Form Rv-3 - Rental Motor Vehicle And Tour Vehicle Surcharge Tax Annual Return & Reconciliation - 2007

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Clear Form
DO NOT WRITE IN THIS AREA
98
FORM RV-3
STATE OF HAWAII — DEPARTMENT OF TAXATION
(REV. 2007)
RENTAL MOTOR VEHICLE AND TOUR VEHICLE
SURCHARGE TAX
ANNUAL RETURN & RECONCILIATION
FOR CALENDAR YEAR 20 __ __
OR FISCAL YEAR ENDING ____ / ____ / ___
MO
DAY
YR
NAME: _______________________________
W _ _ _ _ _ _ _ _ - _ _
HAWAII TAX I.D. NO.
_ _ _ _
LAST 4 DIGITS OF YOUR FEIN OR SSN:
COLUMN A
COLUMN B
COLUMN C
Rental Motor Vehicle
Tour Vehicle Surcharge Tax
Tour Vehicle Surcharge Tax
Surcharge Tax — Enter the
Enter the Number of Tour
Enter the Number of Tour
Number of Rental Motor Vehicle
Vehicles Carrying 8 - 25
Vehicles Carrying 26 or More
Days
Passengers
Passengers
1 OAHU DISTRICT
1
2 MAUI DISTRICT
2
3 HAWAII DISTRICT
3
4 KAUAI DISTRICT
4
5 TOTALS
(Add lines 1 thru 4 of
5
columns A, B, and C)
$15
$65
6 RATES
$3
6
7 TAXES
(Multiply line 5 by line 6 of
7
columns A, B, and C)
00
00
00
8 TOTAL TAXES (Add line 7, columns A thru C, and enter here)
8
9 PENALTY
9
10 INTEREST
10
11 TOTAL AMOUNT DUE (Add lines 8, 9, and 10; Enter amount here)
11
12
12
Total taxes paid on monthly, quarterly, or semiannual returns for the period.
12
13
13
Additional assessments paid for the period, if included above.
13
14
14
Penalties $ ___________ Interest $ ___________ paid during the period.
14
15 TOTAL PAYMENTS MADE (Add lines 12, 13, and 14)
15
16 CREDIT TO BE REFUNDED (Line 15 minus line 11)
16
TOTAL TAXES DUE (Line 11 minus
IF YOU DO NOT HAVE ANY ACTIVITY, AND THE RESULT IS NO TAX LIABILITY, ENTER “0" ON
17
17
line 15)
LINES 8 AND 17 . THIS RETURN MUST BE FILED.
18a
PENALTY
18
FOR LATE FILING ONLY
18b
INTEREST
19 TOTAL AMOUNT NOW DUE AND PAYABLE (Add lines 17 and 18)
19
ATTACH YOUR CHECK OR MONEY ORDER PAYABLE TO
PLEASE ENTER AMOUNT OF
20
20
“HAWAII STATE TAX COLLECTOR” IN U.S. DOLLARS DRAWN ON ANY U.S. BANK
YOUR PAYMENT
AND FORM VP-1 TO FORM RV-3. WRITE “RV”, THE FILING PERIOD, AND YOUR
HAWAII TAX I.D. NO. ON YOUR CHECK OR MONEY ORDER.
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 Rental Motor Vehicle and Tour Vehicle Surcharge Tax Law 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
(
)
DAYTIME PHONE NUMBER:
—MAILING ADDRESS—
Hawaii Department of Taxation
P. O. Box 2430
THIS SPACE FOR DATE RECEIVED STAMP
Honolulu, HI 96804-2430
98
FORM RV-3

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