Form Vp-1tp - Miscellaneous Fee Payment Voucher
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FORM
STATE OF HAWAII –– DEPARTMENT OF TAXATION
VP-1TP
MISCELLANEOUS FEE PAYMENT VOUCHER
GENERAL INSTRUCTIONS
(Rev. 2011)
PURPOSE OF FORM
WHERE TO FILE
Use this form when you send your annual permit fee(s)
Detach Form VP-1TP along the dotted line. Send your
payment to the Department of Taxation when renewing your
payment and Form VP-1TP to the following mailing
Retail Tobacco Permit(s). (Note: The annual permit fee is
address:
$20.00 for each retail location you own, operate, or control.)
HAWAII DEPARTMENT OF TAXATION
P.O. Box 1530
Using Form VP-1TP allows us to process your fee payment
HONOLULU, HI 96806-1530
accurately and efficiently.
HOW TO COMPLETE FORM
1) Print your name in the space provided.
2) Enter the last 4 digits of your FEIN or SSN in the space
provided.
3) Check the “Retail Tobacco Permit” “Tax Type” box.
4) Check the “Permit Fee” “Filing Type” box and fill in the
“Period End” date in the space provided.
5) Print your Hawaii Tax I.D. No. and the amount of your fee
payment in the space provided.
6) Make your check or money order payable in U.S. dollars
to the “Hawaii State Tax Collector”. Make sure your
name, tax type, filing period end date, Hawaii Tax I.D.
No., and daytime phone number appear on your check or
money order. Do not postdate your check. Do not send
cash.
DETACH HERE
Form
STATE OF HAWAII — DEPARTMENT OF TAXATION
DO NOT WRITE OR STAPLE IN THIS SPACE
VP-1TP
MISCELLANEOUS FEE PAYMENT VOUCHER
(Rev. 2011)
Name (Please print):
Last 4 Digits of Your FEIN or SSN
____
Tax Type (check box)
Filing Type (check box) Enter Date as MM/DD/YY
o
o
Retail Tobacco Permit
Permit Fee for:
Hawaii Tax I.D. Number
W
!!!!!!!!-!!
____ / ____ / ____
Period End
Amount of Payment
!!!,!!!,!!!.!!
Permit Number 1
Permit Number 2
Permit Number 3
Permit Number 4
Permit Number 5
ATTACH THIS VOUCHER TO YOUR CHECK OR MONEY ORDER PAYABLE TO “HAWAII STATE TAX COLLECTOR”. Write the tax type, filing period end date, your Hawaii
Tax I.D. Number, and daytime phone number on your check or money order.
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