FORM N-15 (REV. 1998)
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34 Adjusted gross income from line 33, Column A ...................................................................................................
34
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CAUTION: If you can be claimed as a dependent on another person’s return, check here
and see Instructions.
35 If you do not itemize deductions, go to line 36 below. Otherwise go to page 18 of the Instructions and enter your itemized deductions here.
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35a Medical and dental expenses (from Worksheet A-1) ..................................................
35a
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35b Taxes (from Worksheet A-2) .....................................................................................
35b
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35c Interest expense (from Worksheet A-3) .....................................................................
35c
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35d Contributions (from Worksheet A-4) ..........................................................................
35d
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35e Casualty and theft losses (from Worksheet A-5) ........................................................
35e
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35f Miscellaneous deductions (from Worksheet A-6) .......................................................
35f
36
Enter
Itemized Deductions — If line 34 is more than $100,000 ($50,000 for married filing separately),
the
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see the worksheet on page 33 of the Instructions. If not, add lines 35a through 35f. OR
larger
36
Standard Deduction shown below for your filing status.
of
Single — $1,500
Head of household — $1,650
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your:
Married filing jointly or Qualifying widow(er) — $1,900
Married filing separately — $950
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37 Line 34 minus line 36. (This line MUST be filled in) ...................................................................................................
37
38 Multiply $1,040 by the total number of exemptions claimed on line 6e. If you and/or your spouse are blind, deaf,
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or disabled, check applicable box(es)
Yourself
Spouse, and see page 23 of the Instructions. ..............
38
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39 Taxable Income. Line 37 minus line 38 (but not less than zero) .............................................. Taxable Income
39
40 Tax on the amount on line 39. Check if from
Tax Table;
Tax Rate Schedule;
Form N-168;
Form N-615; or
Capital Gains Tax
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Worksheet on page 34 of the Instructions. Net capital gain from line 14 of Capital Gains Tax Worksheet
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(
Include separate tax from Forms N-2, N-103, N-814) .......................................................... Tax on line 39
40
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.
41 Ratio of Hawaii AGI to Total AGI. Divide line 33, Column B, by line 33, Column A
41
(Compute to 3 decimal places and round to 2 decimal places)
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42 Multiply line 40 by the ratio on line 41 ........................................................................................................................
42
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43 Other taxes from Forms N-152, N-312, N-405, N-586...............................................................................................
43
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44 Total Tax. Add lines 42 and 43 ............................................................................................................Total Tax
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45 Income tax paid to another state or to a foreign country (from Worksheet on page 34 of the Instructions)..
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46 Energy Conservation Tax Credit (attach Form N-157)................................................
46
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47 Enterprise Zone Tax Credit (attach Form N-756) .......................................................
47
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48 Low-Income Housing Tax Credit (attach Form N-586) ..............................................
48
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49 Credit for Employment of Vocational Rehabilitation Referrals (attach Form N-884) ....
49
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50 Add lines 45 through 49 .......................................................................................Total Non-Refundable Credits
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51 Line 44 minus line 50 (but not less than zero) ..........................................................................................Balance
51
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52 Hawaii State Income tax withheld and tax withheld on IHA distribution .......................
52
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53 1998 estimated tax payments on Forms N-1 _________ ; N-4 _________ ; N-288A _________ ..........
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54 Amount of estimated tax applied from 1997 return.....................................................
54
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55 Amount paid with extension(s) ..................................................................................
55
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56 Food Tax Credit (attach Schedule X) DHS, etc. exemptions
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56
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57 Credit for Low-Income Household Renters (attach Schedule X) .................................
57
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58 Credit for Child and Dependent Care Expenses (attach Schedule X)..........................
58
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59 Credit for Child Passenger Restraint System(s) (attach a copy of the invoice) .....................
59
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60 Capital Goods Excise Tax Credit (attach Form N-312)...............................................
60
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61 Fuel Tax Credit for Commercial Fishers (attach Form N-163).....................................
61
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62 Motion Picture and Film Production Income Tax Credit (attach Form N-316) ..............
62
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63 Hotel Remodeling Tax Credit (attach Form N-314) ....................................................
63
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64 Other credits (attach list and see page 26 of Instructions)...........................................
64
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65 Add lines 52 through 64 .......................................................................................... Total Payments and Credits
65
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66 If line 65 is larger than line 51, enter the amount OVERPAID (line 65 minus line 51) ...............................................
66
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67 Amount of line 66 to be REFUNDED TO YOU ........................................................................................... Refund
67
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68 Amount of line 66 to be applied to your 1999 ESTIMATED TAX ...............................
68
69 If line 51 is larger than line 65, enter the AMOUNT YOU OWE (line 51 minus line 65). Attach check or money order for full amount payable
to “Hawaii State Tax Collector.” Write your social security number and “1998 Form N-15” on it. If you are filing your return late,
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see page 26 of the Instructions. ..................................................................................................................Balance Due
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70 Estimated tax penalty. (See page 27 of Instructions.) Also include this amount in
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line 66 or 69, whichever applies. Check box if Form N-210 is attached
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71 If you would like us to mail you a packet of forms for next year’s filing, please check this box ..................................
DECLARATION
I declare, under the penalties set forth in section 231-36, HRS, that this return (including 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 Hawaii Income Tax Law, Chapter 235, HRS.
Your signature
Date
Spouse’s signature (if filing jointly, BOTH must sign)
Date
Preparer’s Signature
Preparer’s social security number
Check if
Paid
self-employed
and date
Preparer’s
Firm’s name (or yours
Federal E.I. No.
Information
if self-employed) and
ZIP Code
address
FORM N-15