FORM STATE OF HAWAII — DEPARTMENT OF TAXATION N-11 Individual Income Tax Return (Rev. 2025) RESIDENT

Calendar Year 2025

OR AMENDED Return NOL Carryback IRS Adjustment First Time Filer THIS SPACE RESERVED

1

Single

2 Married filing joint return (even if only one had income).

3 Married filing separate return. Enter spouse’s SSN and the first four letters of last name above. Enter spouse’s full name here. _____________________________________ 4

Head of household (with qualifying person). If the qualifying person is a child but not your dependent, enter the child’s full name. h __________________________________ 5

Qualifying surviving spouse (see page 8 of the Instructions) • ATTACH CHECK OR MONEY ORDER HERE • • ATTACH COPY 2 OF FORM W-2 HERE • FORM N-11 (REV. 2025) DO NOT WRITE IN THIS AREA Fiscal Year

and Beginning

Ending u IMPORTANT — Complete this Section u

Enter the first four letters of your last name. Use ALL CAPITAL letters Your Social Security Number Deceased

Date of Death

Enter the first four letters of your Spouse’s last name. Use ALL CAPITAL letters Spouse's Social Security Number Deceased

Date of Death Your First Name M.I. Your Last Name Suffix Spouse’s First Name M.I. Spouse’s Last Name Suffix Care Of (See Instructions, page 7.) Present mailing or home address (Number and street, including Rural Route) City, town or post office State Postal/ZIP code If Foreign address, enter Province and/or State

Country

6a Yourself............................................. Age 65 or over........................................................

6b Spouse.............................................. Age 65 or over........................................................}

6c and

6d

6e Total number of exemptions claimed. Add numbers entered in boxes 6a thru 6d above.............................................. Dependents: If more than 6 dependents

2. Dependent’s social 1. First and last name use attachment

security number 3. Relationship Enter number of your children listed... 6c  Enter number of other dependents.....6d Â

6e  FOR OFFICE USE ONLY

N111N4X7 N11_I 2025A 01 VID01 ID NO 01 M M D D Y Y M M D D Y Y

(Fill in only ONE oval) Please Write Using a Black Ink Pen. Enter One Letter Or Number In Each Box. Fill In Ovals Completely. Do NOT Submit a Photocopy!! CAUTION: 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.

If you filled ovals 3 and 6b above, see the Instructions on page 9 and if your spouse meets the qualifications, fill in this oval Enter the number of ovals filled on 6a and 6b.......... M M D D Y Y M M D D Y Y

FORM N-11 (REV. 2025) Form N-11 (Rev. 2025) Page 2 of 4 ROUND TO THE NEAREST DOLLAR

7 Federal adjusted gross income (AGI) (see page 11 of the Instructions)........................................ 7

8 Difference in state/federal wages due to COLA, ERS,

etc. (see page 11 of the Instructions)....................................8

9 Interest on out-of-state bonds

(including municipal bonds)..................................................9

10 Other Hawaii additions to federal AGI

(see page 11 of the Instructions).........................................10

11 Add lines 8 through 10...................Total Hawaii additions to federal AGI 11

12 Add lines 7 and 11......................................................................................................................... 12

13 Pensions taxed federally but not taxed by Hawaii

(see page 13 of the Instructions)........................................13

14 Social security benefits taxed on federal return..................14

15 First $8,636 of military reserve or Hawaii national

guard duty pay....................................................................15

16 Payments to an individual housing account........................16

17 Exceptional trees deduction (attach affidavit)

(see page 14 of the Instructions)........................................17

18 Other Hawaii subtractions from federal AGI

(see page 14 of the Instructions)........................................18

19 Add lines 13 through 18

.............................................Total Hawaii subtractions from federal AGI 19

20 Line 12 minus line 19.............................................................................................Hawaii AGI h 20

21 If you do not itemize your deductions, go to line 23 below. Otherwise go to page 15 of the Instructions

and enter your itemized deductions here. 21a Medical and dental expenses

(from Worksheet A-1)........................................................21a 21b Taxes (from Worksheet A-2)............................................ 21b 21c Interest expense (from Worksheet A-3)............................21c 21d Contributions (from Worksheet A-4)................................. 21d 21e Casualty and theft losses (from Worksheet A-5)...............21e 21f Miscellaneous deductions (from Worksheet A-6).............. 21f

23 If you checked filing status box: 1 or 3 enter $4,400;

2 or 5 enter $8,800; 4 enter $6,424........................................................Standard Deduction h 23

24 Line 20 minus line 22 or 23, whichever applies. (This line MUST be filled in).................. 24 N112N4X7 N11_I 2025A 02 VID01 ID NO 01 CAUTION: If you can be claimed as a dependent on another person’s return, see the Instructions on page 15, and fill in this oval. If amount is negative (loss), shade the minus (-) in the box. Example: - - - - TOTAL ITEMIZED DEDUCTIONS 22 Add lines 21a through 21f. If your Hawaii adjusted gross income is above a certain amount, you may not be able to deduct all of your itemized deductions. See the Instructions on page 19. Enter total here and go to line 24. - .00 Your Social Security Number Your Spouse’s SSN

Name(s) as shown on return ___________________________________________________ .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00

