Form G-5 - Application For General Excise/use One-Time Event Identification Number - 2006

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Clear Form

This Space for Date Received Stamp

STATE OF HAWAII

This Space For Office Use Only

DEPARTMENT OF TAXATION

APPLICATION FOR

GENERAL EXCISE/USE

ONE-TIME EVENT

IDENTIFICATION NUMBER

Identification Number

FORM G-5

___ ___ ___ ___ ___ ___ ___ ___

___ ___

(Rev. 2006)

TYPE OR PRINT LEGIBLY

1. MAILING ADDRESS

BUSINESS ADDRESS

Taxpayer’s Name: Last, First, Middle Initial/Corporation, etc.

DBA Name: (i.e., Your Business Name)

C/O

Address

City

State

Zip Code + 4

City

State

Zip Code + 4

2. TYPE OF OWNERSHIP (Check One) See Instructions

Single-Member LLC

3. PHONE NUMBER

Sole Proprietor

Corporation

S Corporation

LLC

(a) Business

(___ ___ ___) ___ ___ ___ - ___ ___ ___ ___

General Partnership

Limited Partnership

Other (Explain) __________________

(b) Residential (___ ___ ___) ___ ___ ___ - ___ ___ ___ ___

4. (a) Sole Proprietor’s SSN

5. (a) Federal Employer I.D. Number (FEIN)

6. Parent Corporation's Name

___ ___ ___ - ___ ___ - ___ ___ ___ ___

___ ___ - ___ ___ ___ ___ ___ ___ ___

(b) Sole Proprietor’s Spouse’s SSN

(b) Parent Corporation’s FEIN

7. Parent Corporation's Mailing Address

___ ___ ___ - ___ ___ - ___ ___ ___ ___

___ ___ - ___ ___ ___ ___ ___ ___ ___

8. OWNERS, PARTNERS, PRINCIPAL CORPORATE OFFICERS: (Note: Attach a separate sheet of paper if more space is required.)

Social Security Number

Name (Last, First, Middle Initial)

Title

Business Phone Number

Residential Phone Number

(

)

(

)

(

)

(

)

(

)

(

)

(

)

(

)

9. APPLICATION IS HEREBY MADE FOR A GENERAL EXCISE LICENSE FOR A ONE-TIME EVENT

(Nonprofit organizations, see instructions)

Event_____________________________________________

Date Event Began in Hawaii ___ ___ / ___ ___ / ___ ___

Total Registration Fee Due

Pay in U.S. dollars on U.S. Bank to “HAWAII STATE TAX COLLECTOR.” Attach the check

20.00

and Form VP-1, Tax Payment Voucher, to this form ...................................................................................................................... $

10. REQUIRED FILING PERIOD FOR General Excise Tax

Monthly

11. ACCOUNTING PERIOD:

12. ACCOUNTING METHODS:

Calendar Year (The 12-month period from January 1 to

Cash (Report income in the period when it is actually or

December 31.)

constructively received, either in the form of cash or its equivalent,

Fiscal Year Ending: ___ ___ / ___ ___

or other property.)

Accrual (Report income when you earn it, whether or not you

(A 12-month period ending the last day of any month other than