Form M-106 - Request For Refund Of Unused Cigarette Tax Stamps - State Of Hawaii - Department Of Taxation Page 2

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FORM M-106
(REV. 2006)
Purpose of Form M-106
Where To Get Information and Forms
Form M-106 is used to request a refund for unused cigarette
Oahu District Office
Maui District Office
tax stamps.
830 Punchbowl Street
54 South High Street, #208
GENERAL INSTRUCTIONS
P. O. Box 259
P. O. Box 1169
Honolulu, HI 96809-0259
Wailuku, HI 96793-6169
Sections 245-21 and 245-22, Hawaii Revised Statutes
Tel. No.: (808) 587-4242
Toll-Free: 1-800-222-3229
(HRS), provide that licensees, as defined in section 245-1,
Toll-Free: 1-800-222-3229
HRS, shall pay the cigarette tax through the use of cigarette
TDD/TTY No.: (808) 587-1418
tax stamps and that licensees are required to place cigarette
TDD/TTY Toll-Free: 1-800-887-8974
tax stamps on packs of cigarettes prior to distribution, as
defined in section 245-1, HRS.
Hawaii District Office
Kauai District Office
Enter the information requested on the form. The unused
75 Aupuni Street, #101
3060 Eiwa St., #105
cigarette tax stamps must be returned to the Department of
Hilo, HI 96720-4245
Lihue, HI 96766-1889
Taxation at the time Form M-106 is submitted.
Toll-Free: 1-800-222-3229
Toll-Free: 1-800-222-3229
Signature
Tax information and forms:
Form M-106 must be signed and dated by the cigarette tax
and tobacco tax licensee.
Where To Submit Form M-106
Form M-106 and the unused cigarette tax stamps may be
submitted to the Department of Taxation, Oahu District
Office, 830 Punchbowl Street, Honolulu, Hawaii 96813.
After the information has been verified by the Department of
Taxation, the request for refund will be processed.

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