Form G-45 Fill - General Excise And Use Tax Return Page 2

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Form G-45 FILL, Page 2 of 2
Name:
Hawaii Tax I.D. No. W
Period Ending
Last 4 digits of your FEIN or SSN
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)
If negative number, place a minus sign (-)
PART III - GENERAL EXCISE TAX @ other rate
Insurance Commissions
Multiply Column c by the tax rate
X .0015
PART III — TAXES
PART IV - TOTAL PERIODIC RETURN
TOTAL TAXES DUE
TOTAL TAXES DUE.
1.
Add Part I — Taxes, Part II — Taxes, and Part III — Taxes.
If you did not have any activity for the period, enter "0.00" here. . . . . . . . . . . . . . . . . . 1.
PENALTY $
FOR LATE FILING ONLY è
2.
INTEREST $
2.
PLEASE ENTER THE AMOUNT OF YOUR PAYMENT.
3.
Attach a check or money
TOTAL PAYMENT AMOUNT
order payable to “HAWAII STATE TAX COLLECTOR” in U.S. dollars to Form G-45.
Write “GE”, the filing period, and your Hawaii Tax I.D. No. on your check or money order.
If you are NOT submitting a check with this return, please enter "0.00" here. . . . . . . . . . . 3.
{
TOTAL EXEMPTIONS/DEDUCTIONS
GRAND TOTAL OF EXEMPTIONS/DEDUCTIONS CLAIMED. (Attach Schedule GE)
4.
If Schedule GE is not attached, exemptions/deductions claimed will be disallowed. . . . . . . . . . . 4.
]
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.
SIGNATURE
TITLE
DATE
— MAILING ADDRESS —
HAWAII DEPARTMENT OF TAXATION
[
P.O. BOX 1425
HONOLULU, HI 96806-1425
ID No 01

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