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FORM G-26 STATE OF HAWAII—DEPARTMENT OF TAXATION THIS SPACE FOR DATE RECEIVED STAMP
(REV. 2019) USE TAX RETURN 10
Imports for Consumption
Place an X in this box ONLY if this is an AMENDED return
CAUTION: DO NOT use this form if you file Form G-45.
UO
Name Social Security Number
Address (Number and Street) Month Ending
(MM-YY)
City, State, and Postal/ZIP Code Vehicle Identification Number (If you imported a vehicle)
• PRINT OR TYPE •
Which taxation district did you import the property, services, and/or contracting into? Oahu Maui Hawaii Kauai
IMPORTS (a) LANDED VALUE (b) EXEMPTIONS/DEDUCTIONS (c) TAXABLE AMOUNT RATE (d) TAX
FROM IN HAWAII (Explain below) (Column (a) minus column (b)) (Column (c) X .04)
OUT-OF-STATE
16 .00 .00 .00 .04
(e) LANDED VALUE SUBJECT (f) EXEMPTIONS/DEDUCTIONS (g) TAXABLE AMOUNT (i) TAX
COUNTY TO COUNTY SURCHARGE OF (Explain below) (Column (e) minus column (f)) (h) RATE (Column (g) X CS rate)
SURCHARGE IMPORTS FROM OUT-OF-STATE
Part IV
.00 .00 .00 .005
(j) TOTAL TAXES (Add columns (d) and (i)) .......................................................................................... (j)
(k) LESS ALLOWABLE SALES OR USE TAX PAID TO ANOTHER STATE (ATTACH RECEIPT) .......... (k)
(l) LESS PAYMENTS MADE (For Amended Return ONLY).................................................................... (l)
(m) CREDIT TO BE REFUNDED (Lines (k) and (l) minus line (j)) (For Amended Return ONLY) ............ (m)
(n) TOTAL TAXES DUE (Line (j) minus line (k) and (l)) (Additional Tax Due for Amended Return) ......... (n)
PENALTY $
(o) FOR LATE FILING ONLY INTEREST $ (o)
(p) TOTAL AMOUNT DUE AND PAYABLE (Add lines (n) and (o)) — Submit Form G-26 with your check or money order pay-
able to “HAWAII STATE TAX COLLECTOR” in U.S. dollars to HAWAII DEPARTMENT OF TAXATION, P.O. BOX 1425,
HONOLULU, HI 96806-1425. Write “Use Tax” and the month ending (MM-YY) on your check or money order or file and
(p)
pay electronically at hitax.hawaii.gov ...........................................................................................................
COLUMN (b) EXEMPTIONS/DEDUCTIONS — Explain any exemptions/deductions claimed in column (b) AMOUNT
in the spaces below. (Attach a separate schedule if more space is needed.)
.00
SUBTOTAL OF EXEMPTIONS/DEDUCTIONS CLAIMED IN COLUMN (b) .00
COLUMN (f) EXEMPTIONS/DEDUCTIONS — Explain any exemptions/deductions claimed in column (f) AMOUNT
in the spaces below. (Attach a separate schedule if more space is needed.)
.00
SUBTOTAL OF EXEMPTIONS/DEDUCTIONS CLAIMED IN COLUMN (f) .00
TOTAL EXEMPTIONS/DEDUCTIONS CLAIMED IN COLUMNS (b) AND (f) .00
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 prepared in accordance
with the provisions of the Use Tax Law, and the rules issued thereunder.
Signature of Taxpayer or Duly Authorized Agent Date
( )
Print or Type Name Daytime Phone Number
FORM G-26
G26_I 2019A 01 VID01 ID NO 01
