Clear Form
STATE OF HAWAII—DEPARTMENT OF TAXATION
INDIVIDUAL DEVELOPMENT ACCOUNT
FORM
TAX
N-320
YEAR
CONTRIBUTION TAX CREDIT
20_ _
(REV. 2004)
Or fiscal year beginning _________________, 20____, and ending __________________, 20____
ATTACH TO FORM N-11, N-12, 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-12, N-15, N-20, N-30, N-35, N-40, or N-70NP
SSN or FEIN
Part I
CONTRIBUTOR’S INFORMATION (Completed by Fiduciary Organization)
1. Name
2. SSN/FEIN
3. Address (Number and street, including apartment number or rural route, city, state, and zip code)
4. Amount of matching contribution
5. Date matching contribution made
$
FOR DEPARTMENT OF HUMAN SERVICES USE ONLY
This is to certify that the entity indicated above has contributed matching funds in accordance with Act 184, Session Laws of Hawaii 2000.
Signature of Certifying Officer
Date of Certification
(Type or Print Name and Title)
Part II
COMPUTATION OF TAX CREDIT (Completed by Taxpayer)
Note: If you are claiming the Ethanol Facility Tax Credit, no other credit can be claimed for the taxable year. Skip lines 1
through 5 and begin on line 6.
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 lines 1 through 4 and begin on line 5.
1
Enter the certified amount from above (see instructions)...........................................................................
1
2
Was any portion of the amount on line 1 deducted as a charitable contribution on your tax return?
£
£
Yes
No
If Yes, enter the amount of line 1 deducted as a charitable contribution....................................................
2
3
Subtract line 2 from line 1 and enter result here ........................................................................................
3
4
Multiply line 3 by 50% (.50) and enter result here......................................................................................
4
5
Flow through of Hawaii individual development account contribution tax credit received from other
entities, if any: Check box below.
Enter Name and Federal Employer I.D. No. of Entity:
__________________________________________________________________________________
£
a Partner — enter amount from Schedule K-1 (Form N-20), line 22......................................................
£
b S corporation shareholder — enter total from Schedule K-1 (Form N-35), line 12j.............................
£
c Beneficiary — enter amount from Schedule K-1 (Form N-40), line 10................................................
£
d Patron — enter the amount from federal Form 1099-PATR ...............................................................
5
6
Carryover of unused individual development account contribution tax credit from prior year.....................
6
7
Add lines 4 through 6 and enter result here. This represents your tentative current year individual
development account contribution tax credit. For N-20, N-35, and N-40 filers, stop here and see
the instructions before proceeding to line 8 ...............................................................................................
7
(Continued on back)