FORM G-49
WEB
STATE OF HAWAII — DEPARTMENT OF TAXATION
DO NOT WRITE IN THIS AREA
16
(Rev. 2008)
GENERAL EXCISE/USE
ANNUAL RETURN &
RECONCILIATION
GCI081
=
Fill in this oval ONLY if this is an AMENDED return
M M
D D
Y Y
!!/!!/!!
TAX YEAR ENDING
NAME:____________________________________
!!!!!!!!
!!
!!!!
—
W
HAWAII TAX I.D. NO.
Last 4 digits of your FEIN or SSN
Column a
Column b
Column c
BUSINESS
VALUES, GROSS PROCEEDS
EXEMPTIONS/DEDUCTIONS
TAXABLE INCOME
ACTIVITIES
OR GROSS INCOME
(Attach Schedule GE)
(Column a minus Column b)
PART I - GENERAL EXCISE and USE TAXES @ ½ OF 1% (.005)
!!!,!!!,!!!.00 !!!,!!!,!!!.00 !!!,!!!,!!!.00
Neg
1. Wholesaling
!!!,!!!,!!!.00 !!!,!!!,!!!.00 !!!,!!!,!!!.00
Neg
2. Manufacturing
!!!,!!!,!!!.00 !!!,!!!,!!!.00 !!!,!!!,!!!.00
Neg
3. Producing
!!!,!!!,!!!.00 !!!,!!!,!!!.00 !!!,!!!,!!!.00
Neg
4. Wholesale Services
!!!,!!!,!!!.00 !!!,!!!,!!!.00 !!!,!!!,!!!.00
Neg
5. Use Tax on
Imports For Resale
!!!,!!!,!!!.00 !!!,!!!,!!!.00 !!!,!!!,!!!.00
Neg
6. Business Activities of
Disabled Persons
!!!,!!!,!!!.00
Neg
7. Sum of Part I, Column c (Taxable Income) — Enter the result here and on Page 2, line 21, Column (a)
PART II - GENERAL EXCISE and USE TAXES @ 4% (.04)
!!!,!!!,!!!.00 !!!,!!!,!!!.00 !!!,!!!,!!!.00
Neg
8. Retailing
!!!,!!!,!!!.00 !!!,!!!,!!!.00 !!!,!!!,!!!.00
Neg
9. Services Including
Professional
!!!,!!!,!!!.00 !!!,!!!,!!!.00 !!!,!!!,!!!.00
Neg
10. Contracting
!!!,!!!,!!!.00 !!!,!!!,!!!.00 !!!,!!!,!!!.00
Neg
11. Theater, Amusement
and Broadcasting
!!!,!!!,!!!.00 !!!,!!!,!!!.00 !!!,!!!,!!!.00
Neg
12. Commissions
!!!,!!!,!!!.00 !!!,!!!,!!!.00 !!!,!!!,!!!.00
13. Transient
Neg
Accommodations Rentals
!!!,!!!,!!!.00 !!!,!!!,!!!.00 !!!,!!!,!!!.00
Neg
14. Other Rentals
!!!,!!!,!!!.00 !!!,!!!,!!!.00 !!!,!!!,!!!.00
Neg
15. Interest and
All Others
!!!,!!!,!!!.00 !!!,!!!,!!!.00 !!!,!!!,!!!.00
Neg
16. Use Tax on Imports
For Consumption
!!!,!!!,!!!.00
Neg
17. Sum of Part II, Column c (Taxable Income) — Enter the result here and on Page 2, line 22, Column (a)
DECLARATION
- I declare, under the penalties set forth in section 231-36, HRS, that this return (including any accompanying schedules or statements) has been
examined by me and, to the best of my knowledge and belief, is a true, correct, and complete return, made in good faith for the tax period stated, pursuant to the
General Excise and Use Tax Laws, 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
ä
ä
ä
Continued on Page 2 — Parts V & VI
MUST
be completed
16
Form G-49
(Rev. 2008)