Form Rv-6 - Rental Motor Vehicle And Tour Vehicle Surcharge Tax Annual Return & Reconciliation

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FORM RV-6
97
STATE OF HAWAII — DEPARTMENT OF TAXATION
DO NOT WRITE IN THIS AREA
(REV. 2009)
—AMENDED—
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: __ __ __ __
__ __ __ __ __ __ __ __ - __ __
THIS FORM SHOULD BE USED ONLY AFTER THE ORIGINAL RETURN HAS BEEN FILED AND WITHIN THREE YEARS OF THE DUE DATE OR
FILING DATE OF THE ORIGINAL ANNUAL RETURN, WHICHEVER IS LATER.
COLUMN A
COLUMN B
COLUMN C
Tour Vehicle Surcharge
Tour Vehicle Surcharge Tax
Rental Motor Vehicle Surcharge
Tax Enter the Number of
Tax — Enter the Number of
Enter the Number of Tour
Rental Motor Vehicle Days
Tour Vehicles Carrying 8 - 25
Vehicles Carrying 26 or More
Passengers
Passengers
1
1
OAHU DISTRICT
2
2
MAUI DISTRICT
3
3
HAWAII DISTRICT
4
4
KAUAI DISTRICT
5
TOTALS
(Add lines 1 thru 4 of
5
Columns A, B, and C)
6
$3
$15
$65
6
RATES
7
TAXES
(Multiply line 5 by line 6 of
00
00
00
7
Columns A, B, and C)
8
8
TOTAL TAXES DUE (ADD LINE 7, Columns A thru C, AND ENTER HERE)
9
9
PENALTY
10
10
INTEREST
11
11
TOTAL AMOUNT DUE (ADD LINES 8, 9, AND 10; ENTER AMOUNT HERE)
12
12
12
TOTAL TAXES PAID ON MONTHLY, QUARTERLY, OR SEMIANNUAL RETURNS FOR THE PERIOD
13
13
ADDITIONAL ASSESSMENTS PAID FOR THE PERIOD IF INCLUDED ABOVE
13
14
14
PENALTIES $___________ INTEREST $___________ PAID DURING THE PERIOD
14
15
15
15
TOTAL PAYMENTS MADE (ADD LINES 12, 13, AND 14)
16
16
16
CREDIT TO BE REFUNDED AS SHOWN ON ORIGINAL RETURN
17
17
NET PAYMENTS MADE (LINE 15 MINUS LINE 16)
18
18
IF LINE 17 IS LARGER THAN LINE 11, ENTER CREDIT TO BE REFUNDED (LINE 17 MINUS LINE 11)
19
19
IF LINE 11 IS LARGER THAN LINE 17, ENTER TAXES DUE (LINE 11 MINUS LINE 17)
20a
20a
Penalty
FOR LATE FILING ONLY
20b
20b
Interest
21
21
TOTAL TAXES NOW DUE AND PAYABLE (ADD LINES 19, 20a AND 20b)
22
22
PLEASE ENTER AMOUNT OF YOUR PAYMENT (PAY IN U.S. DOLLARS ONLY DRAWN ON ANY U.S. BANK)
Attach your check or money order payable to “HAWAII STATE TAX COLLECTOR” in U.S. dollars drawn on any U.S. bank to Form RV-6. 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
97
THIS SPACE IS FOR DATE RECEIVED STAMP
FORM RV-6
Honolulu, HI 96804-2430

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