Form M-68 - Application For Automatic Extension Of Time To File Hawaii Estate Tax Report

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FORM

THIS SPACE FOR DATE RECEIVED STAMP

STATE OF HAWAII — DEPARTMENT OF TAXATION

M-68

APPLICATION FOR AUTOMATIC EXTENSION OF TIME

TO FILE HAWAII ESTATE TAX REPORT (FORM M-6)

(2010)

DXF101

Decedent’s name

Date of death

Name of executor

Name of application filer (if other than the executor) Decedent’s social security number

Estate tax report due date

Address of executor (number and street)

City, State, and Postal/ZIP Code

Domicile of decedent

Extended due date .....................................................................................................................................

Amount of Hawaii Estate Tax estimated to be due .......................................................................................

Amount paid ...............................................................................................................................................

Pay the amount due in full. Attach check or money order for full amount payable to “Hawaii State Tax

Collector.” Write the decedent’s name, social security number, and “Form M-68” on it. Pay in U.S. dollars. Do not send cash.

Signature and Verification

If filed by executor - I declare under the penalties set forth in section 231-36, HRS, that I am the executor of the estate of the above-named decedent

and that to the best of my knowledge and belief, the statements contained herein are true and correct.

Executor’s signature

Title

Date

If filed by someone other than the executor - I declare under the penalties set forth in section 231-36, HRS, that to the best of my knowledge and

belief, the statements contained herein are true and correct, that I am authorized by an executor to file this application, and that I am (check box(es)

that apply(ies)):



A member in good standing of the bar of the highest court of (specify jurisdiction)



A certified public accountant duly qualified to practice in (specify jurisdiction)



A person enrolled to practice before the Internal Revenue Service.



A duly authorized agent holding a power of attorney. (The power of attorney need not be submitted unless requested.)

Application filer’s signature (if other than the executor)

Date

In no case shall the extension be granted for