Clear Form

Schedule NS           STATE OF HAWAII
(Form N-35)
(REV. 2004)        DEPARTMENT OF TAXATION
                   HAWAII S CORPORATION
      AGREEMENT OF NONRESIDENT SHAREHOLDER

           This agreement is to be attached to the S corporation’s return for the first year
           which the corporation is subject to the provisions of section 235-128(c), Hawaii
                   Revised Statutes, with respect to the nonresident shareholder.

Section 235-128(c),  Hawaii Revised Statutes, requires S corporations to timely file this agreement for each nonresident
shareholder or to pay to the State an amount equal to the nonresident shareholder’s pro rata share of the S corporation’s
income attributable to Hawaii multiplied by the highest marginal income tax rate for individuals.  The S corporation is
entitled to recover from a shareholder any such payment made on behalf of the shareholder.

      If the shares of the S corporation are jointly owned, each owner must execute a separate agreement.

           SHAREHOLDER                 S CORPORATION
SSN:                           FEIN:
NAME:                          NAME:
ADDRESS:                       ADDRESS:

STATE OF RESIDENCE:

                   NONRESIDENT SHAREHOLDER’S AGREEMENT

I agree to file a Hawaii net income tax return and make timely payment of all taxes imposed
by the State of Hawaii with respect to my share of the Hawaii income of the S corporation named
above.
I also agree to be subject to personal jurisdiction in the State of Hawaii for purposes of the
collection of unpaid income tax, together with related interest and penalties.

Date       Taxpayer’s Signature

      This agreement is valid until revoked in writing by the nonresident shareholder.

                                                                                            Schedule NS
                                                                                            (Form N-35)