Form N-755 - Application For Automatic Extension Of Time To File Hawaii Franchise Tax Return (Form F-1) Or Public Service Company Tax Return (Form U-6)
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STATE OF HAWAII — DEPARTMENT OF TAXATION
FORM
APPLICATION FOR AUTOMATIC EXTENSION OF TIME
N-755
TO FILE HAWAII FRANCHISE TAX RETURN (FORM F-1)
(REV. 2013)
OR PUBLIC SERVICE COMPANY TAX RETURN (FORM U-6)
Name
Extension REJECTED. (See below
for reasons.)
DBA (if any)
Federal Employer Identification Number
Address (number and street)
Hawaii Tax I.D. No.
City, State, and Postal/ZIP Code
Check type of return to be filed:
Form F-1
Form U-6
(Check here
if you do not have an office or place of business in Hawaii)
1
(a) I request an automatic 6-month extension of time to file the franchise or public service company tax return of the entity named above for:
calendar year 20
, or tax year ending
, 20
(b) If this tax year is for less than 12 months, check reason:
Initial return
Final return
Change in accounting period approved
Consolidated return to be filed
Amended Return
First Year
Second Year
Third Year
2
Does this application also cover subsidiaries to be included in a consolidated return? ..............................................................
Yes
No
If “Yes,” attach a list showing the name, address, and Federal Employer Identification Number of each member of the affiliated group of domestic
entities.
3
Total tax liability for the taxable year (You may estimate this amount) ...........................................................
3
NOTE: You must enter an amount on line 3. If you do not expect to owe tax,
enter zero (0) and skip lines 4a, 4b, and 4c.
4
Are you making the election to pay the tax in:
4a. 4 equal installments? ....................................
Yes
No
4b. 12 equal installments (applicable to those whose total tax liability
exceeds $100,000)? .....................................
Yes
No
4c. If line 4a is checked “Yes” — enter 1/4 of line 3 on line 4c.
If line 4b is checked “Yes” — enter 1/12 of line 3 on line 4c.
If “No” is checked for line 4a and 4b — enter the amount of line 3 on line 4c........................................
4c
Pay amount on line 4c in full. Attach check or money order for full amount payable to “Hawaii State Tax Collector.” Write your Federal Employer
Identification Number, the taxable year, and Form N-755 on it. Pay in U.S. dollars. Do not send cash.
Installment Payments. — If you are making installment payments instead of paying the tax in full, use the “Franchise Tax or Public Service Company
Tax Installment Payment Voucher” (Form FP-1) to report and pay the remaining amount(s) due.
REASONS FOR REJECTION OF EXTENSION
1. The request was not in this office or mailed on or before the date prescribed by law for filing this return.
2. Separate requests are required for each type of tax and for each taxpayer involved.
3. The tax return was not filed within the time specified by the automatic extension.
FORM N-755
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