FORM N-11 (REV. 2025) Form N-11 (Rev. 2025) Page 3 of 4 27a If tax is from the Capital Gains Tax Worksheet, enter

the net capital gain from line 14 of that worksheet............27a

28 Refundable Food/Excise Tax Credit

(attach Form N-311) DHS, etc. exemptions ....28

29 Credit for Low-Income Household

Renters (attach Schedule X)...............................................29

30 Credit for Child and Dependent

Care Expenses (attach Schedule X)...................................30

31 Credit for Child Passenger Restraint

System(s) (attach a copy of the invoice).............................31

32 Total refundable tax credits from

Schedule CR (attach Schedule CR)...................................32

33 Add lines 28 through 32..................................................................Total Refundable Credits h 33

34 Line 27 minus line 33. If line 34 is zero or less, see Instructions.........Adjusted Tax Liability h 34

35 Total nonrefundable tax credits (attach Schedule CR)................................................................... 35

36 Line 34 minus line 35..................................................................................................Balance h 36

37 Hawaii State Income tax withheld (attach W-2s)

(see page 22 of the Instructions for other attachments)....................37

38 2025 estimated tax payments.............................................38

39 Amount of estimated tax applied from 2024 return.............39

40 Amount paid with extension................................................40

41 Add lines 37 through 40..................................................................................Total Payments h 41

42 If line 41 is larger than line 36, enter the amount OVERPAID (line 41 minus line 36) (see Instructions).. 42

43 Contributions to (see page 22 of the Instructions):........................ Yourself Spouse

43a Hawaii Schools Repairs and Maintenance Fund...................... $2 $2

43b Hawaii Public Libraries Fund.................................................... $5 $5

43c Domestic and Sexual Violence / Child Abuse and Neglect Funds.............. $5 $5 N113N4X7 N11_I 2025A 03 VID01 ID NO 01

25 Multiply $1,144 by the total number of exemptions claimed on line 6e.

If you and/or your spouse are blind, deaf, or disabled, fill in the applicable oval(s),

and see page 20 of the Instructions.

Yourself Spouse................................................................................................... 25

26 Taxable Income. Line 24 minus line 25 (but not less than zero).................. Taxable Income h 26

27 Tax. Fill in oval if from Tax Table; Tax Rate Schedule; or Capital Gains Tax

Worksheet on page 33 of the Instructions.

( Fill in oval if tax from Forms N-2, N-103, N-152, N-168, N-312, N-325, N-338,

N-344, N-348, N-405, N-586, N-615, or N-814 is included.)...............................................Tax h 27 - - Your Social Security Number Your Spouse’s SSN

Name(s) as shown on return ___________________________________________________ .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00

44 Add the amounts of the filled ovals on lines 43a through 43c and enter the total here................. 44

45 Line 42 minus line 44........................................................................................................ 45 .00 .00

FORM N-11 (REV. 2025)

46 Amount of line 45 to be applied to your

2026 ESTIMATED TAX.......................................................46 47a Amount to be REFUNDED TO YOU (line 45 minus line 46) If filing late,

see page 23 of Instructions............................................................................................................ 47a 47b Routing number

47c Type: Checking Savings 47d Account number

48 AMOUNT YOU OWE (line 36 minus line 41)................................................................................. 48

49 PAYMENT AMOUNT Submit payment online at hitax.hawaii.gov or attach check or

money order payable to “Hawaii State Tax Collector.”................................................................... 49

51 Did you file a federal Schedule C? Yes No If yes, enter Hawaii gross receipts

your main business activity: , your main business product: , AND your HI Tax I.D. No. for this activity GE

52 Did you file a federal Schedule E

If yes, enter Hawaii gross rents received

for any rental activity? Yes No AND your HI Tax I.D. No. for this activity GE

53 Did you file a federal Schedule F? Yes No If yes, enter Hawaii gross receipts

your main business activity: , your main business product: , AND your HI Tax I.D. No. for this activity GE If designating another person to discuss this return with the Hawaii Department of Taxation, complete the following. This is not a full power of attorney. See page 25 of the Instructions. Designee’s name Phone no. Identification number HAWAII ELECTION

Indicate if you want $3 to go to the Hawaii Election Campaign Fund. Yes CAMPAIGN FUND

If joint return, indicate if your spouse designates $3 to the fund. Yes DECLARATION — I declare, under the penalties set forth in section 231-36, HRS, that this return (including accompanying schedules or statements) has been examined by me and, to the best 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. (See page 25 of the Instructions) Form N-11 (Rev. 2025) Page 4 of 4 N114N4X7 N11_I 2025A 04 VID01 ID NO 01

Fill in this oval if this refund will ultimately be deposited to a foreign (non-U.S.) bank. Do not complete lines 47b, 47c, or 47d. DESIGNEE PLEASE SIGN HERE Preparer’s Date Preparer Tax Identification Number (PTIN) Signature h Print

Federal Employer Identification Number (FEIN) Preparer’s Name h Firm’s name (or yours

Telephone Number if self-employed), h

Address, and ZIP Code Paid Preparer’s Information h h h  Your signature Date Spouse’s signature (if filing jointly, BOTH must sign) Date h h Your Occupation Daytime Phone Number Your Spouse’s Occupation Daytime Phone Number Note: Filling in the “Yes” oval will not change your tax or refund.

50 Estimated tax penalty. (See page 23 of

Instructions.) Do not include on line 42 or 48. Fill in

this oval if Form N-210 is attached h ....................50 Your Social Security Number Your Spouse’s SSN

Name(s) as shown on return ___________________________________________________ .00 .00 .00 .00 .00 .00 .00 .00