Form N-40 - Fiduciary Income Tax Return - 2004
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FORM
STATE OF HAWAII—DEPARTMENT OF TAXATION
DO NOT WRITE OR STAPLE IN THIS SPACE
N-40
FIDUCIARY INCOME TAX RETURN
(REV. 2004)
CALENDAR YEAR 2004, or other taxable year beginning
2004
l ________________, 2004 and ending l _________________, 20_____
£
Change in Address
Name of estate or trust (Grantor type trust, see Instructions)
AMD UNP
008
PNT
INT
lFederal Employer I.D. No.
Name and title of fiduciary
Address of fiduciary (number and street)
Date entity created
ä
City, State and ZIP Code. If foreign address, see Instructions.
Number of Schedules K-1 Attached
1.
Interest Income.................................................................................................................................................................
1l
2.
Ordinary Dividends ...........................................................................................................................................................
2
3.
Income or (losses) from partnerships, other estates or other trusts (Attach federal Schedule E) (See Instructions) ............
3
4.
Net rent and royalty income or (loss) (Attach federal Schedule E)...................................................................................
4l
5.
Net business and farm income or (loss) (Attach federal Schedules C and F) ..................................................................
5l
6.
Capital gain or (loss) (Attach Schedule D (Form N-40)) .................................................................................................
6
7.
Ordinary gains or (losses) (From Schedule D-1, line 19) ...............................................................................................
7
8.
Other income (State nature of income) ............................................................................................................................
8l
9.
Total income (Add lines 1 through 8) .......................................................................................................................
9
10.
Interest (Explain in Schedule C) .......................................................................................................................................
10
11.
Taxes (Explain in Schedule C) ........................................................................................................................................
11
12.
Fiduciary fees (Explain in Schedule C).............................................................................................................................
12
13.
Charitable deduction (From Schedule A, line 6 or 7(c)) ...................................................................................................
13
14.
Attorney, accountant and return preparer fees (Explain in Schedule C) ..........................................................................
14
15.
(a) Other deductions NOT subject to the 2% floor (Explain in Schedule C) ..................................................................
15(a)
(b) Allowable miscellaneous itemized deductions subject to the 2% floor (Explain in Schedule C) ..............................
15(b)
16.
Total (Add lines 10 through 15(b)) ...........................................................................................................................
16
17.
Line 9 minus line 16 (Complex trusts and estates also enter this amount on Schedule B, line 1) ...................................
17
18.
Income distribution deduction (From Schedule B, line 17) (See Instructions) (attach Schedules K-1 (Form N-40))........
18
19.
Estate tax (including certain generation-skipping transfer taxes) under Chapter 236D, HRS, attributable to income in
respect of a decedent (Fiduciary’s share) ........................................................................................................................
19
20.
Exemption ($400 for an estate; trusts see Instructions) ...................................................................................................
20
ä
21.
Total (Add lines 18 through 20) ...........................................................................................................................
21
ä
22.
Taxable income of fiduciary (Line 17 minus line 21) ...................................................................................................
22l
£
23.
Tax on amount on line 22 (Use tax rate schedule or
Schedule D (Form N-40)) .........................................................
23l
£
(l
Includes separate tax from Forms N-152, N-312, N-318, N-586, and section 641(c) tax. Attach appropriate Forms)
(a) Enter amount from Schedule D (Form N-40), line 41 .............................................. 23(a)l
ä
24.
Total nonrefundable credits from Schedule E, line 13 .................................................................................................
24l
25.
BALANCE — Line 23 minus line 24 (but not less than zero)...........................................................................................
25
26.
OTHER
(a) 2004 Estimated tax payments: N-5
N-288A
26(a)l
CREDITS: (b) Estimated tax payments allocated to beneficiaries (from N-40T) ........................... 26(b)l
(c)
Line 26(a) minus line 26(b) ...................................................................
26(c)
(d) Amount applied from 2003 return ......................................................... 26(d)l
(e) Payments with extension ..................................................................... 26(e)l
(f)
Total of refundable credits from Schedule F, line 10 ............................ 26(f)l
ä
27.
Total (Add lines 26(c) through 26(f)) ....................................................................................................................
27l
28.
Penalty for underpayment of estimated tax.(See Instructions).........................................................................................
28l
29.
TAX DUE — If the total of lines 25 and 28 is larger than line 27, enter AMOUNT OWED ..............................................
29l
30.
OVERPAYMENT — If line 27 is larger than the total of lines 25 and 28, enter AMOUNT OVERPAID...........................
30l
31.
Enter the amount of line 30 to be CREDITED to 2005 estimated tax ............................................................................
31l
32.
Enter the amount of line 30 to be REFUNDED ................................................................................................................
32l
33.
Amount paid (overpaid) on original return — AMENDED RETURN ONLY (See Instructions) ........................................
33l
34.
BALANCE DUE (REFUND) with amended return (See Instructions)............................................................................
34l
DECLARATION:
I declare, under the penalties set forth in section 231-36, HRS, that this return (including any accompanying schedules or
ü
If you would like us to mail you a
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
Please
taxable year stated, pursuant to the Hawaii Income Tax Law, Chapter 235, HRS.
packet of forms for next year’s
Sign
ä
£
l
l
filing, please check this box.
Here
Signature of fiduciary or officer representing fiduciary
Date
ä
Date
Preparer’s identification number
Preparer’s Signature and
Check if
£
Paid
Print Preparer’s Name
self-employed
Preparer’s
ä
Federal
ä
Firm’s name (or yours
E.I. No.
Information
if self-employed) and
ä
Address and ZIP code
Phone no.
Attach Form N-201V and your check or money order for full amount payable to “Hawaii State Tax Collector”.
FORM N-40
Write your Federal Employer I.D. No. and “2004 Form N-40” on your check or money order.
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