Form N-40 - Fiduciary Income Tax Return - 2004 Page 5
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STATE OF HAWAII — DEPARTMENT OF TAXATION
FORM
ALLOCATION OF ESTIMATED TAX
TAX YEAR
N-40T
PAYMENTS TO BENEFICIARIES
2004
.
(Under IRC section 643(g))
(REV. 2004)
For calendar year 2004 or fiscal year beginning
, 2004, and ending
, 20
Name of trust (or decedent’s estate)
Federal Employer Identification Number
Fill in Fiduciary’s
Name and title of fiduciary
Telephone number (optional)
Name and
Address Only If
You Are Filing
Number, street, and room or suite no. (If a P.O. Box, see instructions.)
This Form
Separately and
Not With Form
If you are filing this form for the final year
City, state, and Zip code
o
N-40
of the estate or trust, check this box ä
1
Total amount of estimated taxes to be allocated to beneficiaries. Enter here and on Form N-40, line 26(b) .......ä $
2
Allocation to beneficiaries:
(a)
(b)
(c)
(d)
(e)
No.
Beneficiary’s name and address
Beneficiary’s identifying
Amount of estimated tax
Proration
number
payment allocated to beneficiary
percentage
%
1
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
%
2
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
%
3
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
%
4
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
%
5
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
%
6
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
%
7
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
%
8
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
%
9
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
%
10
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
%
11
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
%
12
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
%
13
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
%
14
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
%
15
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
3
Total from additional sheet(s)...................................................................................................
3
4
Total amounts allocated (Must equal line 1, above.)................................................................
4
Under penalties set forth in section 231-36, HRS, I declare that I have examined this allocation, including accompanying schedules and statements, and
Sign Here Only
to the best of my knowledge and belief, it is true, correct, and complete.
If You Are Filing
This Form
ä
Separately and
Not with Form
Signature of fiduciary or officer representing fiduciary
Date
N-40
FORM N-40T
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