Form U-6 - Public Service Company Tax Return - 2003

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DO NOT WRITE OR STAPLE IN THIS SPACE
FORM
STATE OF HAWAII—DEPARTMENT OF TAXATION
U-6
PUBLIC SERVICE COMPANY TAX RETURN
(REV. 2002)
For calendar year 2003
2003
or other tax year beginning _____________________, 2003 and ending _____________________, 20____
Name
Office Audit _______________________
Field Audit ________________________
DBA or C/O
Hawaii G.E./Use I.D. No.
Number and Street
Federal Employer I.D. No.
City, State, and ZIP Code
Amount paid with this return
$
TOTAL TAX (from page 2; Do Not enter
Year of Operation: Check if
1st year
2nd year
Final
Amended
TAX DUE amount)
$
SECTION I - COMPUTATION OF ADJUSTED GROSS INCOME
GROSS INCOME FROM PRECEDING TAXABLE YEAR BEGINNING IN 2002
1
Gross Income from Public Utility Business (describe fully from what sources received)
a (1) Passenger Fares for Transportation Between Points on a Scheduled Route By Land .
1a(1)
(2) Worthless Accounts Charged Off for Net Income Tax Purposes (see Instructions) . . .
1a(2)
(3) Adjusted Gross Income (line 1a(1) minus line 1a(2)). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1a(3)
b (1) Sales of Products or Services to Another Public Utility for Resale to the Consumer . . .
1b(1)
(2) Worthless Accounts Charged Off for Net Income Tax Purposes (see Instructions) . . .
1b(2)
(3) Adjusted Gross Income (line 1b(1) minus line 1b(2)). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b(3)
c (1) Sales of Telecommunication Services to a Person Defined in Section 237-13(6)(D),
HRS, for Resale to the Consumer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c(1)
(2) Worthless Accounts Charged Off for Net Income Tax Purposes (see Instructions) . . .
1c(2)
(3) Adjusted Gross Income (line 1c(1) minus line 1c(2)) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c(3)
d (1)
1d(1)
(2) Deduction and Exemption From Gross Income (see Instructions) . . . . . . . . . . . . . . . .
1d(2)
(3) Adjusted Gross Income (line 1d(1) minus line 1d(2)). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d(3)
2
Equipment Rentals Received (attach schedule and describe fully) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2
3
Joint Facility Rentals Received . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
4
Non-Operating Income from Public Utility Business (attach schedule and describe fully) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4
5
TOTAL ADJUSTED GROSS INCOME (add lines 1 through 4) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5
DECLARATION
I declare, under the penalties set forth in section 231-36, HRS, that this return (including any accompanying schedules or 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 taxable year
stated, pursuant to the Public Service Company Tax Law, Chapter 239, HRS.
Please
Sign
Here
Signature of officer
Date
Title
Date
Check if
Preparer’s identification number
Preparer’s Signature and
Paid
self-em-
Print Preparer’s Name
ployed
Preparer’s
Information
Federal
Firm’s name (or yours
E.I. No.
if self-employed),
address, and Zip code
Phone No.
FORM U-6

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