Form N-4 "Statement of Withholding for a Nonresident Shareholder of an S Corporation" - Hawaii

What Is Form N-4?

This is a legal form that was released by the Hawaii Department of Taxation - a government authority operating within Hawaii. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on January 1, 2018;
  • The latest edition provided by the Hawaii Department of Taxation;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form N-4 by clicking the link below or browse more documents and templates provided by the Hawaii Department of Taxation.

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Download Form N-4 "Statement of Withholding for a Nonresident Shareholder of an S Corporation" - Hawaii

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STATE OF HAWAII—DEPARTMENT OF TAXATION
FORM
Clear Form
STATEMENT OF WITHHOLDING
THIS SPACE FOR DATE RECEIVED STAMP
N-4
FOR A NONRESIDENT SHAREHOLDER
(REV. 2020)
OF AN S CORPORATION
20__
20
S Corporation’s Tax Year Ending
,
Copy A - Attach to Form N-35
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
ID NO 01
ATTACH TO THE FRONT OF FORM N-35 WHERE INDICATED
FORM N-4
N4_I 2020A 01 VID01
CUT HERE
STATE OF HAWAII—DEPARTMENT OF TAXATION
FORM
STATEMENT OF WITHHOLDING
THIS SPACE FOR DATE RECEIVED STAMP
N-4
FOR A NONRESIDENT SHAREHOLDER
(REV. 2020)
OF AN S CORPORATION
20__
S Corporation’s Tax Year Ending
20
,
Copy A - Attach to Form N-35
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
ID NO 01
ATTACH TO THE FRONT OF FORM N-35 WHERE INDICATED
FORM N-4
N4_I 2020A 01 VID01
STATE OF HAWAII—DEPARTMENT OF TAXATION
FORM
Clear Form
STATEMENT OF WITHHOLDING
THIS SPACE FOR DATE RECEIVED STAMP
N-4
FOR A NONRESIDENT SHAREHOLDER
(REV. 2020)
OF AN S CORPORATION
20__
20
S Corporation’s Tax Year Ending
,
Copy A - Attach to Form N-35
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
ID NO 01
ATTACH TO THE FRONT OF FORM N-35 WHERE INDICATED
FORM N-4
N4_I 2020A 01 VID01
CUT HERE
STATE OF HAWAII—DEPARTMENT OF TAXATION
FORM
STATEMENT OF WITHHOLDING
THIS SPACE FOR DATE RECEIVED STAMP
N-4
FOR A NONRESIDENT SHAREHOLDER
(REV. 2020)
OF AN S CORPORATION
20__
S Corporation’s Tax Year Ending
20
,
Copy A - Attach to Form N-35
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
ID NO 01
ATTACH TO THE FRONT OF FORM N-35 WHERE INDICATED
FORM N-4
N4_I 2020A 01 VID01
STATE OF HAWAII—DEPARTMENT OF TAXATION
FORM
STATEMENT OF WITHHOLDING
THIS SPACE FOR DATE RECEIVED STAMP
N-4
FOR A NONRESIDENT SHAREHOLDER
(REV. 2020)
OF AN S CORPORATION
20__
20
S Corporation’s Tax Year Ending
,
Copy B - For your records
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
ID NO 01
FORM N-4
N4_I 2020A 01 VID01
CUT HERE
STATE OF HAWAII—DEPARTMENT OF TAXATION
FORM
STATEMENT OF WITHHOLDING
THIS SPACE FOR DATE RECEIVED STAMP
N-4
FOR A NONRESIDENT SHAREHOLDER
(REV. 2020)
OF AN S CORPORATION
20__
S Corporation’s Tax Year Ending
20
,
Copy B - For your records
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
ID NO 01
FORM N-4
N4_I 2020A 01 VID01
This form is used to report Hawaii income taxes withheld from a shareholder of an S corporation who is a
nonresident of Hawaii and who has not provided the S corporation with a signed agreement (Schedule NS) to
file a return, make timely payment of all Hawaii taxes imposed with respect to the shareholder’s share of the S
corporation’s Hawaii income, and to be subject to personal jurisdiction in Hawaii for purposes of the collection
of unpaid income tax and related interest and penalties.
Box 1 — Enter the S corporation’s name and mailing address.
Box 2 — Enter the shareholder’s social security number (SSN), if an individual, or Federal Employer
Identification Number (FEIN).
Box 3 — Enter the amount of Hawaii tax withheld on the shareholder’s share of the corporation’s Hawaii
income.
Box 4 — Enter the S corporation’s FEIN.
Box 5 — Enter the shareholder’s name and mailing address.
Box 6 — Enter the shareholder’s share of the S corporation’s Hawaii income.
This form is used to report Hawaii income taxes withheld from a shareholder of an S corporation who is a
nonresident of Hawaii and who has not provided the S corporation with a signed agreement (Schedule NS) to
file a return, make timely payment of all Hawaii taxes imposed with respect to the shareholder’s share of the S
corporation’s Hawaii income, and to be subject to personal jurisdiction in Hawaii for purposes of the collection
of unpaid income tax and related interest and penalties.
Box 1 — Enter the S corporation’s name and mailing address.
Box 2 — Enter the shareholder’s social security number (SSN), if an individual, or Federal Employer
Identification Number (FEIN).
Box 3 — Enter the amount of Hawaii tax withheld on the shareholder’s share of the corporation’s Hawaii
income.
Box 4 — Enter the S corporation’s FEIN.
Box 5 — Enter the shareholder’s name and mailing address.
Box 6 — Enter the shareholder’s share of the S corporation’s Hawaii income.
STATE OF HAWAII—DEPARTMENT OF TAXATION
FORM
STATEMENT OF WITHHOLDING
THIS SPACE FOR DATE RECEIVED STAMP
N-4
FOR A NONRESIDENT SHAREHOLDER
(REV. 2020)
OF AN S CORPORATION
20__
20
S Corporation’s Tax Year Ending
,
Copy C - For Shareholder’s records
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
ID NO 01
Do NOT submit this copy with your Form N-15. Keep for your files
FORM N-4
N4_I 2020A 01 VID01
CUT HERE
STATE OF HAWAII—DEPARTMENT OF TAXATION
FORM
STATEMENT OF WITHHOLDING
THIS SPACE FOR DATE RECEIVED STAMP
N-4
FOR A NONRESIDENT SHAREHOLDER
(REV. 2020)
OF AN S CORPORATION
20__
S Corporation’s Tax Year Ending
20
,
Copy C - For Shareholder’s records
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
ID NO 01
Do NOT submit this copy with your Form N-15. Keep for your files
FORM N-4
N4_I 2020A 01 VID01
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