Form Gew-Ta-Rv-L2 - Tracer Request For Tax Year 1996
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1FORM
STATE OF HAWAII — DEPARTMENT OF TAXATION
GEW-TA-RV-L2
General Excise/Use, Withholding,
Transient Accommodations, Rental Motor Vehicle and
(1996)
Tour Vehicle Tax Refund
TRACER REQUEST FOR TAX YEAR ____
(See back for Instructions)
Part I — General Information
(Complete Lines 1 through 5)
1. Taxpayer’s Name
2. GE/WH/TAT/RVST I.D. Number
3. Mailing Address on the Return
4. New Mailing Address (if different)
5. Daytime Telephone Number:
Residence ( ______ ) __________________
Business ( ______ ) ____________________
Part II — Reason For Tracer Request
Check box 1 OR 2. If box 2 is selected, also check box 2a or 2b, as applicable.
1 The refund check was never received.
2 The refund check was received but was (check ONE of the following boxes)
Lost
Stolen
Destroyed
Other ____________________
AND
2a The refund check was NOT endorsed.
2b The refund check was endorsed with (check ONE of the following boxes)
Owner’s signature
Officer, Partner, or Authorized Agent signature
For Deposit Only
Pay to the Order of
Part III — Declaration
I hereby declare, under the penalties provided by sections 231-34, 231-35, and 231-36, HRS, that I have examined this request and, to the best of my
knowledge and belief, they are true, correct, and complete.
Print or Type Your Name
Signature
Title
Date
For Office Use Only
Check/Warrant#
Amount
Issued Date
COMPT VO#
Period
Tax I.D.#
Tax Office VO#
Post Date
Form GEW-TA-RV-L2
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