Form N-4 - Statement Of Withholding For A Nonresident Shareholder Of An S Corporation

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STATE OF HAWAII—DEPARTMENT OF TAXATION
FORM
Clear Form
THIS SPACE FOR DATE RECEIVED STAMP
STATEMENT OF WITHHOLDING
N-4
FOR A NONRESIDENT SHAREHOLDER
(REV. 2013)
OF AN S CORPORATION
20__
S Corporation’s Tax Year Ending
,
20
Copy A - Attach to Form N-35
NGF131
•
1. S Corporation’s Name and Mailing Address
2. Shareholder’s SSN or FEIN
•
3. Amount of Hawaii Tax Withheld
•
4. S Corporation’s FEIN
5. Shareholder’s Name and Mailing Address
6. Shareholder’s Share of S Corporation’s
Hawaii Income
ATTACH TO THE FRONT OF FORM N-35 WHERE INDICATED
FORM N-4
STATE OF HAWAII—DEPARTMENT OF TAXATION
FORM
THIS SPACE FOR DATE RECEIVED STAMP
STATEMENT OF WITHHOLDING
N-4
FOR A NONRESIDENT SHAREHOLDER
(REV. 2013)
OF AN S CORPORATION
20__
S Corporation’s Tax Year Ending
,
20
Copy A - Attach to Form N-35
NGF131
•
1. S Corporation’s Name and Mailing Address
2. Shareholder’s SSN or FEIN
•
3. Amount of Hawaii Tax Withheld
•
4. S Corporation’s FEIN
5. Shareholder’s Name and Mailing Address
6. Shareholder’s Share of S Corporation’s
Hawaii Income
ATTACH TO THE FRONT OF FORM N-35 WHERE INDICATED
FORM N-4

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