Fillable Form N-201v - Business Income Tax Payment Voucher

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FORM

STATE OF HAWAII –– DEPARTMENT OF TAXATION

N-201V

BUSINESS INCOME TAX PAYMENT VOUCHER

(REV. 2012)

GENERAL INSTRUCTIONS

INTERNET FILING — Form N-201V can be filed and

HOW TO COMPLETE FORM

payment made electronically through the State’s Internet

Using black or blue ink, print the taxpayer’s name, address,

portal. For more information, go to

federal employer identification number (FEIN), the date of

the end of the tax year, and the amount of the payment in

ABOUT THIS FORM

the spaces provided. If the company has a foreign address,

enter the complete country name in the country block.

The Form N-201V has been redesigned for electronic

scanning that permits faster processing with fewer errors.

Make the check or money order payable in U.S. dollars to

In order to avoid unnecessary delays caused by manual

“Hawaii State Tax Collector”. Make sure the taxpayer’s

processing, taxpayers should follow the guidelines listed

name and address appear on the check or money order.

below:

Write the taxpayer’s FEIN, the year for which payment is

1. Print amounts only on those lines that are applicable.

made, and the form number of the income tax return being

filed, e.g., “2012 Form N-30” on the check or money order.

2. Use only a black or dark blue ink pen. Do not use red ink,

pencil, or felt tip pens.

Do not send cash.

3. Because this form is read by a machine, please print your

numbers inside the boxes like this:

WHERE TO FILE

1 2 3 4 5 6 7 8 . 9 0

Detach Form N-201V along the dotted line. Attach your

payment and Form N-201V to the front of your income tax

return, or if you are submitting your payment without your

4. Do NOT print outside the boxes.

income tax return, send this form with your payment to:

5. Do NOT use dollar signs, slashes, dashes or parenthesis in

the boxes.

Hawaii Department of Taxation

P. O. Box 1530

6. Photocopying of this form could cause delays in processing

your payment.

Honolulu, Hawaii 96806-1530

PURPOSE OF FORM

If there is a balance due on Hawaii income tax Form N-30,

N-40, N-70NP, or N-310 (for business taxpayers), use Form

N-201V, Business Income Tax Payment Voucher, to send the

payment to the Department of Taxation. Using Form N-201V

allows the Department of Taxation to process the payment

more accurately and efficiently.



DETACH HERE

Form

Tax Year

(Rev. 2012)

STATE OF HAWAII — DEPARTMENT OF TAXATION

DO NOT WRITE OR STAPLE IN THIS SPACE

N-201V

2012

BUSINESS INCOME TAX PAYMENT VOUCHER

CORPORATION/PARTNERSHIP

FIDUCIARY

DO NOT SUBMIT A PHOTOCOPY OF THIS FORM

CJF121

Name

Dba or C/O

Federal Employer Identification Number (FEIN)

Address

Suite Number

Calendar or Fiscal Year Ending (MM DD YY)

City, town, or post office

State

Postal/ZIP Code

Country

For office use only

Amount of Payment

MAIL THIS VOUCHER WITH CHECK OR MONEY ORDER

PAYABLE TO “HAWAII STATE TAX COLLECTOR.” Write your

FEIN, “2012”, and form number of the tax return you are filing

ID NO 01

(e.g., “2012 Form N-30”) on your check or money order.

Form N-201v - Business Income Tax Payment Voucher - 2012

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