Form N-1 - Declaration Of Estimated Income Tax For Individuals

How to Use the Payment Voucher

(1) Enter your name, address, and social security number in the space provided on the payment voucher. If you are filing a joint payment voucher, your

spouse’s name and social security number should be included on the voucher. If you are an alien and were issued an individual taxpayer identification

number (ITIN) by the IRS, enter your ITIN. If you have applied for an ITIN but the IRS has not yet issued the ITIN, write “ITIN Applied For” in the space

above the box where you enter your name.

(2) Enter the amount of your payment (Whole dollars only).

(3) If you have a foreign address, enter the complete country name in the space provided on the payment voucher.

(4) Attach your money order or check to the front of the payment voucher. Make your money order or check payable in U.S. dollars to the “Hawaii State

Tax Collector.” Please write your social security number, daytime phone number, and the notation “2016 Form N-1” on your check or money order. Do not

send cash.

Hawaii Department of Taxation

(5) The payment voucher should be filed with the:

P.O. Box 1530

Honolulu, Hawaii 96806-1530

IMPORTANT NOTE

Form N-1 is designed for electronic scanning that permits faster processing with fewer errors. To avoid delays:

1. Print amounts only on those lines that are applicable.

2. Use only a black or dark blue ink pen. Do not use red ink, pencil, felt tip pens, or erasable pens.

3. Because this form is read by a machine, please print your numbers inside the boxes like this:

1 2 3 4 5 6 7 8 9

4. Do NOT print outside the boxes.

5. Do NOT use dollar signs, commas, slashes, dashes or parenthesis in the boxes.

6. DO NOT SUBMIT A PHOTOCOPY OF THIS FORM. Photocopying of this form could cause delays in

processing your payment.

DETACH HERE



Form

Tax Year

(Rev. 2015)

STATE OF HAWAII — DEPARTMENT OF TAXATION

DO NOT WRITE OR STAPLE IN THIS SPACE

N-1

2016

INDIVIDUAL ESTIMATED INCOME TAX

Voucher No. 1

Calendar Year — Due April 20, 2016

DO NOT SUBMIT A PHOTOCOPY OF THIS FORM

JFF151

First time filer

Your first name

M.I.

Last name

If joint return, spouse’s first name

M.I.

Last name

Your Social Security Number

Present mailing or home address (Number and street, including rural route)

Apartment Number

Spouse’s Social Security Number

City, town, or post office

State

Postal/ZIP Code

Country

For office use only

Amount of Payment

MAIL THIS VOUCHER WITH CHECK OR MONEY ORDER

PAYABLE TO “HAWAII STATE TAX COLLECTOR.” Write your

.00

social security number, daytime phone number, and “2016

ID NO 01

Form N-1” on your check or money order.

Form N-1 - Declaration Of Estimated Income Tax For Individuals - 2016 Page 5

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