Form F-1 - Franchise Tax Return Banks, Other Financial Corporations, And Small Business Investment Companies - 2009
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4STATE OF HAWAII — DEPARTMENT OF TAXATION
THIS SPACE FOR OFFICE USE ONLY. DO NOT STAPLE HERE.
Clear Form
FORM
FRANCHISE TAX RETURN
F-1
BANKS, OTHER FINANCIAL CORPORATIONS, AND
(REV. 2009)
SMALL BUSINESS INVESTMENT COMPANIES
AS OF JANUARY 1, 2010
(Based on income for calendar year 2009 or fiscal year commencing on _______________________ , 2009)
Name
Federal Employer I.D. No.
DBA
IF APPLICABLE, CHECK BOX:
Address
First year return;
City
State
Postal/ZIP Code
Second year return;
Final return.
A COPY OF ALL PAGES OF YOUR FEDERAL RETURN MUST ACCOMPANY THIS RETURN.
If this is a consolidated return, attach copy of Hawaii Forms N-304 and N-303 for each subsidiary.
CAUTION: Mortgage loan companies, brokers, and solicitors licensed under chapter 454, HRS, see Instructions.
1.
1
Gross Receipts
Less: Returns and allowances
2.
2
Less: Cost of goods sold and/or operations (Attach schedule) . . . . . . . . . . . . . . . . . . . . . . . . .
3.
3
Gross Profit (line 1 minus line 2) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4.
4
Dividends (Schedule C) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Gross Amount of Interest
Less: Amortizable Bond Premium
5.
5
Interest on government obligations . . . .
6.
6
Other interest . . . . . . . . . . . . . . .
7.
(a) Rents
Plus 7(b) Royalties
7(c)
, Sum
8.
(a) Net capital gains (from federal Schedule D) (See Instructions) . . . . . . . . . . . . . . . . . . . . . . .
8(a)
(b) Ordinary gain or loss (from federal Schedule 4797) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8(b)
9.
9
Other income (Attach schedule) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10.
10
TOTAL INCOME — Add lines 3 through 9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11.
11
Compensation of officers (Schedule E) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12.
12
Salaries and wages (not deducted elsewhere) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13.
13
Repairs (Do not include cost of improvements or capital expenditures) . . . . . . . . . . . . . . . . . . . . .
14.
(a) Bad debts (Schedule F)
Plus 14(b) Rents
14(c)
, Sum
15.
(a) Taxes (Schedule B)
Plus 15(b) Interest
15(c)
, Sum
16.
16
Contributions or gifts paid (Attach schedule) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
17.
17
Amortization (Attach schedule) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
18.
18
Depletion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
19.
19
Depreciation (from federal Form 4562) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
20.
20
Advertising . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
21.
(a) Pension, profit-sharing, stock bonus, annuity plans (Attach schedule) . . . .
21(a)
Amounts contributed under:
(b) Other employee benefit plans (Attach schedule) . . . . . . . . . . . . . . .
21(b)
22.
22
Other deductions (Attach schedule) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
23.
23
TOTAL DEDUCTIONS — Add lines 11 through 22. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
24.
24
Net income before Hawaii adjustments (line 10 minus line 23). Enter here and on page 2, line 24a . . . . . .
69.
69
TOTAL TAX from page 3, line 68 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
70.
70
Total Nonrefundable Credits. Enter the result from page 4, Schedule H, line 6 . . . . . . . . . . . . . . . . .
71.
71
Line 69 minus line 70. Enter the result but not less than zero . . . . . . . . . . . . . . . . . . . . . . . . . .
72.
72
Payment with extension (Attach Form N-755) . . . . . . . . . . . . . . . .
73.
73
Tax installment payments (See Instruction XIV) . . . . . . . . . . . . . . .
74.
74
Total Refundable Credits. Enter the result from page 4, Schedule I, line 3 .
75.
75
Add lines 72, 73 and 74 and enter result . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
76.
76
TAX DUE (Line 71 minus line 75. If line 75 is greater than line 71, skip line 77 and go to line 78) . . . . . . .
77.
77
Enter amount paid with this return . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
78.
78
OVERPAYMENT (If line 75 is larger than line 71) enter AMOUNT OVERPAID . . . . . . . . . . . . . . . . .
79.
Enter amount of line 78 you want Credited to 2011 estimated tax 79(a) $
Refunded 79(b)
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
Please
my knowledge and belief, is a true, correct, and complete return, made in good faith, for the taxable year stated, pursuant to the Hawaii Income Taxation of Banks and Other Financial
Corporations, Chapter 241, HRS.
Sign
Here
Signature of officer
Date
Title
Date
Preparer’s identification number
Preparer’s Signature, and
Paid
Check if
Print Preparer’s Name
self-employed
Preparer’s
Information
Federal
Firm’s name (or yours
E.I. No.
if self-employed),
Phone No.
address, and Postal/ZIP Code
FORM F-1
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