Form Rv-7 - Application For Extensition Of Time To File The Annual Return And Reconciliation Rental Motor Vehicle And Tour Vehicle Surcharge Tax (Form Rv-3)

DO NOT WRITE IN THIS AREA

FORM RV-7

(REV. 2001)

STATE OF HAWAII — DEPARTMENT OF TAXATION

APPLICATION FOR EXTENSION OF TIME TO FILE

THE ANNUAL RETURN AND RECONCILIATION

RENTAL MOTOR VEHICLE AND TOUR VEHICLE

SURCHARGE TAX (FORM RV-3)

Please read instructions below before preparing form.

LESSOR’S/OPERATOR’S

NAME

________________________________________________

BUSINESS

R.V. Identification No.

NAME (DBA)

__________________________________________

ADDRESS

_______________________________________________

_____ _____ _____ _____ _____ _____ _____ _____

________________________________________________

ZIP CODE +4

_______________________

APPLICATION is hereby made for an extension of time to file the rental motor vehicle and tour vehicle surcharge tax annual return and

reconciliation (Form RV-3).

a. For:

b. An extension is requested until:

(No more than 3 months. See Instructions below.)

calendar year ending December 31, 20______

fiscal year ending

_______ / ______ / ______

DAY

c. Were you previously granted an extension of time to file this return?

Yes

If yes, previous extension was granted to

_______/ _______ / _______

DAY

d. This extension is necessary for the following reasons (see Instructions below):

____________________________________________________________________________________________________________________

e. ADDITIONAL TAXES DUE (See Instructions below.) Attach a check or money order for this amount in

U.S. dollars payable to “HAWAII STATE TAX COLLECTOR.” Write your R.V. Identification Number on

the check. If no payment is due, enter “0” ......................................................................................................

DECLARATION

I declare under the penalties set forth in section 231-36, HRS, that the statements contained herein are true and correct.

SIGNATURE OF LESSOR/OPERATOR OR AUTHORIZED AGENT WITH POWER OF ATTORNEY

DATE

————————————— INSTRUCTIONS FOR PREPARATION OF THIS FORM ——————————————

NOTE: This form may be electronically filed (e-filed) with the Department of Taxation. For more information go to our website at: and select

“Electronic Business Information: Internet & Electronic Filing.”

1. Extensions will only be granted for 3 months or less. See 6 below if additional extensions are needed.

2. Extensions will only be granted for a good reason (e.g., hospitalization of lessor/operator). 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 rental motor vehicle and tour vehicle surcharge taxes are due for the year,

write the amount due on line e. Your check or money order for the entire amount, payable in U.S. dollars to the “HAWAII STATE TAX COLLECTOR,” must be

attached to this form.

4. Submit the completed form to the taxation district with which you are registered ON OR BEFORE THE ORIGINAL DUE DATE OF THE RETURN. Applications

for extensions filed after that date will not be granted.

5. IMPORTANT — Approved applications for extensions are only valid if all monthly, quarterly, or semiannual periodic returns (Form RV-2) for the year have been

filed.

6. ADDITIONAL extensions of time to file the rental motor vehicle and tour vehicle annual return and reconciliation beyond the initial 3-month period may be

requested by completing this form and submitting it to the taxation district with which you are registered before the expiration of the initial 3-month extension.

7. IMPORTANT — The total period for which extensions will be granted cannot exceed six (6) months.

MAILING ADDRESSES

THIS SPACE FOR DATE RECEIVED STAMP

(Please direct all inquiries and correspondence to the district office with which you are registered.)

OAHU DISTRICT OFFICE

HAWAII DISTRICT OFFICE

P.O. Box 2430

P.O. Box 937

Honolulu, HI 96804-2430

Hilo, HI 96721-0937

Telephone: (808) 587-4242

Telephone: (808) 974-6321