FORM G-45                               STATE OF HAWAII — DEPARTMENT OF TAXATION                 DO      NOT WRITE IN THIS AREA 
                                     (REV. 2023)
                                                                                                                                                                            10
                                                                                              GENERAL EXCISE/USE 
                                                                                              TAX RETURN 

                                     G45_I 2023A 01 VID01
                                             Fill in this oval ONLY if this is an AMENDED return

                                        PERIOD ENDING                                                        HAWAII TAX I.D. NO.      GE
                                                                    (mm yy)
                                        Last 4 digits of your FEIN or SSN    

                                        NAME:____________________________________                                                                                       ID NO 01

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

                                     1.  Wholesaling                                                                                                                                                                1
                                                                                              .00                                     .00                                  .00
                                     2.  Manufacturing                                                                                                                                                              2
                                                                                              .00                                     .00                                  .00
                                     3.  Producing                                                                                                                                                                  3
                                                                                              .00                                     .00                                  .00
                                     4.  Wholesale Services                                                                                                                                                         4
                                                                                              .00                                     .00                                  .00
                                     5.  Landed Value of 
                                         Imports for Resale                                                                                                                                                         5
                                                                                              .00                                     .00                                  .00
                                     6.  Business Activities of
                                         Disabled   Persons                                                                                                                                                         6
                                                                                              .00                                     .00                                  .00
                                     7.  Sum of Part I, Column c (Taxable Income)  —  Enter the result here and on page 2, line 24, Column c                                                                        7
PART II - GENERAL EXCISE and USE TAXES @ 4% (.04)                                                                                                                          .00

• ATTACH CHECK OR MONEY ORDER HERE • 8.  Retailing                                                                                                                                                                  8
                                                                                              .00                                     .00                                  .00
                                     9.  Services Including 
                                         Professional                                                                                                                                                               9
                                                                                              .00                                     .00                                  .00
                                     10. Contracting                                                                                                                                                             10
                                                                                              .00                                     .00                                  .00
                                     11. Theater, Amusement  
                                         and Broadcasting                                                                                                                                                        11
                                                                                              .00                                     .00                                  .00
                                     12. Commissions                                                                                                                                                             12
                                                                                              .00                                     .00                                  .00
                                     13. Transient                                                                                                                                                                  13
                                         Accommodations Rentals
                                                                                              .00                                     .00                                  .00 
                                     14. Other Rentals                                                                                                                                                           14
                                                                                              .00                                     .00                                  .00 
                                     15. Interest and  
                                         All Others                                                                                                                                                              15
                                                                                              .00                                     .00                                  .00 
                                     16. Landed Value of Imports                                                                                                                                                 16
                                         for Consumption
                                                                                              .00                                     .00                                  .00 
                                     17. Sum of Part II, Column c   (Taxable Income) — Enter the result here and on page 2, line 25, Column c                                                                    17
                                                                                                                                                                           .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 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 

                                                                                                                                                                        Form G-45                                
                                     G451H7V9               Continued on page 2 — Parts V & VI MUST be completed                                                        (REV. 2023) 10

 FORM G-45  
 (REV. 2023)
 Page 2 of 2            Name:___________________________________________________
                                                                                                                                              ID NO 01
                        Hawaii Tax I.D. No.                                                                                                                   (mm yy)
                                              GE
                        Last 4 digits of your FEIN or SSN                                                                                     PERIOD ENDING
                                   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
 18.  Insurance 
     Commissions                                                                                                                                                                 18
                                                                       .00                                                            .00                                   .00
 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.

 19. Oahu (rate = .005)                                                                                                                                                          19
                                                                       .00                                                            .00                                   .00
 20. Maui (rate = .005)                                                                                                                                                          20
                                                                       .00                                                            .00                                   .00
 21. Hawaii (rate = .005)                                                                                                                                                        21
                                                                       .00                                                            .00                                   .00

 22.Kauai (rate = .005)                                                .00                                                            .00                                   .00  22
 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.
 23.                 Oahu                     Maui                         Hawaii                 Kauai                                       MULTI                              23
                                                                                                                                               
 PART VI - TOTAL PERIODIC RETURN                                           TAXABLE INCOME         TAX RATE                                          TOTAL TAX 
                                                                              Column c            Column d                                    Column e = Column c X Column d

 24.  Enter the amount from Part I, line 7 ....................                                   x .005                              24. 
                                                                                               .00
 25.  Enter the amount from Part II, line 17 .................                                    x .04                               25. 
                                                                                               .00
 26.  Enter the amount from Part III line 18, Column c ..............                             x .0015                             26. 
                                                                                               .00
 27.  COUNTY SURCHARGE TAX. See Instructions for Part IV. Multi district complete Form G-75 ....27.                                       
 28.  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. 
                                                                         PENALTY  $                
      (For Amended Return Only)                                        INTEREST  $                        
 29.  Amounts Assessed During the Period,......................                                                                       29.  

 30.  TOTAL AMOUNT.  Add lines 28 and 29. ...................................................................................30. 

 31.  TOTAL PAYMENTS MADE FOR THE PERIOD (For Amended Return ONLY) ................................31. 

 32. CREDIT TO BE REFUNDED.       Line 31 minus line 30 (For Amended Return ONLY) .......................32. 

 33. ADDITIONAL TAXES DUE.    Line 30 minus line 31 (For Amended Return ONLY) ..........................33. 
                                                                       PENALTY  $                
 34.  FOR         LATE FILING      ONLY                               INTEREST  $                                                    34.  
                                                                                                          
 35. TOTAL AMOUNT DUE AND PAYABLE                     (Original Returns, add lines 30 and 34;
      Amended Returns, add lines 33 and 34) ..........................................................................................35. 
 36. PLEASE ENTER THE     AMOUNT OF YOUR PAYMENT.  Attach a check or money order payable 
      to “HAWAII STATE TAX COLLECTOR” in U.S. dollars to Form G-45.  Write the filing period and your Hawaii Tax  
      I.D. No. on your check or money order.  Mail to: HAWAII DEPARTMENT OF TAXATION, P. O. BOX 1425,  
      HONOLULU, HI  96806-1425 or file and pay electronically at hitax.hawaii.gov. 
      If you are NOT submitting a payment with this return, please enter “0.00” here.  ..................36. 
 37.  GRAND TOTAL OF EXEMPTIONS/DEDUCTIONS CLAIMED. (Attach Schedule  
      GE)  If Schedule GE is not attached, exemptions/deductions claimed will be disallowed. ..............37. 
                                                                                                                                                              .00
 G45_I 2023A 02 VID01
                                                                                                                                                    Form G-45                    
 G452H7V9                                                                                                                                           (REV. 2023)             10