Form G-45 - Periodic General Excise/use Tax Return Page 2

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FORM G-45
Page 2 of 2
Name:
GE
Hawaii Tax I.D. No.
Last 4 digits of your FEIN or SSN
PERIOD ENDING
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 III - INSURANCE COMMISSIONS @ .15% (.0015)
18. Insurance
18
Commissions
Enter this amount on line 23, Column (a)
PART IV - CITY & COUNTY OF HONOLULU SURCHARGE TAX @ ½ OF 1% (.005)
19. Oahu Surcharge
19
Enter this amount on line 24, Column (a)
PART V — SCHEDULE OF ASSIGNMENT OF TAXES BY DISTRICT
(ALL taxpayers MUST complete this Part and may be
subject to a 10% penalty for noncompliance.) See Instructions. DARKEN the oval of the taxation district in which you have conducted
business. IF you did business in MORE THAN ONE district, place an X in the “MULTI” box and attach Form G-75.
20.
Oahu
Maui
Hawaii
Kauai
MULTI
20
PART VI - TOTAL PERIODIC RETURN
TAXABLE INCOME
TAX RATE
TOTAL TAX
Column (a)
Column (b)
Column (c) = Column (a) X Column (b)
21.
21.
Enter the amount from Part I, line 7 ...................
x .005
22.
22.
Enter the amount from Part II, line 17 ................
x .04
23.
23.
Enter the amount from Part III line 18, Column c .............
x .0015
24.
Enter the amount from Part IV, line 19, Column c ............
x .005
24.
TOTAL TAXES DUE.
25.
Add column (c) of lines 21 through 24 and enter result here (but not less than zero).
If you did not have any activity for the period, enter “0.00” here ............................................... 25.
PENALTY $
26. Amounts Assessed During the Period.......................
26.
INTEREST $
(For Amended Return ONLY)
TOTAL AMOUNT.
27.
Add lines 25 and 26. ................................................................................... 27.
28. TOTAL PAYMENTS MADE FOR THE PERIOD (For Amended Return ONLY)................................. 28.
29. CREDIT TO BE REFUNDED. Line 28 minus line 27 (For Amended Return ONLY) ....................... 29.
30. ADDITIONAL TAXES DUE. Line 27 minus line 28 (For Amended Return ONLY) .......................... 30.
PENALTY $
FOR LATE FILING ONLY 
31.
INTEREST $
31.
32. TOTAL AMOUNT DUE AND PAYABLE (Original Returns, add lines 27 and 31;
Amended Returns, add lines 30 and 31) .......................................................................................... 32.
33. PLEASE ENTER THE AMOUNT OF YOUR PAYMENT. Write “GE”, the filing period, and your Hawaii Tax I.D. No. on your check or money order.
Mail your check or money order payable to “Hawaii State Tax Collector” in U.S.
Mail Form G-45 with the required forms and attachments (Schedule GE and Form
dollars and a completed Form VP-1 to:
G-75 if applicable) to:
Hawaii Department of Taxation, P.O. Box 1730, Honolulu, HI 96806-1730
Hawaii Department of Taxation, P.O. Box 1425, Honolulu, HI 96806-1425
If you are NOT submitting a payment with this return, please enter “0.00” here. ..................... 33.
GRAND TOTAL OF EXEMPTIONS/DEDUCTIONS CLAIMED.
34.
(Attach Schedule GE) If Schedule GE is not attached, exemptions/deductions
claimed will be disallowed. .......................................................................................... 34.
10
Form G-45
(Rev. 2016)
G45_T 2016A 02

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