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FORM

STATE OF HAWAII—DEPARTMENT OF TAXATION

N-100A

APPLICATION FOR ADDITIONAL EXTENSION OF

(REV. 2001)

TIME TO FILE HAWAII RETURN FOR A

2001

PARTNERSHIP, TRUST, OR REMIC

Type of return:

Form N-20

Form N-40

Form N-66

Form N-70NP (TRUST)

CALENDAR YEAR 2001 or other tax year

beginning ____________________ , 2001 and ending l ____________________, 20 _______

Do not file this form unless Form N-100 or federal Form 8736 has been previously filed.

Please read reverse side before preparing form.

A copy of the application will be returned to you only if your request is rejected.

AMD UNP 008

PNT

INT

l Federal Employer I.D. Number

NAME

DBA or C/O

Hawaii G.E./Use I.D. Number

ADDRESS

CITY, STATE and ZIP CODE

NOTE: File this form with the taxation district office where you must file your income tax return. This is not an extension of time for payment of tax.

The law requires that a penalty be charged for late payment of tax and late filing unless you show reasonable cause for not paying the tax when due.

Interest will be charged on any unpaid tax from the regular due date of the return until the tax is paid.

I request an additional extension of time until l _________________________, 20 _______ to file my income tax return. (This line MUST be

filled in.)

Were you previously granted an extension of time to file this year?

Yes

Previous extension granted to (date)_____________________________, 20 _______

State in detail why you need an additional extension. ________________________________________________________________________

__________________________________________________________________________________________________________________

DECLARATION

I declare, under the penalties set forth in section 231-36, HRS, that the statements contained herein are true and correct.

l _________________________________________________________________________

_______________________________________

SIGNATURE

DATE

REASONS FOR REJECTION OF EXTENSION

The request was not in this office or mailed on or before the expiration of the automatic 3-month extension for

filing the return.

Your application cannot be considered because no previous extension of time to file the return was granted.

The 6-month limitation has expired. (Extension will be granted for a maximum of 6 months only.)

We have NOT approved the application. However, because of your reasons stated above, we have granted

a 10-day grace period from the date shown below or due date of the return including extensions, whichever

is later. This 10-day grace period is considered to be a valid extension of time for purposes of elections

otherwise required to be made on timely filed returns.

Other —

FORM N-100A

Form N-100a - Application For Additional Extension Of Time To File Hawaii Return For A Partnership, Trust, Or Remic - 2001

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