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                                        STATE OF HAWAII — DEPARTMENT OF TAXATION
FORM                                    STATEMENT OF HAWAII INCOME TAX WITHHELD                                                           CALENDAR
                                                                     AND WAGES PAID                                                       YEAR
HW-2                                                                                                                                                 20___
(REV. 2020)                                                                                   COPY A — For Hawaii State Tax Collector
EMPLOYEE’S Name                                                                               Social Security Number:

Address and Postal/ZIP Code

                                                                                                                                           Corrected
Total Wages (Before Payroll Deductions)                            Hawaii Income Tax Withheld Payments Not Included in Total Wages
                                                                                                                                         $
  $                                                                $                                                                     Nature of Payment         
EMPLOYER’S Name
                                                                                                                                          EMPLOYER:  See Instructions 
                                                                                                                                                     on reverse side.
Address and Postal/ZIP Code

Hawaii Tax I.D. No. WH  __ __ __ - __ __ __ - __ __ __ __ - __ __                                                                                    FORM HW-2 
HW2_I 2020A 01 VID01
                                                              CUT HERE                                                         ID NO 01             

                                        STATE OF HAWAII — DEPARTMENT OF TAXATION
FORM                                    STATEMENT OF HAWAII INCOME TAX WITHHELD                                                           CALENDAR
                                                                     AND WAGES PAID                                                       YEAR
HW-2                                                                                                                                                 20___
(REV. 2020)                                                                                   COPY A — For Hawaii State Tax Collector
EMPLOYEE’S Name                                                                               Social Security Number:

Address and Postal/ZIP Code

                                                                                                                                           Corrected
Total Wages (Before Payroll Deductions)                            Hawaii Income Tax Withheld Payments Not Included in Total Wages
                                                                                                                                         $
  $                                                                $                                                                     Nature of Payment         
EMPLOYER’S Name
                                                                                                                                          EMPLOYER:  See Instructions 
                                                                                                                                                     on reverse side.
Address and Postal/ZIP Code

Hawaii Tax I.D. No. WH __ __ __ - __ __ __ - __ __ __ __ - __ __                                                                                     FORM HW-2
HW2_I 2020A 01 VID01
                                                              CUT HERE                                                         ID NO 01             

                                        STATE OF HAWAII — DEPARTMENT OF TAXATION
FORM                                    STATEMENT OF HAWAII INCOME TAX WITHHELD                                                           CALENDAR
                                                                     AND WAGES PAID                                                       YEAR
HW-2                                                                                                                                                 20___
(REV. 2020)                                                                                   COPY A — For Hawaii State Tax Collector
EMPLOYEE’S Name                                                                               Social Security Number:

Address and Postal/ZIP Code

                                                                                                                                           Corrected
Total Wages (Before Payroll Deductions)                            Hawaii Income Tax Withheld Payments Not Included in Total Wages
                                                                                                                                         $
  $                                                                $                                                                     Nature of Payment         
EMPLOYER’S Name
                                                                                                                                          EMPLOYER:  See Instructions 
                                                                                                                                                     on reverse side.
Address and Postal/ZIP Code

Hawaii Tax I.D. No. WH __ __ __ - __ __ __ - __ __ __ __ - __ __                                                                                     FORM HW-2
HW2_I 2020A 01 VID01                                                 ID NO 01

TO  EMPLOYER:
1. Prepare this form for each employee to whom wages have     3. Give copies B and C to the employee on or before  
   been paid.                                                    January 31 following the calendar year, or on the day the 
                                                                 last payment of wages is made if his or her employment is 
2. Fill in —                                                     terminated before the close of such calendar year.
   (a)  The employee’s name, address, postal/ZIP code and     4. Forward Copy A to the Hawaii State Tax Collector in 
   social security number.                                       accordance to Form HW-30, Employer’s Annual Transmittal 
   (b)  Total wages subject to withholding, or paid to blind,    of Hawaii Income Tax Withheld from Wages.
   deaf, or totally disabled persons.
   (c)  Amount of income tax deducted and withheld. If no     5. For further information, see Booklet A — Employer’s Tax 
   amount was deducted and withheld, enter “none” or “0.”        Guide.
   (d)  Amount of payment not included in “Total Wages” as 
   to which information is required. (See Booklet A — 
   Employer’s Tax Guide, Section 11.)
   (e)  Your name, address, postal/ZIP Code and Hawaii Tax 
   Identification Number.

TO  EMPLOYER:
1. Prepare this form for each employee to whom wages have     3. Give copies B and C to the employee on or before  
   been paid.                                                    January 31 following the calendar year, or on the day the 
                                                                 last payment of wages is made if his or her employment is 
2. Fill in —                                                     terminated before the close of such calendar year.
   (a)  The employee’s name, address, postal/ZIP code and     4. Forward Copy A to the Hawaii State Tax Collector in 
   social security number.                                       accordance to Form HW-30, Employer’s Annual Transmittal 
   (b)  Total wages subject to withholding, or paid to blind,    of Hawaii Income Tax Withheld from Wages
   deaf, or totally disabled persons.
   (c)  Amount of income tax deducted and withheld. If no     5. For further information, see Booklet A — Employer’s Tax 
   amount was deducted and withheld, enter “none” or “0.”        Guide.
   (d)  Amount of payment not included in “Total Wages” as 
   to which information is required.  (See Booklet A — 
   Employer’s Tax Guide, Section 11.)
   (e)  Your name, address, postal/ZIP Code and Hawaii Tax 
   Identification Number.

