Form Gew-Ta-Rv-4x - Application To Add General Excise, Employer'S Withholding, Transient Accommodations, And Rental Vehicle Page 2

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FORM GEW-TA-RV-4X (REV. 1997)
Page 2
9.
DO YOU QUALIFY FOR A DISABILITY EXEMPTION?
Yes
No
If yes, Forms N-172 and N-857 must be completed and submitted before the
$2,000 exemption of gross income of any blind, deaf, or totally disabled person and rate of 1/2 of 1% on the remaining gross income can be allowed.
10. If you took over the business from a previous owner, state the owner’s/business’ name, last known address, and General Excise Identification number.
Otherwise, enter “not applicable.”
11. (a) List by island the address(es) of your rental real property (e.g., land, building, apartments, condominiums, or hotels or other transient lodging).
(b) List by island the address(es) of your rental motor vehicle and/or tour vehicle business locations.
(c)
If a transient accommodation (T.A.) or a rental motor vehicle or tour vehicle (R.V.) business location, place a check mark in the appropriate column on
the right.
(d) Attach a separate sheet of paper if more space is required.
Check
Check
Addresses
if T.A.
if R.V.
MAILING ADDRESSES & TELEPHONE NUMBERS
(Please direct all inquiries or correspondence to the nearest district office.)
OAHU DISTRICT OFFICE
MAUI DISTRICT OFFICE
HAWAII DISTRICT OFFICE
KAUAI DISTRICT OFFICE
P.O. Box 1425
P.O. Box 1427
P.O. Box 937
P.O. Box 1687
Honolulu, HI 96806-1425
Wailuku, HI 96793-6427
Hilo, HI 96721-0937
Lihue, HI 96766-5687
Telephone: (808) 587-4242
Telephone: (808) 984-8500
Telephone: (808) 974-6321
Telephone: (808) 274-3456
Toll Free: 1-800-222-3229

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