Form Fp-1 - Franchise Tax Or Public Service Company Tax Installment Payment Voucher - 2016
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Form FP-1
STATE OF HAWAII — DEPARTMENT OF TAXATION
DO NOT WRITE OR STAPLE IN THIS SPACE
FRANCHISE TAX OR
(REV. 2015)
PUBLIC SERVICE COMPANY TAX
2016
INSTALLMENT PAYMENT VOUCHER
Based on income for calendar tax year 2015, or fiscal tax year 2015
beginning on _______________, 2015 and ending on _______________, 20 _______
2
Payment Number
Check one:
Franchise Tax
Public Service Company Tax
Hawaii Tax I.D. No.
Federal Employer I.D. No.
1. Estimated tax liability for the year .............
$
W __ __ __ __ __ __ __ __ - __ __
Name
2. Amount of this installment ........................
$
DBA (if any)
3. Amount of any unused overpayment
credit to be applied ...................................
$
Address (number and street)
4. Amount of this payment.
(Line 2 minus line 3.) ................................
$
City, State, and Postal/ZIP Code
MAIL THIS VOUCHER WITH CHECK OR MONEY ORDER PAYABLE
TO “HAWAII STATE TAX COLLECTOR.”
Write your Federal Employer I.D. Number on your check or money order.
DUE DATES FOR MONTHLY PAYMENTS:
Check box if address changed and make corrections above.
Payment due on or before February 10, 2016, for calendar year taxpayers
and on or before the 10th day of the second month after the close of the
-MAILING ADDRESS-
fiscal year for fiscal year taxpayers.
HAWAII DEPARTMENT OF TAXATION
P. O. BOX 1530
HONOLULU, HI 96806-1530
See Instructions on the reverse side.
Form FP-1
Form FP-1
STATE OF HAWAII — DEPARTMENT OF TAXATION
DO NOT WRITE OR STAPLE IN THIS SPACE
(REV. 2015)
FRANCHISE TAX OR
PUBLIC SERVICE COMPANY TAX
2016
INSTALLMENT PAYMENT VOUCHER
Based on income for calendar tax year 2015, or fiscal tax year 2015
beginning on _______________, 2015 and ending on _______________, 20 _______
1
Payment Number
Check one:
Franchise Tax
Public Service Company Tax
Hawaii Tax I.D. No.
Federal Employer I.D. No.
1. Estimated tax liability for the year .............
$
W __ __ __ __ __ __ __ __ - __ __
Name
2. Amount of this installment ........................
$
DBA (if any)
3. Amount of any unused overpayment
credit to be applied ...................................
$
Address (number and street)
4. Amount of this payment.
(Line 2 minus line 3.) ................................
$
City, State, and Postal/ZIP Code
MAIL THIS VOUCHER WITH CHECK OR MONEY ORDER PAYABLE
TO “HAWAII STATE TAX COLLECTOR.”
Write your Federal Employer I.D. Number on your check or money order.
DUE DATES FOR MONTHLY PAYMENTS:
Check box if address changed and make corrections above.
Payment due on or before January 10, 2016, for calendar year taxpayers
and on or before the 10th day of the first month after the close of the fiscal
-MAILING ADDRESS-
year for fiscal year taxpayers.
HAWAII DEPARTMENT OF TAXATION
P. O. BOX 1530
HONOLULU, HI 96806-1530
See Instructions on the reverse side.
Form FP-1
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