Instructions For Form A-6 - Tax Clearance Application
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1INSTRUCTIONS
STATE OF HAWAII — DEPARTMENT OF TAXATION
INSTRUCTIONS FOR FORM A-6
FORM A-6
(REV. 2012)
TAX CLEARANCE APPLICATION
(NOTE: References to “married”, “unmarried”, and “spouse” also means “in a civil union”, “not in a civil union”, and “civil union partner”, respectively.)
If you are a Single Member LLC disregarded
GENERAL INSTRUCTIONS
Line 8 — Contractor Licensing
as separate from the owner, enter the owner’s
Indicate whether you are applying for your
•
FEIN/SSN in the space provided.
This form is used to obtain a State Tax
initial contractor’s license or renewing your current
Clearance. (If you are reporting a bulk sale
If you are a Subsidiary Corporation, enter the
license.
of business assets, you must also complete
parent corporation’s name and FEIN in the space
and attach Form G-8A, Report of Bulk Sale
Line 9 — State Residency
provided.
or Transfer.)
Enter the date you arrived in the State of Hawaii
Line 4 — The Tax Clearance is Required For
•
This form may only be used to obtain a
or returned to the State of Hawaii if your reason
Federal Tax Clearance for the purpose of
Check the box(es) which correspond to your
for applying is residency status.
liquor licensing.
reason(s) for obtaining the tax clearance. The
Line 10 — Accounting Period
*
asterisk (“
”) indicates the reason for which a state
•
The current version of Form A-6 must be
and federal clearance is required.
used. Type or print clearly with a pen. After
If you file your tax returns on a calendar year
approval, the front page of the application
basis (1/1 — 12/31), check the first box. If you file
Check the “Other” box if you are required to
will be your tax clearance certificate.
your tax returns on a fiscal year basis other than
obtain a tax clearance for the credit for school
a calendar year, check the second box, and enter
repair and maintenance or for the purchase of
•
Applications (Form A-6) are available at
the month and day your fiscal year ends. For ex-
cigarette tax stamps at the reduced rate.
Department of Taxation and Internal Revenue
ample, a corporation whose tax year is July 1
st
Service (IRS) offices in Hawaii, and may
Line 5 — No. of Certified Copies Requested
th
through June 30
would write “06/30” on the line
also be requested by calling the Department
provided.
Enter the number of certified copies you are
of Taxation on Oahu at 808-587-4242 or toll
free at 1-800-222-3229. This form can be
requesting. Please retain the copy of the tax clear-
Line 11 — Tax Exempt Organization
ance that is stamped with the green certification
downloaded from the Department of Taxa-
If you are a tax exempt organization, you must
tion’s website ( ).
stamp. When you require additional copies prior
enter the Internal Revenue Code section that ap-
to the expiration date of the tax clearance certificate,
•
Vendors selling goods and services to state,
plies to your exempt status. For example: IRC
submit the copy of the tax clearance that is stamped
city, or county agencies must register with
§501(c)(3). Also, you must answer the questions
with the green certification stamp with a request
the Hawaii Compliance Express and have
in this section.
for the number of copies required. Each copy will
their tax clearance status available on-line
bear an original green certified copy stamp. Pho-
Line 12 — Individual
for all state, city, or county contracts. For
tocopies of the original green certified copy stamped
more information, go to https://vendors.
Form A-6 will be invalid.
If you are an individual/sole proprietor who is
ehawaii.gov.
married, enter your spouse’s name and social
Line 6 — Signature
security number on the lines provided.
LINE-BY-LINE INSTRUCTIONS
Signature. — The application must be signed
Line 13 — If You Do Not Have a General
by an individual/sole proprietor/owner, trustee,
Line 1 — Applicant Information
Excise Tax License and Require a Tax
executor, corporate officer (president, vice-president,
Clearance
Applicant’s Name. — Enter your legal name.
secretary, treasurer, etc.) or general partner or
The name appearing on your application must
member. An employee of your company or autho-
If you do not have a general excise tax license
match the name on file with the State Department
rized agent may sign the application if he/she
and require a tax clearance, you must complete
of Taxation, IRS, and, if applicable, the State De-
possesses a valid power of attorney. Power of at-
this section. Contact the State Department of
partment of Commerce and Consumer Affairs.
torney forms are available at the Department of
Taxation if you have additional questions. Refer to
Taxation (Form N-848) and IRS (Form 8821 or
page 2 of Form A-6 for the telephone number or
Address. — Enter the address to which cor-
Form 2848) as indicated on page 1 of the applica-
mailing address.
respondence regarding this application for tax
tion. Unsigned or unauthorized signatures on
clearance should be mailed. In most cases, the
applications will be returned.
Filing the Application for Tax Clearance
address should be that which is on file with the
Department of Taxation and/or IRS.
Print Name. — Enter the name of the person
Applications may be submitted either in person,
signing the application.
fax, by mail, or electronically. Mailing addresses
DBA (Doing Business As)/Trade Name. — If
and other contact information for the State Depart-
you have a trade or business name which is dif-
Print Date/Telephone/Fax/Title. — Enter the
ment of Taxation and the IRS are provided on page
ferent from your legal/registered name, enter that
date the application is signed, and the telephone/
2 of the application.
name here.
fax number which the Department of Taxation or
IRS can call during business hours should any
A “mailed-in” tax clearance application gener-
Line 2 — Tax Identification Numbers
questions arise while processing the application
ally takes 10 - 15 business days to process.
for tax clearance. Also enter the title of the person
Hawaii Tax ID #. — Enter your Hawaii tax
If all required returns have been filed and all
signing the application.
identification number. Enter “NONE” if you do not
required taxes, penalties, and interest have been
have one.
Line 7 — Liquor Licensing
paid, a “walked-in” tax clearance to any district tax
office will generally be processed the same busi-
Federal Employer ID #. — Enter your 9-digit
For liquor licensing purposes, indicate whether
ness day.
federal employer identification number (FEIN).
you are applying for an initial liquor license, renew-
Enter “NONE” if you do not have one.
ing your current liquor license, transferring a liquor
Form A-6 also can be filed electronically through
license, or applying for a one time special event
the State’s Internet portal. An electronically filed
Social Security #. — If you are an individual/
license.
tax clearance application generally takes 10 - 15
sole proprietor, enter your social security number
business days to process. For more information,
(SSN).
Please Note: If you are renewing your liquor
go to
license or transferring the business to another
Line 3 — Applicant is a/an
entity (or person), the federal tax clearance requires
Check the box which best describes your en-
compliance with the Bureau of Alcohol, Tobacco,
and Firearms (ATF).
tity type.
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