Transcription of N-11, Rev. 2017, Individual Income Tax Return (Resident)
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N-11, Rev. 2017, Individual Income Tax Return (Resident)
FORM STATE OF HAWAII DEPARTMENT OF TAXATION N-11 Individual Income Tax Return (Rev. 2017 ) RESIDENT Calendar Year 2017 ORFiscal YearBeginning !! !! !! and Ending !! !! !!= AMENDED ReturnFOR OFFICE USE ONLY Please Write Using a Black Ink Pen. Enter One Letter Or Number In Each Box. Fill In Ovals Completely. Do NOT Submit a Photocopy!!Fill in applicable oval, if appropriate= First Time Filer = Address or Name ChangeTHIS SPACE RESERVEDYour First Name Your Last Name SuffixSpouse s First Name Spouse s Last Name SuffixCare Of (See Instructions, page 7.)Present mailing or home address (Number and street, including Rural Route)City, town or post office State Postal/ZIP codeIf Foreign address, enter Province and/or State Country Place Label Here M M D D Y Y M M D D Y YCAUTION: If you can be claimed as a dependent on another person s tax Return (such as your parents ), DO NOT fill in oval 6a, but be sure to fill in the oval above line 21.
of my knowledge and belief, is a true, correct, and complete return, made in good faith, for the taxable year stated, pursuant to the Hawaii Income Tax Law, Chapter 235, HRS. Your signature Date Spouse s signature (if ling jointly, BOTH must sign) Date
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