Form G-45 - Periodic General Excise/use Tax Return
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2FORM G-45
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STATE OF HAWAII — DEPARTMENT OF TAXATION
DO NOT WRITE IN THIS AREA
(Rev. 2016)
GENERAL EXCISE/USE
TAX RETURN
Place an X in this box ONLY if this is an AMENDED return
GE
PERIOD ENDING
HAWAII TAX I.D. NO.
Last 4 digits of your FEIN or SSN
NAME:
Column a
Column b
Column c
BUSINESS
VALUES, GROSS PROCEEDS
EXEMPTIONS/DEDUCTIONS
TAXABLE INCOME
ACTIVITIES
OR GROSS INCOME
(Attach Schedule GE)
(Column a minus Column b)
PART I - GENERAL EXCISE and USE TAXES @ ½ OF 1% (.005)
1. Wholesaling
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2. Manufacturing
2
3. Producing
3
4. Wholesale Services
4
5. Landed Value of
Imports for Resale
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6. Business Activities of
Disabled Persons
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7. Sum of Part I, Column c (Taxable Income) — Enter the result here and on page 2, line 21, Column (a)
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PART II - GENERAL EXCISE and USE TAXES @ 4% (.04)
8. Retailing
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9. Services Including
Professional
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10. Contracting
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11. Theater, Amusement
and Broadcasting
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12. Commissions
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13. Transient
Accommodations Rentals
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14. Other Rentals
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15. Interest and
All Others
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16. Landed Value of Imports
for Consumption
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17. Sum of Part II, Column c (Taxable Income) — Enter the result here and on page 2, line 22, Column (a)
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DECLARATION
- I declare, under the penalties set forth in section 231-36, HRS, that this return (including any 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 tax period stated, pursuant to 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.
SIGNATURE
TITLE
DATE
DAYTIME PHONE NUMBER
10
Continued on page 2 — Parts V & VI
MUST
be completed
Form G-45
(Rev. 2016)
G45_T 2016A 01
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