Form L-80 - Tracer Request - Hawaii Department Of Taxation - 2016

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STATE OF HAWAII — DEPARTMENT OF TAXATION
FORM
L-80
TRACER REQUEST FOR TAX YEAR ______
(REV. 2016)
(See back for Instructions)
(NOTE: References to “married” and “spouse” are also references to “in a civil union” and “civil
union partner,” respectively.)
Check One Tax Type for this tracer request:
Net Income
General Excise/Use
Withholding
Transient Accommodations
Rental Motor Vehicle, Tour Vehicle and Car-Sharing Vehicle
General Information
Part I
(Complete lines 1 through 5)
1. Taxpayer’s Name(s):
2. Social Security No(s). or Federal Employer I.D. No.:
Primary
Primary Taxpayer
Taxpayer
Spouse
Spouse
Hawaii Tax I.D. Number for the tax account indicated above
________________________________________
3. Mailing Address on the Return
4. New Mailing Address (if different)
5. Daytime Telephone Number:
Residence (______)_______________
Business (______)_______________
Reason For Tracer Request
Part II
1. Did you receive the refund check?
Yes
No
If “No”, stop here, otherwise continue to line 2.
2. The refund check was received but was (check ONE of the following boxes):
Lost
Stolen
Destroyed
Other ____________________________________
AND
Was the check endorsed?
Yes
No
If “No,” stop here, otherwise continue to line 3.
3. The refund check was endorsed, check which boxes apply to your endorsement:
All required signatures
Taxpayer's signature only
Spouse's signature only
Payee’s signature
Officer, Partner or Member, Executor, Trustee, or Authorized Agent signature
For Deposit Only
Pay to the Order of
NOTE:
A “STOP PAYMENT” will be issued on the original refund check upon receipt of this form. If you receive/find your original check after
submitting this form, DO NOT CASH THE ORIGINAL CHECK. You must return the check to the Department of Taxation.
Declaration
Part III
I hereby declare, under the penalties provided by sections 231-34, 231-35, and 231-36, HRS, that I have examined this request and, to the best of
my knowledge and belief, it is true, correct, and complete.
Print or Type Your Name
Signature
Title (if applicable)
Date
For Office Use Only
Check/Warrant#
Period
Amount
Tax I.D.#
Issued Date
Tax Office VO#
COMPT VO#
Post Date
FORM L-80

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