Form G-26 - Use Tax Return
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STATE OF HAWAII—DEPARTMENT OF TAXATION
FORM G-26
THIS SPACE FOR DATE RECEIVED STAMP
USE TAX RETURN
(REV. 2010)
Imports for Consumption
Clear Form
GFF101
FOR OFFICE
__ __ __ __ __ __ __ __ - __ __
W
(CAUTION: DO NOT use this form if you file Form G-45 and/or have a Hawaii Tax I.D. Number.)
USE ONLY
Name
Social Security Number
__ __ __ - __ __ - __ __ __ __
Address (Number and Street)
Month Ending (MM/YY)
__ __ / __ __
City State, and Postal/ZIP Code
Vehicle Identification Number (If you imported a vehicle)
Which taxation district did you import the property, services, and/or contracting into?
Oahu
Maui
Hawaii
Kauai
IMPORTS
(a) LANDED VALUE
(b) EXEMPTIONS/DEDUCTIONS
(c) TAXABLE AMOUNT
(d) TAX
RATE
FROM
IN HAWAII
(Explain below)
(Column (a) minus column (b))
(Column (c) X .04)
OUT-OF-STATE
.00
.00
.00 .04
16
(e) LANDED VALUE IN OAHU OF
(f) EXEMPTIONS/DEDUCTIONS
(g) TAXABLE AMOUNT
(h) TAX
OAHU
RATE
IMPORTS FROM OUT-OF-STATE
(Explain below)
(Column (e) minus column (f))
(Column (g) X .005)
SURCHARGE
19
.00
.00
.00 .005
(i) TOTAL TAXES (Add columns (d) and (h)) ........................................................................................
(i)
(j) LESS ALLOWABLE SALES OR USE TAX PAID TO ANOTHER STATE (ATTACH RECEIPT) ........
(j)
(k) TOTAL TAXES DUE (Line (i) minus line (j)) ......................................................................................
(k)
PENALTY
$
FOR LATE FILING ONLY
(l)
(l)
INTEREST
$
(m) TOTAL AMOUNT DUE AND PAYABLE (Add lines (k) and (l)) — Submit Form G-26 with your check or money order
payable to “HAWAII STATE TAX COLLECTOR” in U.S. dollars to HAWAII DEPARTMENT OF TAXATION, P. O. BOX
1425, HONOLULU, HI 96806-1425. Write “Use Tax” and the month ending (MM/YY) on your check or money order.... (m)
COLUMN (b) EXEMPTIONS/DEDUCTIONS — Explain any exemptions/deductions claimed in column
AMOUNT
(b) in the spaces below. (Attach a separate schedule if more space is needed.)
.00
.00
.00
SUBTOTAL OF EXEMPTIONS/DEDUCTIONS CLAIMED IN COLUMN (b)
COLUMN (f) EXEMPTIONS/DEDUCTIONS — Explain any exemptions/deductions claimed in column (f)
AMOUNT
in the spaces below. (Attach a separate schedule if more space is needed.)
.00
.00
.00
SUBTOTAL OF EXEMPTIONS/DEDUCTIONS CLAIMED IN COLUMN (f)
.00
TOTAL EXEMPTIONS/DEDUCTIONS CLAIMED IN COLUMNS (b) AND (f)
DECLARATION - I declare, under the penalties set forth in section 231-36, HRS, that this return (including any accompanying schedules or statements)
has been examined by me and, to the best of my knowledge and belief, is a true, correct, and complete return, made in good faith prepared in accordance
with the provisions of the Use Tax Law, and the rules issued thereunder.
SIGNATURE OF TAXPAYER OR DULY AUTHORIZED AGENT
DATE
(
)
PRINT OR TYPE NAME
DAYTIME PHONE NUMBER
FORM G-26
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