Form Gew-Ta-Rv-4x - Application To Add General Excise, Employer'S Withholding, Transient Accommodations, And Rental Vehicle
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206
STATE OF HAWAII
DO NOT WRITE IN THIS AREA
DEPARTMENT OF TAXATION
— AMENDED —
APPLICATION TO ADD
GENERAL EXCISE,
EMPLOYER’S WITHHOLDING,
TRANSIENT
ACCOMMODATIONS, AND
PREPARE IN DUPLICATE AND RETAIN A
RENTAL MOTOR VEHICLE &
FORM GEW-TA-RV-4X
COPY FOR YOUR RECORDS
TOUR VEHICLE ACTIVITY
(REV. 1997)
TYPE OR PRINT LEGIBLY
1. HAWAII IDENTIFICATION NUMBER:
2. TAXPAYER’S NAME: (Last, First, Middle/Corporation, etc.)
___ ___ ___ ___ ___ ___ ___ ___
3. (a) Federal Employer’s I.D. Number (FEIN)
(b) Parent Corporation’s FEIN
___ ___ — ___ ___ ___ ___ ___ ___ ___
___ ___ — ___ ___ ___ ___ ___ ___ ___
4. APPLICATION IS HEREBY MADE TO ADD: (Please check all that apply) STARTING DATE, AND LICENSE/REGISTRATION FEE
1
General Excise License
Date Business Began in Hawaii ___ ___ / ___ ___ / ___ ___
(If Box 1 is checked, enter $20.00 here ................................................1 $
- 0 -
2
Employer’s Withholding Identification Number
Date Withholding Began ___ ___ / ___ ___ / ___ ___ .......................................2
3
Transient Accommodations Registration
Date Transient Accommodations Began in Hawaii ___ ___ / ___ ___ / ___ ___
Check only one:
(Code 05)
$5.00 (1 - 5 units)
(Code 06)
$15.00 (6 or more units).................................3
7
Rental Motor Vehicle & Tour Vehicle Registration Date Began in Hawaii ___ ___ / ___ ___ / ___ ___
If Box 7 is checked, enter $20.00 here) ................................................7
Total Amount Due
(Add items 1, 2, 3, and 7 )
$ ____________
Pay in U.S. dollars on U.S. Bank to “HAWAII STATE TAX COLLECTOR.” Attach check to this form...........................................................
5. FILING PERIOD FOR: (check your filing period for the applicable taxes)
(a) General Excise Tax....................................................................................
Monthly ...........
Quarterly..........
Semiannually
(b) Employer’s Withholding Tax.......................................................................
Monthly ...........
Quarterly
(c) Transient Accommodations Tax.................................................................
Monthly ...........
Quarterly..........
Semiannually
(d) Rental Motor Vehicle and Tour Vehicle Surcharge Tax .............................
Monthly ...........
Quarterly..........
Semiannually
For items (a), (c), and (d):
Check monthly if you expect to pay more than $2,000 a year of taxes in the respective taxes;
Check quarterly if you expect to pay $2,000 or less a year in the respective taxes; or
Check semiannually if you expect to pay $1,000 or less a year in the respective taxes.
For item (b):
Check monthly if you expect to pay more than $1,000 a year in withholding taxes; or
Check quarterly if you expect to pay $1,000 or less a year in withholding taxes.
6. ACCOUNTING PERIOD:
7. 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,
or other property.)
Fiscal Year Ending: ___ ___ / ___ ___
(A 12-month period ending on the last day of any month other than
Accrual (Report income when you earn it, whether or not you
December. Example: June 30 = 06/30)
actually receive it.)
8. TYPE OF BUSINESS ACTIVITIES: (Circle all that apply. See Instructions for Form GEW-TA-RV-3 for description of each business activity.)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
List Your Primary Type of Business Activity:
THE STATEMENTS ON THE FRONT AND BACK PAGES ARE HEREBY CERTIFIED TO BE CORRECT TO THE BEST KNOWLEDGE AND
BELIEF OF THE UNDERSIGNED WHO IS DULY AUTHORIZED TO SIGN THIS AMENDED APPLICATION
Signature of Owner, Partner or Member, Officer, or Agent
Title: Owner, Partner or Member, Officer, or Agent
Date
06
FORM GEW-TA-RV-4X
BE SURE TO COMPLETE PAGE 2 IF NECESSARY
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