Clear Form
STATE OF HAWAII—DEPARTMENT OF TAXATION
TAX
FORM
ETHANOL FACILITY TAX CREDIT
N-324
YEAR
2015
(Rev. 2015)
Or fiscal year beginning _________________, 2015, and ending __________________, 20____
ATTACH TO FORM N-11, N-15, N-20, N-30, N-35, N-40, OR N-70NP, WHICHEVER IS APPLICABLE.
Name(s) as shown on Form N-11, N-15, N-20, N-30, N-35, N-40, or N-70NP
SSN or FEIN
DEPARTMENT OF BUSINESS, ECONOMIC DEVELOPMENT AND TOURISM CERTIFICATE
(Completed by the Department of Business Economic Development and Tourism only)
1. Name of taxpayer
2. SSN/FEIN
3. Address(es) of facility
4. Tax Map Key Number(s) of facility
5. Total qualifying investment amount:
6. Facility’s nameplate capacity:
7. Percentage of nameplate capacity facility operated at in tax year 2015:
$
8. Date facility began production:
9. Credit period:
10. Credit allowed for each taxable year in credit period:
Year
Credit Amount
First year
Second year
Third year
Fourth year
Fifth year
Sixth year
Seventh year
Eighth year
Cumulative amount of credit allowed during credit period . . . . . . . .
$
2015 ..........................................................
11. Amount of tax credit allowed for tax year
This is to certify that the amounts noted above have been verified in accordance with section 235-110.3, Hawaii Revised Statutes (HRS).
Signature of Certifying Officer
Date of Certification
(Type or Print Name and Title)
Certification Number
COMPUTATION OF TAX CREDIT (Completed by Taxpayer)
Note: If you are only claiming your distributive share of a tax credit distributed from a partnership, an S corporation, an
estate or a trust, skip line 12 and begin on line 13.
12
12
Total amount of certified tax credit allowed for tax year 2015 from line 11 ..................................................................
13
Flow through of Hawaii ethanol facility tax credit received from other entities, if any:
Check the applicable box below. Enter the name and Federal Employer I.D. No. of Entity:
a
Partner — enter amount from Schedule K-1 (Form N-20), line 24 ...................................................................
b
S corporation shareholder — enter amount from Schedule K-1 (Form N-35), line 16i .....................................
c
Beneficiary — enter amount from Schedule K-1 (Form N-40), line 9 ...............................................................
d
13
Patron — enter the amount from federal Form 1099-PATR ..............................................................................
14
Total credit allowed — Add lines 12 and 13 and enter the result here, rounded to the nearest dollar, and on the
appropriate line for the credit on Schedule CR (for Form N-11, N-15, N-30, and N-70NP filers); Form N-20,
Schedule K; Form N-35, Schedule K; or Form N-40, Schedule F (for the estate’s or trust’s share) and/or Schedule
14
K-1 (for the beneficiaries’ share); whichever is applicable ...........................................................................................
(See Instructions on back)
FORM N-324