Form Hw-3 - Employer'S Annual Return And Reconciliation Of Hawaii Income Tax Withheld From Wages - Hawaii Department Of Taxation - 2005

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STATE OF HAWAII—DEPARTMENT OF TAXATION
FORM HW-3
DO NOT WRITE IN THIS AREA
36
EMPLOYER'S ANNUAL RETURN AND RECONCILIATION
(REV. 2005)
OF HAWAII INCOME TAX WITHHELD FROM WAGES
FOR CALENDAR YEAR
NAME:
HAWAII TAX I.D. NO. W __ __ __ __ __ __ __ __ - __ __
LAST 4 DIGITS OF YOUR FEIN OR SSN: ___ ___ ___ ___
FEDERAL I.D. NO. _________________________________
1. NUMBER OF HW-2 FORMS, COPY A, or FEDERAL FORM W-2, COPY 1 ·······································································1 __________________________
2. TOTAL WAGES SHOWN ON THESE FORMS (include COLA, 3rd party sick leave, and other benefits) ···························2 $ _________________________
3. TOTAL HAWAII INCOME TAX WITHHELD FROM WAGES SHOWN ON THESE FORMS··················································3 $
3a. PENALTIES ··········· $ _______________________
3b. INTEREST ·············· $ _______________________
3c. TOTAL AMOUNT DUE (ADD LINES 3, 3a, and 3b) ············································································································3c $ _________________________
4. PAYMENT OF TAXES WITHHELD BY MONTHS OR CALENDAR QUARTERS, WHICHEVER IS APPLICABLE:
JAN. $ __________________________ APR. $ _________________________ JUL. $ _________________________ OCT. $ _________________________
FEB. $ __________________________ MAY. $ _________________________ AUG. $ _________________________ NOV. $ _________________________
MAR. $ _________________________ JUN. $ _________________________ SEP. $ _________________________ DEC. $ _________________________
1st QTR. $_______________________ 2nd QTR. $ _____________________ 3rd QTR. $ ______________________ 4th Qtr. $ _______________________
5. TOTAL PAYMENTS OF TAXES WITHHELD FROM LINE 4····················5 $ _________________________
5a. PENALTIES PAID ··· $ _______________________
5b. INTEREST PAID ····· $ _______________________
SIGN AND RETURN
5c. TOTAL PAYMENTS MADE (ADD LINES 5, 5a, and 5b) ·······················5c $ _________________________
TO THE HAWAII DEPARTMENT
OF TAXATION.
6. AMOUNT OF CREDIT TO BE REFUNDED (LINE 5c MINUS LINE 3c)····6 $ _________________________
7. AMOUNT OF TAXES NOW DUE AND PAYABLE
NOTE: SEE FILING
(LINE 3c MINUS LINE 5c)········································································7 $ _________________________
INSTRUCTIONS
Ø
FOR LATE
8a PENALTY ···· $ _______________________
BELOW.
8.
FILING ONLY
8b INTEREST ·· $ _______________________
9. TOTAL AMOUNT NOW DUE AND PAYABLE (ADD LINES 7, 8a, AND 8b)·····9 $ _________________________
10. PLEASE ENTER AMOUNT OF PAYMENT ·············································10 $ _________________________
ATTACH YOUR CHECK OR MONEY ORDER PAYABLE TO “HAWAII STATE TAX COLLECTOR” IN U.S.
DOLLARS DRAWN ON ANY U.S. BANK TO FORM HW-3. WRITE “HW”, THE FILING PERIOD, AND YOUR
HAWAII TAX I.D. NO. ON YOUR CHECK OR MONEY ORDER.
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 withholding provisions of the Hawaii Income Tax
Law and the rules issued thereunder.
SIGNATURE ___________________________________________________
TITLE ________________________________ DATE ___________________
FILING INSTRUCTIONS
THIS RETURN MUST BE FILED ON OR BEFORE THE LAST DAY OF
FEBRUARY, FOLLOWING THE CLOSE OF THE CALENDAR YEAR
EVEN THOUGH THERE ARE NO TAXES DUE.
THIS SPACE FOR DATE RECEIVED STAMP
Please file two copies of this form together with the
Statements of Hawaii Income Tax Withheld and Wages Paid
(copy A of Form HW-2 or copy 1 of federal Form W-2).
— MAILING ADDRESS —
Hawaii Department of Taxation
P.O. Box 3827
Honolulu, HI 96812-3827
36
36
FORM HW-3
FORM HW-3

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