Form Gew-Ta-Rv-1 - Notification Of Cancellation Of General Excise, Withholding, Transient Accommodations, Or Rental Motor Vehicle And Tour Vehicle Accounts

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Clear Form
STATE OF HAWAII
FORM GEW-TA-RV-1
(REV. 2003)
DEPARTMENT OF TAXATION
DO NOT WRITE IN THIS AREA
01
NOTIFICATION OF CANCELLATION
OF GENERAL EXCISE, WITHHOLDING,
TRANSIENT ACCOMMODATIONS, OR
RENTAL MOTOR VEHICLE AND
TOUR VEHICLE ACCOUNTS
NAME:
GE/WH/TA/RV ID. NO. ___ ___ ___ ___ ___ ___ ___ ___
CANCEL THE FOLLOWING:
£
ALL OF MY ACCOUNTS, AS OF
____/____/____
MO DAY YR
OR
THE SPECIFIC ACCOUNT(S) CHECKED OFF BELOW:
£
MY GENERAL EXCISE, AS OF
____/____/____
MO DAY YR
£
MY WITHHOLDING, AS OF
____/____/____
MO DAY YR
£
MY TRANSIENT ACCOMMODATIONS, AS OF
____/____/____
MO DAY YR
£
MY RENTAL MOTOR VEHICLE AND
TOUR VEHICLE, AS OF
____/____/____
MO DAY YR
NOTE:
The tax licenses being cancelled must be returned to the Department of Taxation together with this cancellation form. Be sure to
file your monthly, quarterly, or semiannual returns up to the date of cancellation and your final annual return by their due dates.
If you are submitting this form during the fourth quarter of your tax year, you will most likely receive next year's tax return
booklet(s). Please DO NOT resubmit another cancellation form if you receive next year’s tax return booklet(s).
Please sign below. An unsigned cancellation notice will not be
accepted.
Signature of Owner, Partner or Member, Officer, or Duly Authorized Agent
Title: Owner, Partner or Member, Officer, or Duly Authorized Agent
Date
— MAILING ADDRESSES —
THIS SPACE FOR DATE RECEIVED STAMP
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
01
FORM GEW-TA-RV-1

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