Form U-6 - Public Service Company Tax Return - 2015
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THIS SPACE FOR DATE RECEIVED STAMP
STATE OF HAWAII — DEPARTMENT OF TAXATION
FORM
PUBLIC SERVICE COMPANY TAX RETURN
U-6
2015
(REV. 2014)
CALENDAR YEAR
(Based on income for calendar year 2014 or fiscal year beginning on
________________ , 2014 and ending ________________ , 20 ___ )
(NOTE: Do NOT use Form U-6 to calculate and/or remit
VCF141
the counties’ share of the public service company tax.)
Name
Date Business Began in Hawaii
DBA (if any)
Hawaii Tax I.D. No.
W __ __ __ __ __ __ __ __ - __ __
Address (number and street)
Federal Employer I.D. No.
City, State, and Postal/ZIP Code
Amount paid with this return
$
TOTAL TAX (from page 2; Do Not enter
TAX DUE amount)
Paying tax in installments
Check if:
1st year
2nd year
Final year
Amended return
$
SECTION I - COMPUTATION OF ADJUSTED GROSS INCOME
GROSS INCOME FROM PRECEDING TAXABLE YEAR BEGINNING IN 2014
1 Gross Income from Public Utility Business (describe fully from what sources received)
a (1) Passenger Fares for Transportation Between Points on a
Scheduled Route By Land . . . . . . . . . . . . . . . . . . . . . . . 1a(1)
(2) Worthless Accounts Charged Off for Net Income Tax
Purposes (see Instructions) . . . . . . . . . . . . . . . . . . . . . . . 1a(2)
(3) Adjusted Gross Income (line 1a(1) minus line 1a(2)) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1a(3)
b (1) Sales of Products or Services to Another Public Utility for
Resale to the Consumer . . . . . . . . . . . . . . . . . . . . . . . . 1b(1)
(2) Worthless Accounts Charged Off for Net Income Tax
Purposes (see Instructions) . . . . . . . . . . . . . . . . . . . . . . . 1b(2)
(3) Adjusted Gross Income (line 1b(1) minus line 1b(2)) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b(3)
c (1) Sales of Telecommunication Services to a Person Defined in
Section 237-13(6)(D), HRS, for Resale to the Consumer . . . . . . . . 1c(1)
(2) Worthless Accounts Charged Off for Net Income Tax
Purposes (see Instructions) . . . . . . . . . . . . . . . . . . . . . . . 1c(2)
(3) Adjusted Gross Income (line 1c(1) minus line 1c(2)) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c(3)
d (1)
1d(1)
(2) Worthless Accounts Charged Off for Net Income Tax
Purposes (see Instructions) . . . . . . . . . . . . . . . . . . . . . . . 1d(2)
(3) Adjusted Gross Income (line 1d(1) minus line 1d(2)) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d(3)
2 Equipment Rentals Received (attach schedule and describe fully) . . . . . . . . . . . . . . . . . . . . . . . .
2
3 Joint Facility Rentals Received . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
4 Non-Operating Income from Public Utility Business (attach schedule and describe fully) . . . . . . . . . . . . .
4
5 TOTAL ADJUSTED GROSS INCOME (add lines 1 through 4) . . . . . . . . . . . . . . . . . . . . . . . . . .
5
DECLARATION — I declare, under the penalties set forth in section 231-36, HRS, that this return (including any 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 Public Service Company Tax Law, Chapter 239, HRS.
Please
Sign
Here
Signature of officer
Date
Title
Date
Check if
Preparer’s identification number
Preparer’s Signature and
Paid
self-em-
Print Preparer’s Name
ployed
Preparer’s
Information
Federal
Firm’s name (or yours
E.I. No .
if self-employed),
Phone No.
Address, and Postal/Zip Code
FORM U-6
FORM U-6
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