Form Rv-3 - Annual Rental Motor Vehicle And Tour Vehicle Surcharge Tax Return - Instructions - 2004 Page 5

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SIGNING THE RETURN (fig. 3.3)
STEP 21 — Sign your tax return. The sole proprietor, a partner or member, corporate officer, or an authorized agent must
sign; state his/her title; and write the date the return is signed.
18
18a
PENALTY
FOR LATE FILING ONLY
18
18b
INTEREST
19
19 TOTAL AMOUNT NOW DUE AND PAYABLE (Add lines 17 and 18)
19
20
ATTACH YOUR CHECK OR MONEY ORDER PAYABLE TO
PLEASE ENTER AMOUNT OF
20
20
00
“HAWAII STATE TAX COLLECTOR” IN U.S. DOLLARS DRAWN ON ANY U.S.
YOUR PAYMENT
BANK 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.
Betty T. Kealoha
Owner
21
4/15/2006
SIGNATURE
TITLE
DATE
—MAILING ADDRESS—
fig. 3.3
SENDING IN THE TAX RETURN AND PAYMENT
Attach a check made payable to the “HAWAII STATE TAX COLLECTOR” in U. S. dollars to the tax return. Write “RV,”
the filing period, and your Hawaii Tax I.D. No. on the check so that it may be properly credited to your account. Also
complete the appropriate tax payment voucher (if you are using a preprinted form from your rental motor vehicle and tour
vehicle surcharge tax return booklet, complete Form VP-1R for the appropriate filing period (CAUTION: do not submit a
photocopy of Form VP-1R); if you are not using a preprinted form, complete Form VP-1). Attach your check or money
order and the appropriate tax payment voucher where indicated on the front of Form RV-3. DO NOT SEND CASH.
Send your tax return, check, and the appropriate tax payment voucher to:
Hawaii Department of Taxation
P.O. Box 2430
Honolulu, HI 96804-2430
5

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