Clear Form

 SCHEDULE AMD                                      STATE OF HAWAII—DEPARTMENT OF TAXATION 
 (REV. 2018)              
                                EXPLANATION OF CHANGES ON 
                                                   AMENDED RETURN 
                               Attach this schedule to your amended return

 Name(s) as shown on amended return                                                                  SSN(s) or Federal Employer I.D. No.

 General Instructions
 Amended Return –  If you are filing an amended return, mark the “Amended Return” oval/checkbox at the top of the tax return. If there 
 is no “amended return” oval/checkbox, write “AMENDED” at the top of the first page of the amended return.
 Net Operating Loss (NOL) Carryback – If the return is being amended to apply a NOL carryback, mark the “NOL Carryback” oval/
 checkbox at the top of the tax return. If there is no “NOL Carryback” oval/checkbox, write “NOL CARRYBACK” at the top of the first page 
 of the amended return.
 Signature and Attachments – Complete your amended return using the corrected amounts. Use Schedule AMD, Explanation of 
 Changes on Amended Return, to explain why you are submitting an amended return. Sign and date your amended tax return. Your 
 amended return is not considered a valid return unless you sign it. Attach all the required forms, schedules, attachments, and payment 
 (if any) required to file a complete tax return.

 1. Has your original Federal return been changed or corrected by the Internal Revenue Service?       Yes     No

 2.  Does the change pertain to a net operating loss carryback?              Yes               No 
    If Yes, and if taxpayer is: 
     An individual - Attach a copy of your original federal income tax return for the loss year and a statement showing how you  
    figured your net operating loss.  You may use Schedule A of Form N-109 for this purpose. 
     A corporation - Attach copies of the first 2 pages of the corporation’s federal return for the loss year, any forms or schedules 
    from which the carryback results and forms or schedules for items refigured in the carryback years.  Form N-309 may be used to 
    show how the NOL carryback was computed.

 3.  Enter the form or schedule and line reference for which you are reporting a change and give the reason for each change.  Explain 
    lines that originate the change and have significant computations.  Attach additional sheets if more space is needed.

    Form or              Line               Amount of           Explanation of changes:
   Schedule             No.                  Change

                                                                                                                  SCHEDULE  AMD
 SCHAMD_I 2018A 01 VID01                                 ID NO 01

SCHEDULE AMD                                                                                                                         PAGE 2
(REV. 2018)
  Name(s) as shown on amended return                                                              SSN(s) or Federal Employer I.D. No.

     Form or              Line             Amount of                  Explanation of changes:
  Schedule             No.               Change

                                                                                              SCHEDULE  AMD