Form Rv-2 - Rental Motor Vehicle And Tour Vehicle Surcharge Tax

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FORM RV-2

STATE OF HAWAII — DEPARTMENT OF TAXATION

THIS SPACE FOR DATE RECEIVED STAMP

(REV. 2012)

RENTAL MOTOR VEHICLE AND TOUR

VEHICLE SURCHARGE TAX

RBF121



Check this box if this is an AMENDED Return

HAWAII TAX I.D. NO. W

_ _ _ _ _ _ _ _ - _ _

LAST 4 DIGITS OF YOUR FEIN OR SSN:

__ __ __ __

NAME:_________________________________________________

 Month  Quarter or

 Semiannual Period Ending

__ __ / __ __

(MM/YY)

(Do not combine your income for more than one filing period on this return.)

COLUMN A

COLUMN B

COLUMN C

Rental Motor Vehicle

Tour Vehicle Surcharge Tax —

Surcharge Tax — Enter the

Enter the Number of Tour

Number of Rental Motor Vehicle

Vehicles Carrying 8 - 25

Vehicles Carrying 26 or More

Days After June 30, 2012

Passengers

1 OAHU DISTRICT

2 MAUI DISTRICT

3 HAWAII DISTRICT

4 KAUAI DISTRICT

5 TOTALS

(Add lines 1 thru 4 of

Columns A, B, and C)

6 RATES

$15

$65

7 TAXES

(Multiply line 5 by line 6 of

Columns A, B, and C)

8. TOTAL TAXES DUE.

Add line 7, Columns A through C and enter result here. If you did not have

any activity for the period, enter “0.00” here . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Amounts Assessed During the Period

PENALTY

. . . . . . . . . . . . . . .

(For Amended Return ONLY)

INTEREST

10. TOTAL AMOUNT.

Add lines 8 and 9. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

11.

TOTAL PAYMENTS MADE FOR THE PERIOD. (For Amended Return ONLY) . . . . . . . . . . . . . . . . . . . . . . . .

12.

CREDIT TO BE REFUNDED. Line 11 minus line 10 (For Amended Return ONLY) . . . . . . . . . . . . . . . . . . . .

13.

ADDITIONAL TAXES DUE. Line 10 minus line 11 (For Amended Return ONLY). . . . . . . . . . . . . . . . . . . . . .

PENALTY

FOR LATE FILING ONLY 

14.

INTEREST

TOTAL AMOUNT DUE AND PAYABLE. (Original Returns, add lines 10 and 14;

15.

Amended Returns, add lines 13 and 14) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

AMOUNT OF YOUR PAYMENT

16.

PLEASE ENTER THE

. Attach a check or money order payable to

“HAWAII STATE TAX COLLECTOR” in U.S. dollars drawn on any U.S. bank to Form RV-2. Write “RV”, the filing

period, your Hawaii Tax I.D. No., and your daytime phone number on your check or money order.

Mail to: HAWAII DEPARTMENT OF TAXATION, P. O. Box 2430, Honolulu, HI 96804-2430. If you are NOT submitting a

payment with this return, enter “0.00” here. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

DECLARATION: I declare, under the penalties set forth in section 231-36, HRS, that this is a true and correct return, prepared in accordance with the

provisions of the Rental Motor Vehicle and Tour Vehicle Surcharge Tax Law and the rules issued thereunder.

IN THE CASE OF A CORPORATION OR PARTNERSHIP, THIS RETURN MUST BE SIGNED BY AN OFFICER, PARTNER OR MEMBER, OR DULY AUTHORIZED AGENT.

(

)

SIGNATURE

TITLE

DATE

DAYTIME PHONE NUMBER

FORM RV-2