Form N-101b - Application For Additional Extension Of Time To File Hawaii Individual Income Tax Return - State Of Hawaii Department Of Taxation - 1998
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1DO NOT WRITE OR STAPLE IN THIS SPACE
FORM
STATE OF HAWAII—DEPARTMENT OF TAXATION
N-101B
APPLICATION FOR ADDITIONAL
(REV. 1998)
EXTENSION OF TIME TO FILE HAWAII
98
19
INDIVIDUAL INCOME TAX RETURN
Type of return:
Form N-11
Form N-12
Form N-13
Form N-15
CALENDAR YEAR 1998 or other tax year
• •
beginning ____________________ , 1998 and ending
____________________, 19 ______
Do not file this form unless Form N-101A or federal Form 4868 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
Your first name and initial
Last name
Your Social Security Number
If a joint return, spouse’s first name and initial
Last name
Spouse’s Social Security Number
Address
DO NOT WRITE IN THIS SPACE
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. Also, any estimated taxes
required from individuals that become delinquent shall be subject to appropriate
underpayment penalties. These penalties are not waived or forgiven with the filing of
this form or the accompanying payment of the tax due.
• •
1.
I request an additional extension of time until
___________________ , 19 ______ ,
to file my individual income tax return. (This line MUST be filled in.)
Extension REJECTED (See below for
reason(s) for rejection.)
2.
Were you previously granted an extension of time to file for this year?
Yes
No
3.
Previous extension granted to (date) ____________________________ , 19 ______ .
4.
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.
• •
_________________________________________________________________________
______________________________________
YOUR SIGNATURE OR AUTHORIZED AGENT WITH POWER OF ATTORNEY
DATE
• •
_________________________________________________________________________
______________________________________
SPOUSE’S SIGNATURE (IF JOINT RETURN)
DATE
REASON FOR REJECTION OF EXTENSION
1. The request was not in this office or mailed on or before the expiration of the automatic 4-month extension for filing the return.
2. Your application cannot be considered because no previous extension of time to file the return was granted.
3. The 6-month limitation has expired. (Extension will be granted for a maximum of 6 months only.)
4. 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.
5. Other —
FORM N-101B
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