Form G-45 - General Excise/use Tax Return
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FORM G-45
STATE OF HAWAII — DEPARTMENT OF TAXATION
DO NOT WRITE IN THIS AREA
10
(REV. 11/2004)
GENERAL EXCISE/USE TAX RETURN
NAME:__________________________________________
o Month o Quarter o Semiannual Period
Beginning ___________ , 20____ and Ending ____________ , 20____
W __ __ __ __ __ __ __ __ - __ __
HAWAII TAX I.D. NO.
(Do not combine your income for more than one filing period on this return.)
SCHEDULE A — ACTIVITIES UNDER CHAPTER 237, HRS — GENERAL EXCISE TAX LAW
VALUES, GROSS PROCEEDS
EXEMPTIONS/DEDUCTIONS
BUS.
BUSINESS
TAXABLE INCOME
RATE
TAXES
ACT.
OR GROSS INCOME
(EXPLAIN ON REVERSE SIDE)
ACTIVITIES
CODE
a
b
c
(column a minus column b)
d
.005
1
WHOLESALING
1
.005
2
MANUFACTURING
2
.005
3
PRODUCING
3
.005
4
SUGAR PROCESSING
4
.005
5
PINEAPPLE CANNING
5
SERVICES RENDERED FOR
.005
6
6
(OR TO) AN INTERMEDIARY
.0015
7
INSURANCE COMMISSIONS
7
.04
8
RETAILING
8
.04
9
SERVICES INCL. PROFESSIONAL
9
.04
10
CONTRACTING
10
THEATER AMUSEMENT AND
11
.04
11
BROADCASTING
INTEREST
12
.04
12
COMMISSIONS
13
.04
13
TRANSIENT ACCOMMODATIONS
14
.04
14
RENTALS
OTHER RENTALS
15
.04
15
ALL OTHERS
16
.04
16
SCHEDULE B — ACTIVITIES UNDER CHAPTER 238, HRS — USE TAX LAW
.005
17
IMPORTS FOR RESALE AT RETAIL 17
.04
18
IMPORTS FOR CONSUMPTION
18
IF YOU DO NOT HAVE ANY GROSS INCOME AND THE RESULT IS NO TAX DUE,
19.
TOTAL TAXES DUE
ENTER “0" IN EACH COLUMN OF YOUR BUSINESS ACTIVITY(IES) AND LINES 19 AND 22.
19
20a
20a. PENALTY
FOR LATE FILING ONLY è
20b
20b. INTEREST
Attach your check or money order payable to “HAWAII STATE TAX COLLECTOR” in U.S. dollars drawn on any U.S. bank
TOTAL PAYMENT
21.
PAY IN U.S. DOLLARS
AND Form VP-1G to Form G-45. Write “GE”, the filing period, and your Hawaii Tax I.D. No. on your check or money order.
21
GRAND TOTAL EXEMPTIONS/DEDUCTIONS FROM BACK OF FORM.
22.
I declare, under the penalties set forth in section 231-36, HRS, that this is a true and correct return, prepared in accordance with the provisions
of the General Excise and Use Tax Laws and the rules issued thereunder.
IN THE CASE OF A CORPORATION OR PARTNERSHIP, THIS RETURN MUST BE SIGNED BY AN OFFICER, PARTNER OR MEMBER, OR DULY AUTHORIZED AGENT.
10
FORM G-45
SIGNATURE
TITLE
DATE
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DETACH HERE-
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DO NOT WRITE OR STAPLE IN THIS SPACE
STATE OF HAWAII — DEPARTMENT OF TAXATION
Form
TAX PAYMENT VOUCHER
VP-1G
GENERAL EXCISE
(Rev. 2004)
Period Beginning
and Ending
MM/DD/YY
MM/DD/YY
Print the amount of your payment in the space provided. ATTACH
Hawaii Tax I.D. No.
THIS VOUCHER WITH CHECK OR MONEY ORDER PAYABLE
DO NOT SUBMIT PHOTOCOPIES OF THIS FORM
TO “HAWAII STATE TAX COLLECTOR” TO FORM G-45. Write
W
-
“GE”, the filing period, and your Hawaii Tax I.D. No. on your check
or money order.
Name
Amount of Payment
$
2004400090115
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