Form N-35 - S Corporation Income Tax Return - 2012 Page 4
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4FORM N-35 (REV. 2012)
Page 4
Name as shown on return
Federal Employer Identification Number
SBF124
Schedules L, M-1, and M-2
Attach a copy of page 4 of federal Form 1120S to this return. Attach Sch. M-3, if applicable.
Schedule N
List of Shareholders (Attach a separate sheet if more space is needed)
Year Sch. NS
Amount of
No. of shares
filed, if any
State of
Payment on
owned at all times
Name and Address
SSN or FEIN
(Indicate if
Form N-4
Residence
during the year
revoked)
attached
1
2
3
Schedule O
Apportionment of Income (See Attributable to Hawaii in the Instructions.)
1
Ordinary income (loss) from trade or business activities (From page 1, line 21) . . . . . . . . . . . . . . . . .
2
%
Apportionment factor (from Schedule P, line 8) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
Business income apportioned to Hawaii (line 1 multiplied by line 2) (To Schedule K, line 1, col. b) . . . . . . .
4
Business income apportioned elsewhere (line 1 minus line 3). (To Schedule K, line 1, col. c) . . . . . . . . . .
5
Are the totals of columns b and c, Schedule K, lines 2 through 6, and the amounts shown on Schedule P, column B, the same as those
reported in returns or reports to other states under the Uniform Division of Income for Tax Purposes Act? . . . . . . . .
Yes
No
If “No”, please explain
Schedule P
Computation of Apportionment Factors (See Attributable to Hawaii in the Instructions.)
In Hawaii
Total Everywhere
Property — (use original cost)
Beginning of taxable year
End of taxable year
Beginning of taxable year
End of taxable year
Land
Buildings
Inventories
Leasehold interests*
Rented Property*
Other Property
Total
* Enter net annual rent X 8.
A. In Hawaii
B. Everywhere
1
Property values (average value of property above) . . . . . . . . . . . .
2
%
Property factor (line 1, col. A divided by line 1, col. B) . . . . . . . . . . .
3
Total compensation . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4
%
Payroll factor (line 3, col. A divided by line 3, col. B) . . . . . . . . . . . .
5
Total sales . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6
%
Sales factor (line 5, col. A divided by line 5, col. B) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7
%
Total of factors (add lines 2, 4, and 6) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8
%
Average of factors (divide line 7 by 3) (To Schedule O, line 2) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Designation of Tax Matters Person (See Instructions.)
Enter below the shareholder designated as the tax matters person (TMP) for the tax year of this return, if one has been designated:
Name of
Identifying
designated TMP
number of TMP
Address of
designated TMP
FORM N-35
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