Form G-15 - Information Return For Unlicensed Contractors On Federal Construction Projects
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STATE OF HAWAII - DEPARTMENT OF TAXATION
FORM
Information Return for Unlicensed Contractors on
G-15
20
Federal Construction Projects
(Rev. 2012)
1. Name of contractor
2. Contractor’s SSN or FEIN
3. Dba or C/O
4. Address (number and street) of contractor
5. City, State, and Postal/ZIP code
6. Name of common parent, if applicable (See instructions.)
7. Common parent’s FEIN
8. Name of Federal agency
9. Contract office number
(
)
10. Address (number and street) of Federal agency
11. City, State, and Postal/ZIP code of Federal agency
12. Contract award date
13. Expected date of completion
14. Contract number
15. Contract award amount
$
16. Number of months
17. PENALTY DUE
PENALTY FOR FAILING TO FILE WITHIN THIRTY DAYS OF THE CONTRACT
AWARD DATE ($1,000 PER MONTH, OR FRACTION THEREOF, MAX $6,000)
$
DECLARATION
I declare, under the penalties set forth in section 231-36, HRS, that I have examined this form, including attachments, and to the best of my knowledge and belief, it is true,
correct, and complete.
SIGNATURE
TITLE
DATE
Specific Instructions
General Instructions
Box 1. Enter the full legal name of the contractor. For individuals,
Purpose of form. Every person or company intending to do business
including sole proprietors, enter your first name, middle initial, and last
in Hawaii, including every individual who is self-employed must apply
name.
for a general excise tax (GET) license. Effective July 1, 2009, pursuant
to Act 134, SLH 2009, every contractor that is awarded a contract
Box 2. If the contractor is an individual, including a sole proprietor,
with the Federal government for any construction project located in the
enter the contractor’s social security number (SSN). For all others,
State of Hawaii and that does not possess a valid GET license on the
enter the contractor’s federal employer identification number (FEIN).
date that the contract is awarded is required to report information about
Box 3. Enter the trade name of the business if different from the legal
their federal contract to the Department of Taxation. For the purposes
name. The trade name is the ‘‘doing business as’’ (DBA) name.
of completing Form G-15, a “contract with the Federal government”
is an obligation of a Federal agency to pay money or other property
Box 4. Enter the address (number and street) of the contractor.
to a contractor in return for the performance of contracting activities
Box 5. Enter the city, state, and postal/zip code of the contractor.
as defined in Hawaii Revised Statutes Chapter 237 for a construction
project located in Hawaii. A contract includes a written agreement
Box 6. If the contractor is a member of an affiliated group of corporations
between the Federal agency and the contractor, an award or notice
that files its Federal income tax returns on a consolidated basis, enter
of award, a job order or task letter issued under a basic ordering
the name of the common parent of the affiliated group.
agreement, a letter contract, or an order that is effective only on written
Box 7. If the name of the common parent is entered in box 6, enter the
acceptance or performance.
FEIN of the common parent.
Who must file. Every contractor that does not possess a valid
Box 8. Enter the name of the Federal agency that the contractor
GET license on the date it is awarded a contract with the Federal
entered into a contract with.
government for any construction project located in the State of Hawaii
is required to file Form G-15 and obtain a GET license.
Box 9. Enter the Federal agency’s contract office telephone number.
When to file. You must file within thirty days of the contract being
Box 10. Enter the address (number and street) of the federal agency
awarded. If the regular due date falls on a Saturday, Sunday, or legal
listed in Box 8.
holiday, file by the next business day.
Box 11. Enter the city, state, and postal/zip code of the federal agency
Penalty. The penalty for failure to file a return within thirty days of the
listed in Box 8.
contract award date is $1,000 per month, or fraction thereof, for each
Box 12. Enter the date that the contract was awarded.
month that a failure to file exists, up to a maximum of $6,000.
Box 13. Enter the expected date of completion of the contract. To
Where to file. File Form G-15 with:
determine this date, use any reasonable method, such as the expected
Hawaii Department of Taxation
contract delivery date under the contract schedule.
Office Audit Branch
Box 14. Enter the contract number.
P.O. Box 259
Honolulu, HI 96809-0259.
Box 15. Enter the total amount of the contract awarded.
Exceptions. You do not need to not file Form G-15 for any contract:
Box 16. Enter the number of months, if any, that are subject to the
penalty. See the “Penalty” section of this page for more information.
1. With a subcontractor (unless the subcontractor is the Federal
government).
Box 17. Multiply the number in Box 16 by $1,000 (max $6,000). This is
the amount of penalty due. Enclose a check or money order payable to
2. Where, in making the agreement, you are acting in your capacity
“HAWAII STATE TAX COLLECTOR” in U.S. dollars with Form G-15.
as an employee of the Federal government; for example, any
Write “Form G-15 penalty” on your check or money order.
employment contract under which the employee is paid wages
subject to Federal income tax withholding.
Signature. This form is not valid unless you sign it. Sign your name and
write your title and the date in the spaces provided. For corporations
3. With a state or local government or agency or any subsidiary agency.
or partnerships, this form must be signed by an officer, partner or
4. That is confidential or classified and that meets the requirements of
member, or duly authorized agent.
Internal Revenue Code section 6050M(e).
Form G-15
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