Form N-15 - Individual Income Tax Return - Nonresident And Part-Year Resident - 2014

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STATE OF HAWAII — DEPARTMENT OF TAXATION

FORM

N-15

Individual Income Tax Return

(Rev. 2014)

NONRESIDENT and PART-YEAR RESIDENT

2014

Calendar Year

JCF141

Enter tax year dates in MMDDYY format. Do not enter dash (-) e.g. 123113.

AMENDED Return

NOL

Tax Year

thru

Carryback

† Place an X in applicable box(es):

Nonresident Alien or Dual-Status Alien

Part-Year Resident

Nonresident

(Enter period of Hawaii residency above)

FOR OFFICE USE ONLY

There are features on this form that are only supported by Adobe 6.0 or higher. You must use Adobe 6.0 or higher with this form.

Do NOT Submit a Photocopy!!

Place an X in the applicable box, if appropriate

First Time Filer

Address or Name Change

2014

ATTACH A COPY OF YOUR

FEDERAL

INCOME TAX RETURN

Your First Name

M.I.

Your Last Name

u IMPORTANT — Complete this Section u

Enter the first four letters

Spouse’s First Name

M.I.

Spouse’s Last Name

of your last name.

Use ALL CAPITAL letters

Care Of (See Instructions, page 8.)

Your Social

Security Number

Present mailing or home address (Number and street, including Rural Route)

Enter the first four letters

of your Spouse’s last name.

City, town or post office.

State

Postal/ZIP code

Use ALL CAPITAL letters

Spouse's Social

If Foreign address, enter Province and/or State

Country

Security Number

(Place an X in only ONE box)

Head of household (with qualifying person). If the qualifying

Single

person is a child but not your dependent, enter the child’s full

Married filing joint return (even if only one had income).

name.

†

Married filing separate return. Enter spouse’s SSN and

__________________________________

the first four letters of last name above. Enter spouse’s full

Qualifying widow(er) with dependent child. Enter the year

name here. _____________________________________

your spouse died

CAUTION: If you can be claimed as a dependent on another person’s tax return (such as your parents’), DO NOT place an X on line 6a, but be sure to place an X below line 37.

Enter the number of Xs

}

Yourself ........................................

Age 65 or over ...............................................................

on 6a and 6b ..................

Spouse ........................................

Age 65 or over ...............................................................

If you placed an X on lines 3 and 6b above, see the Instructions on page 9 and if your spouse meets the qualifications, place an X here

Dependents:

If more than 6 dependents

2. Dependent’s social

1. First and last name