Clear Form
FORM RV-2
80
STATE OF HAWAII — DEPARTMENT OF TAXATION
THIS SPACE FOR DATE RECEIVED STAMP
(REV. 2010)
RENTAL MOTOR VEHICLE AND TOUR
VEHICLE SURCHARGE TAX
RBF101
_ _ _ _ _ _ _ _ - _ _
HAWAII TAX I.D. NO. W
LAST 4 DIGITS OF YOUR FEIN OR SSN:
__ __ __ __
NAME:_________________________________________________
Month Quarter or
Semiannual Period Ending
__ __ / __ __
(MM/YY)
(Do not combine your income for more than one filing period on this return.)
COLUMN A
COLUMN B
COLUMN C
Rental Motor Vehicle
Tour Vehicle Surcharge Tax —
Tour Vehicle Surcharge Tax —
Surcharge Tax — Enter the
Enter the Number of Tour
Enter the Number of Tour
Number of Rental Motor Vehicle
Vehicles Carrying 8 - 25
Vehicles Carrying 26 or More
Days
Passengers
Passengers
1 OAHU DISTRICT
1
2 MAUI DISTRICT
2
3 HAWAII DISTRICT
3
4 KAUAI DISTRICT
4
5 TOTALS
(Add lines 1 thru 4 of
5
Columns A, B, and C)
6 RATES
$3
$15
$65
6
7 TAXES
7
(Multiply line 5 by line 6 of
00
00
00
Columns A, B, and C)
TOTAL TAXES DUE (Add line 7,
IF YOU DO NOT HAVE ANY ACTIVITY AND THE RESULT IS NO TAX
8
8
Columns A thru C, and enter here)
LIABILITY, ENTER “0.00” ON LINE 8. THIS RETURN MUST BE FILED.
9a
9a
PENALTY
FOR LATE FILING ONLY
9b
9b
INTEREST
ATTACH YOUR CHECK OR MONEY ORDER PAYABLE TO
“HAWAII STATE TAX COLLECTOR” IN U.S. DOLLARS DRAWN ON ANY
PLEASE ENTER AMOUNT OF
U.S. BANK TO FORM RV-2. WRITE “RV”, THE FILING PERIOD, AND
10
YOUR PAYMENT
10
YOUR HAWAII TAX I.D. NO. ON YOUR CHECK OR MONEY ORDER.
(Add lines 8, 9a, and 9b)
MAIL TO: HAWAII DEPARTMENT OF TAXATION,
P.O. BOX 2430, HONOLULU, HI 96804-2430
DECLARATION: I declare, under the penalties set forth in section 231-36, HRS, that this is a true and correct return, prepared in accordance with the
provisions of the Rental Motor Vehicle and Tour Vehicle Surcharge Tax Law 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.
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SIGNATURE
TITLE
DATE
DAYTIME PHONE NUMBER
80
FORM RV-2