Form Rv-3 - Rental Motor Vehicle And Tour Vehicle Surcharge Tax Annual Return & Reconciliation Page 2

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FORM RV-3 (REV. 2010)
PAGE 2
Name
Hawaii Tax I.D. Number
Tax Year Ending (MM/DD/YY)
W
-
RECONCILIATION OF TAX PAYMENTS
PAYMENT OF TAXES BY MONTHS IF MONTHLY RETURNS WERE FILED, QUARTERS
RCF102
IF QUARTERLY RETURNS WERE FILED, OR SEMIANNUAL PERIODS IF SEMIANNUAL
RETURNS WERE FILED. ALSO ENTER THE PAYMENT MADE WITH THE ANNUAL RETURN, IF
APPLICABLE.
JAN $ _______________
APR $ _______________
JUL
$ _______________
OCT $ ________________
FEB $ _______________
MAY $ _______________
AUG $ _______________
NOV $ ________________
MAR $ _______________
JUN
$ _______________
SEP $ _______________
DEC $ ________________
1st QTR $ _____________
2nd QTR $ _____________
3rd QTR $ _____________
4th QTR $ ______________
1st SEMIANNUAL PERIOD $ _______________________
2nd SEMIANNUAL PERIOD $ _______________________
ANNUAL $ _________________________

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