Instructions For Form Eft-1 Authorization Agreement For Electronic Funds Transfer

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FORM EFT-1
STATE OF HAWAII — DEPARTMENT OF TAXATION
(REV. 1997)
INSTRUCTIONS FOR FORM EFT-1
AUTHORIZATION AGREEMENT FOR ELECTRONIC FUNDS TRANSFER
provide the information requested will
completion of EFT transactions that are
result in automatic rejection of your
required
by
law.
Furthermore,
the
SESSION LAWS OF HAWAII 1997
request.
Department will not pay any costs your
Act 177, Session Laws of Hawaii (SLH)
financial institution charges you for its
1997, provides for a service charge in the
services.
Part II—Bank Information for ACH
amount of $15 for any electronic funds
Signature of owner, partner or member,
transfer that is dishonored for any reason.
Debit
fiduciary or officer is required.
It also provides a penalty of 2% of the
This part must be completed only by
amount of the tax due for failure to remit
participants who will be using the ACH
the taxes on or before the prescribed date
IMPORTANT INFORMATION
Debit method.
using an electronic funds transfer method
You will receive a confirmation letter
The bank information can be obtained
approved by the Department of Taxation.
after you file this form. The letter will
from your bank or at the bottom of the
include your EFT start date and detailed
check from the account you wish to be
GENERAL INSTRUCTIONS
instructions for the method of payment to
debited.
Please type or print clearly. Return your
be used. No EFT payments should be
Account number should not exceed
registration
material
to
the
Hawaii
attempted before that date.
17 digits.
Department of Taxation within 15 days
The
Department
of
Taxation
may
Transfer/Routing Number requires
from the date you received your packet.
withdraw its approval for use of the ACH
9 digits.
If you will be paying for more than one
Credit method for failure to conform to the
Remember to attach a voided
tax type using the same bank account, only
requirements for ACH Credit transactions.
check from the bank account you
one Form EFT-1 should be completed. You
You must make a written request if you
want debited.
may pay for any of the taxes listed on the
wish to change from one ACH payment
form by EFT even if you do not exceed
Form EFT-1 must be signed by an
method to another. You must continue
$100,000 for that particular tax type.
owner, partner or member, fiduciary or
making your tax payments through EFT
officer who is authorized to sign checks
If you will be using more than one bank
using the method in use until you receive
drawn in the account identified on the form.
account, please complete a Form EFT-1
confirmation authorizing the change and
for each account you will be using.
the effective date of the change.
Please make a copy of your
Part III—Request for Approval to
If you have any questions, please call
application for your records.
(808)
587-4242
or
toll
free
at
Use ACH Credit Method
1-800-222-3229.
For
more
information,
see
Tax
This part is to be completed only to
Information Release No. 95-6, "Questions
request approval to use the ACH Credit
and
Answers
on
Paying
Taxes
by
method.
Mail the completed Form EFT-1,
Electronic Funds Transfer.
with a voided check, if applicable,
Some financial institutions offer ACH
:
to
origination services. Contact your bank to
SPECIFIC INSTRUCTIONS
determine what ACH origination services it
EFT Program
offers and the costs of ACH Credit service.
Hawaii Department of Taxation
You cannot use the ACH Credit method
Part I—Taxpayer Information
P.O. Box 259
unless your bank can initiate transactions
All
taxpayer
information
must
be
in the CCD+TXP format.
Honolulu, HI 96809-0259
completed. If you are requesting approval
Remember that if you use the ACH
to use the ACH Credit method, failure to
Credit method, the Department of Taxation
is not responsible for the successful
FORM EFT-1

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