Form Hw-2 - Statement Of Hawaii Income Tax Withheld And Wages Paid - 2015 Page 3

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STATE OF HAWAII — DEPARTMENT OF TAXATION
STATEMENT OF HAWAII INCOME TAX WITHHELD
FORM
CALENDAR
15
20
HW-2
AND WAGES PAID
YEAR
(REV. 2015)
COPY B — To Be Filed With Employee’s Tax Return
EMPLOYEE’S Name
Social Security Number:
Address and Postal/ZIP Code
Corrected
Total Wages (Before Payroll Deductions)
Hawaii Income Tax Withheld
Payments Not Included in Total Wages
$
2015
$
$
Nature of Payment
EMPLOYER’S Name
EMPLOYEE: This is not a tax return,
but must be filed with your Hawaii
Income Tax Return for 2015. See
Address and Postal/ZIP Code
reverse side of this copy & Copy C for
Instructions.
FORM HW-2
Hawaii Tax I.D. No. W __ __ __ __ __ __ __ __ - __ __
STATE OF HAWAII — DEPARTMENT OF TAXATION
STATEMENT OF HAWAII INCOME TAX WITHHELD
FORM
CALENDAR
15
20
HW-2
AND WAGES PAID
YEAR
(REV. 2015)
COPY B — To Be Filed With Employee’s Tax Return
EMPLOYEE’S Name
Social Security Number:
Address and Postal/ZIP Code
Corrected
Total Wages (Before Payroll Deductions)
Hawaii Income Tax Withheld
Payments Not Included in Total Wages
$
2015
$
$
Nature of Payment
EMPLOYER’S Name
EMPLOYEE: This is not a tax return,
but must be filed with your Hawaii
Income Tax Return for 2015. See
Address and Postal/ZIP Code
reverse side of this copy & Copy C for
Instructions.
FORM HW-2
Hawaii Tax I.D. No. W __ __ __ __ __ __ __ __ - __ __
STATE OF HAWAII — DEPARTMENT OF TAXATION
STATEMENT OF HAWAII INCOME TAX WITHHELD
FORM
CALENDAR
15
20
HW-2
AND WAGES PAID
YEAR
(REV. 2015)
COPY B — To Be Filed With Employee’s Tax Return
EMPLOYEE’S Name
Social Security Number:
Address and Postal/ZIP Code
Corrected
Total Wages (Before Payroll Deductions)
Hawaii Income Tax Withheld
Payments Not Included in Total Wages
$
2015
$
$
Nature of Payment
EMPLOYER’S Name
EMPLOYEE: This is not a tax return,
but must be filed with your Hawaii
Income Tax Return for 2015. See
Address and Postal/ZIP Code
reverse side of this copy & Copy C for
Instructions.
FORM HW-2
Hawaii Tax I.D. No. W __ __ __ __ __ __ __ __ - __ __

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