TO EMPLOYER:
1.
Prepare this form for each employee to whom wages have
3.
Give copies B and C to the employee on or before
been paid.
January 31 following the calendar year, or on the day the
last payment of wages is made if his or her employment is
2.
Fill in —
terminated before the close of such calendar year.
(a) The employee’s name, address, postal/ZIP code and
4.
Forward Copy A to the Hawaii State Tax Collector in
social security number.
accordance with the instruction printed on Form HW-3,
(b) Total wages subject to withholding, or paid to blind,
Employer’s Return and Reconciliation of Hawaii Income Tax
deaf, or totally disabled persons.
Withheld From Wages.
(c)
Amount of income tax deducted and withheld. If no
5.
For further information, see Booklet A — Employer’s Tax
amount was deducted and withheld, enter “none” or
Guide.
“0”.
(d) Amount of payment not included in “Total Wages” as
to which information is required. (See Booklet A —
Employer’s Tax Guide, Section 11.)
(e) Your name, address, postal/ZIP Code and Hawaii Tax
Identification Number.
TO EMPLOYER:
1.
Prepare this form for each employee to whom wages have
3.
Give copies B and C to the employee on or before
been paid.
January 31 following the calendar year, or on the day the
last payment of wages is made if his or her employment is
2.
Fill in —
terminated before the close of such calendar year.
(a) The employee’s name, address, postal/ZIP code and
4.
Forward Copy A to the Hawaii State Tax Collector in
social security number.
accordance with the instruction printed on Form HW-3,
(b) Total wages subject to withholding, or paid to blind,
Employer’s Return and Reconciliation of Hawaii Income Tax
deaf, or totally disabled persons.
Withheld From Wages.
(c)
Amount of income tax deducted and withheld. If no
5.
For further information, see Booklet A — Employer’s Tax
amount was deducted and withheld, enter “none” or
Guide.
“0”.
(d) Amount of payment not included in “Total Wages” as
to which information is required. (See Booklet A —
Employer’s Tax Guide, Section 11.)
(e) Your name, address, postal/ZIP Code and Hawaii Tax
Identification Number.
TO EMPLOYER:
1.
Prepare this form for each employee to whom wages have
3.
Give copies B and C to the employee on or before
been paid.
January 31 following the calendar year, or on the day the
last payment of wages is made if his or her employment is
2.
Fill in —
terminated before the close of such calendar year.
(a) The employee’s name, address, postal/ZIP code and
4.
Forward Copy A to the Hawaii State Tax Collector in
social security number.
accordance with the instruction printed on Form HW-3,
(b) Total wages subject to withholding, or paid to blind,
Employer’s Return and Reconciliation of Hawaii Income Tax
deaf, or totally disabled persons.
Withheld From Wages.
(c)
Amount of income tax deducted and withheld. If no
5.
For further information, see Booklet A — Employer’s Tax
amount was deducted and withheld, enter “none” or
Guide.
“0”.
(d) Amount of payment not included in “Total Wages” as
to which information is required. (See Booklet A —
Employer’s Tax Guide, Section 11.)
(e) Your name, address, postal/ZIP Code and Hawaii Tax
Identification Number.