STATE OF HAWAII — DEPARTMENT OF TAXATION
STATEMENT OF HAWAII INCOME TAX WITHHELD
FORM
CALENDAR
12
20
HW-2
AND WAGES PAID
YEAR
(REV. 2012)
COPY D — For Employer
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
$
2012
$
$
Nature of Payment
EMPLOYER’S Name
EMPLOYER:
This copy
is for your
Address and Postal/ZIP Code
records.
FORM HW-2
Hawaii Tax I.D. No. W __ __ __ __ __ __ __ __ - __ __
STATE OF HAWAII — DEPARTMENT OF TAXATION
STATEMENT OF HAWAII INCOME TAX WITHHELD
FORM
CALENDAR
12
20
HW-2
AND WAGES PAID
YEAR
(REV. 2012)
COPY D — For Employer
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
$
2012
$
$
Nature of Payment
EMPLOYER’S Name
EMPLOYER:
This copy
is for your
Address and Postal/ZIP Code
records.
FORM HW-2
Hawaii Tax I.D. No. W __ __ __ __ __ __ __ __ - __ __
STATE OF HAWAII — DEPARTMENT OF TAXATION
STATEMENT OF HAWAII INCOME TAX WITHHELD
FORM
CALENDAR
12
20
HW-2
AND WAGES PAID
YEAR
(REV. 2012)
COPY D — For Employer
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
$
2012
$
$
Nature of Payment
EMPLOYER’S Name
EMPLOYER:
This copy
is for your
Address and Postal/ZIP Code
records.
FORM HW-2
Hawaii Tax I.D. No. W __ __ __ __ __ __ __ __ - __ __