Form Hw-26 - Application For Extension Of Time To File The Employer'S Annual Return And Reconciliation Of Hawaii Income Tax Withheld From Wages

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DO NOT WRITE IN THIS AREA
34
FORM HW-26
(REV. 2014)
Clear Form
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STATE OF HAWAII — DEPARTMENT OF TAXATION
APPLICATION FOR EXTENSION OF TIME TO FILE THE
Category List
EMPLOYER’S ANNUAL RETURN AND RECONCILIATION OF HAWAII
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INCOME TAX WITHHELD FROM WAGES (FORM HW-3)
Please read instructions below before preparing form.
TAXPAYER’S
NAME:
_____________________________________________
BUSINESS
HAWAII TAX I.D. NO.
_______________________________________
NAME (DBA):
W
ADDRESS:
__________________________________________________
____ ____ ____ ____ ____ ____ ____ ____ - ____ ____
LAST 4 DIGITS OF YOUR FEIN OR SSN: ____ ____ ____ ____
__________________________________________________
__________________________POSTAL/ZIP CODE +4: __________
APPLICATION is hereby made for an extension of time to file the employer’s return and reconciliation of Hawaii income tax withheld
from wages (FORM HW-3).
a. For calendar year ending December 31, 20______
b. An extension is requested until (No more than 2 months. See Instructions below.)
________/ _______/ _______
MO
DAY
YR
c. This extension is necessary for the following reasons (See Instructions below):
___________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________
d. ADDITIONAL TAXES DUE. (If no payment is due, enter “0”.) Attach your check or money order
payable to “HAWAII STATE TAX COLLECTOR” in U.S. dollars drawn on any U.S. bank to Form HW-26.
Write “HW-26”, the tax year, and your Hawaii Tax I.D. No. on your check or money order. Mail to: HAWAII
DEPARTMENT OF TAXATION, P. O. BOX 3827, HONOLULU, HI 96812-3827. You may also e-pay at:
$
tax.hawaii.gov/eservices/ ...................................................................................................................................
DECLARATION
I declare under the penalties set forth in section 231-36, HRS, that the statements contained herein are true and correct, prepared in accordance
with the withholding provisions of the Hawaii Income Tax Law and the rules issued thereunder.
SIGNATURE OF TAXPAYER OR AUTHORIZED AGENT WITH POWER OF ATTORNEY
DATE
INSTRUCTIONS
1. Extensions will only be granted for periods of 2 months or less.
2. Extensions will only be granted for a good reason (e.g., hospitalization of taxpayer). A full explanation of the reasons you need an extension
must be given.
3. This extension of time to file is NOT AN EXTENSION OF TIME TO PAY. If additional income taxes withheld are due for the year, write the
amount due on line d. Your check or money order for the entire amount, payable to “HAWAII STATE TAX COLLECTOR” in U.S. dollars drawn on
any U.S. bank must be attached to this form.
4. Submit the completed form to the Hawaii Department of Taxation ON OR BEFORE THE LAST DAY OF FEBRUARY, FOLLOWING THE CLOSE
OF THE CALENDAR YEAR. Where the business terminates or permanently stops paying wages, the completed form must be submitted on or
before the due date of your final periodic withholding tax return (FORM HW-14). Applications for extensions filed after the applicable date will
not be granted.
5. IMPORTANT — Approved applications for extensions are ONLY valid if all monthly or quarterly periodic returns (FORM HW-14) for the year
have been filed.
6. IMPORTANT— The total period for which extensions will be granted cannot exceed two (2) months.
THIS SPACE FOR DATE RECEIVED STAMP
MAILING ADDRESS
HAWAII DEPARTMENT OF TAXATION
P.O. Box 3827
Honolulu, HI 96812-3827
34
FORM HW-26

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