . . . . . . . . . .
6(b)
7
7
Other income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8
TOTAL INCOME . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . TOTAL INCOME
8
9
TOTAL DEDUCTIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . TOTAL DEDUCTIONS
9
10
10
Taxable income before Hawaii adjustments — Line 8 minus line 9. Enter here and on Schedule J, line 1 . . .
11
TOTAL TAX (Schedule J, line 22) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . TOTAL TAX
11
12
12
Total nonrefundable credits from Schedule CR, line 15. . . . . . . . . . . . . .
13
13
Balance (line 11 minus line 12, but not less than zero) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
14
(a) 2008 overpayment allowed as a credit . . . . . . . . . . . . . . . . . . . . 14(a)
(b) 2009 estimated tax payments (include any Form N-288A payments net of
any Form N-288C refunds) . . . . . . . . . . . . . . . . . . . . . . . . . . 14(b)
(c) Payments with extension (attach Form N-301) . . . . . . . . . . . . . . . . 14(c)
(d) Total refundable credits from Schedule CR, line 24 . . . . . . . . . . . . . . 14(d)
(e) Total (Add lines 14(a) through 14(d)) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .TOTAL
14(e)
15
15
Estimated tax penalty (see Instructions). Check if Form N-220 is attached . . . . . . . . . . . . . .
16
16
TAX DUE (If the total of lines 13 and 15 are larger than line 14(e)), enter AMOUNT OWED . . . . . . . . . .
17
17
OVERPAYMENT (If line 14(e) is larger than the total of lines 13 and 15), enter AMOUNT OVERPAID . . . . .
18
Enter amount of line 17 you want Credited to 2010 estimated tax18(a) $
Refunded
18(b)
19
Amount paid (overpaid) on original return — AMENDED RETURN ONLY (See Instructions. Attach Sch AMD)
19
20
BALANCE DUE (REFUND) with amended return (See Instructions. Attach Sch AMD) . . . . . . . . . . . .
20
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. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
Signature of officer
Date
Print or type name of officer
Title
May the Hawaii Department of Taxation discuss this return with the preparer shown below? (See page 2 of the Instructions)
Yes
No
This designation does not replace Form N-848, Power of Attorney.
Preparer’s signature
Preparer’s identification no.
and date
Check if
Paid
Print Preparer’s Name
self-employed
Preparer’s
Firm’s name (or yours,
Federal
Information
E.I. No.
if self-employed)
Phone no.
Address and ZIP Code
FORM N-30