G-49 Instructions — Hawaii General Excise / Use Tax Annual Reconciliation

# STATE OF HAWAII - DEPARTMENT OF TAXATION DO NOT WRITE IN THIS AREA

GENERAL EXCISE/USE

# ANNUAL RETURN & RECONCILIATION

G49_I 2023A 01 VID01
Fill in this oval ONLY if this is an AMENDED return
(mm dd yy)
HAWAII TAX I.D. NO.  GE

# TAX YEAR ENDING

Last 4 digits of your FEIN or SSN
NAME: __
Column a
ID NO 01
Column b Column c
EXEMPTIONS/DEDUCTIONS

BUSINESS VALUES, GROSS PROCEEDS TAXABLE INCOME (Attach Schedule GE)

# ACTIVITIES OR GROSS INCOME

PART I - GENERAL EXCISE and USE TAXES @ ½ OF 1% (.005) .00

1. Wholesaling .00

• ATTACH CHECK OR MONEY ORDER HERE •

1. Manufacturing .00
2. Producing .00
3. Wholesale Services .00
4. Landed Value of

Imports for Resale .00

1. Business Activities of

Disabled Persons
(Column a minus Column b) .00 .00
Neg .00 .00
Neg .00 .00
Neg .00 .00
Neg .00 .00
Neg .00 .00
Neg .00
Neg

1. Sum of Part I, Column c (Taxable Income) - Enter the result here and on page 2, line 24, Column c PART II - GENERAL EXCISE and USE TAXES @ 4% (.04) .00
2. Retailing .00
3. Services Including

Professional .00

1. Contracting .00
2. Theater, Amusement and Broadcasting .00
3. Commissions .00
4. Transient

Accommodations Rentals .00

1. Other Rentals .00
2. Interest and

All Others .00

1. Landed Value of Imports for Consumption .00 .00 Neg .00 .00 Neg .00 .00 Neg .00 .00 Neg .00 .00 Neg .00 .00 Neg .00 .00 Neg .00 .00 Neg .00 .00 Neg .00 Neg
2. Sum of Part II, Column c (Taxable Income) - Enter the result here and on page 2, line 25, Column c 17 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 DAYTIME PHONE NUMBER Continued on page 2 - Parts V & VI MUST be completed G491H7V9
(REV. 2023) 16

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 III - INSURANCE COMMISSIONS @ .15% (.0015)
Enter this amount on line 26, Column c
PART IV - COUNTY SURCHARGE - Enter the amounts from Part II, line 17, Column c attributable to each county. Multiply Column c by the applicable county rate(s) and enter the total of the result(s) on Part VI, line 27, Column e.

1. Oahu (rate = .005) 19
2. Maui (rate = .005) 20
3. Hawaii (rate = .005) 21
4. Kauai (rate = .005) 22
5. Insurance Commissions

# PART VI - TOTAL RETURN AND RECONCILIATION TAXABLE INCOME TAX RATE TOTAL TAX

Column c Column d Column e = Column c X Column d

1. Enter the amount from Part I, line 7 … x .005 24.
2. Enter the amount from Part II, line 17 … x .04 25.
3. Enter the amount from Part III line 18, Column c … x .0015 26.
4. COUNTY SURCHARGE TAX. See Instructions for Part IV. Multi district complete Form G-75 … 27.
5. TOTAL TAXES DUE. Add column e of lines 24 through 27 and enter result here (but not less than zero).

If you did not have any activity for the period, enter "0.00" here … 28.

1. Amounts Assessed During the Period … PENALTY  $ INTEREST $ 29.
2. TOTAL AMOUNT. Add lines 28 and 29 … 30.
3. TOTAL PAYMENTS MADE LESS ANY REFUNDS RECEIVED FOR THE TAX YEAR … 31.
4. CREDIT CLAIMED ON ORIGINAL ANNUAL RETURN. (For Amended Return ONLY) … 32.
5. NET PAYMENTS MADE. Line 31 minus line 32 … 33.
6. CREDIT TO BE REFUNDED. Line 33 minus line 30 … 34.
7. ADDITIONAL TAXES DUE. Line 30 minus line 33 … 35.
8. FOR LATE FILING ONLY 

PENALTY  $
INTEREST $                        36.

1. TOTAL AMOUNT DUE AND PAYABLE (Add lines 35 and 36) … 37.
2. PLEASE ENTER THE AMOUNT OF YOUR PAYMENT. If you are NOT submitting a payment with this return, please enter "0.00" here … 38.

39. GRAND TOTAL OF EXEMPTIONS/DEDUCTIONS CLAIMED. (Attach Schedule GE) If Schedule GE is not attached, exemptions/deductions claimed will be disallowed … 39.
(REV. 2023) 16
Name:__
Hawaii Tax I.D. No. GE
Last 4 digits of your FEIN or SSN

# TAX YEAR ENDING

G492H7V9 .00 .00
ID NO 01
G49_I 2023A 02 VID01
(mm dd yy)
Neg
Neg
Neg
Neg
Neg
Neg
Neg
Neg
Neg
Neg
PART V - SCHEDULE OF ASSIGNMENT OF TAXES BY DISTRICT (ALL taxpayers MUST complete this Part and may be subject to a 10% penalty for noncompliance.) DARKEN the oval of the taxation district in which you have conducted business. IF you did business in MORE THAN ONE district, darken the oval "MULTI" and attach Form G-75.

1. Oahu Maui Hawaii Kauai

MULTI .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 Neg