TO  EMPLOYER:
1. Prepare this form for each employee to whom wages have     3. Give copies B and C to the employee on or before  
   been paid.                                                    January 31 following the calendar year, or on the day the 
                                                                 last payment of wages is made if his or her employment is 
2. Fill in —                                                     terminated before the close of such calendar year.
   (a)  The employee’s name, address, postal/ZIP code and     4. Forward Copy A to the Hawaii State Tax Collector in 
   social security number.                                       accordance to Form HW-30, Employer’s Annual Transmittal 
   (b)  Total wages subject to withholding, or paid to blind,    of Hawaii Income Tax Withheld from Wages.
   deaf, or totally disabled persons.
   (c)  Amount of income tax deducted and withheld. If no     5. For further information, see Booklet A — Employer’s Tax 
   amount was deducted and withheld, enter “none” or “0.”        Guide.
   (d)  Amount of payment not included in “Total Wages” as 
   to which information is required.  (See Booklet A — 
   Employer’s Tax Guide, Section 11.)
   (e)  Your name, address, postal/ZIP Code and Hawaii Tax 
   Identification Number.

                                        STATE OF HAWAII — DEPARTMENT OF TAXATION
FORM                                    STATEMENT OF HAWAII INCOME TAX WITHHELD                                                           CALENDAR
                                                                     AND WAGES PAID                                                       YEAR
HW-2                                                                                                                                                 20___
(REV. 2020)                                                                                   COPY B — To Be Filed With Employee’s Tax Return
EMPLOYEE’S Name                                                                               Social Security Number:

Address and Postal/ZIP Code

                                                                                                                                           Corrected
Total Wages (Before Payroll Deductions)                            Hawaii Income Tax Withheld Payments Not Included in Total Wages
                                                                                                                                         $
  $                                                                $                                                                     Nature of Payment         
EMPLOYER’S Name                                                                                                                          EMPLOYEE:  This is not a tax return, 
                                                                                                                                         but must be filed with your Hawaii 
Address and Postal/ZIP Code                                                                                                              Income Tax Return.  See reverse side of 
                                                                                                                                         this copy & Copy C for Instructions.

Hawaii Tax I.D. No. WH  __ __ __ - __ __ __ - __ __ __ __ - __ __                                                                                    FORM HW-2 
HW2_I 2020A 01 VID01
                                                              CUT HERE                                                         ID NO 01                                     

                                        STATE OF HAWAII — DEPARTMENT OF TAXATION
FORM                                    STATEMENT OF HAWAII INCOME TAX WITHHELD                                                           CALENDAR
                                                                     AND WAGES PAID                                                       YEAR
HW-2                                                                                                                                                 20___
(REV. 2020)                                                                                   COPY B — To Be Filed With Employee’s Tax Return
EMPLOYEE’S Name                                                                               Social Security Number:

Address and Postal/ZIP Code

                                                                                                                                           Corrected
Total Wages (Before Payroll Deductions)                            Hawaii Income Tax Withheld Payments Not Included in Total Wages
                                                                                                                                         $
  $                                                                $                                                                     Nature of Payment         
EMPLOYER’S Name                                                                                                                          EMPLOYEE:  This is not a tax return, 
                                                                                                                                         but must be filed with your Hawaii 
Address and Postal/ZIP Code                                                                                                              Income Tax Return.  See reverse side of 
                                                                                                                                         this copy & Copy C for Instructions.

Hawaii Tax I.D. No. WH __ __ __ - __ __ __ - __ __ __ __ - __ __                                                                                     FORM HW-2
HW2_I 2020A 01 VID01
                                                              CUT HERE                                                         ID NO 01                                     

                                        STATE OF HAWAII — DEPARTMENT OF TAXATION
FORM                                    STATEMENT OF HAWAII INCOME TAX WITHHELD                                                           CALENDAR
                                                                     AND WAGES PAID                                                       YEAR
HW-2                                                                                                                                                 20___
(REV. 2020)                                                                                   COPY B — To Be Filed With Employee’s Tax Return
EMPLOYEE’S Name                                                                               Social Security Number:

Address and Postal/ZIP Code

                                                                                                                                           Corrected
Total Wages (Before Payroll Deductions)                            Hawaii Income Tax Withheld Payments Not Included in Total Wages
                                                                                                                                         $
  $                                                                $                                                                     Nature of Payment         
EMPLOYER’S Name                                                                                                                          EMPLOYEE:  This is not a tax return, 
                                                                                                                                         but must be filed with your Hawaii 
Address and Postal/ZIP Code                                                                                                              Income Tax Return.  See reverse side of 
                                                                                                                                         this copy & Copy C for Instructions.

Hawaii Tax I.D. No. WH __ __ __ - __ __ __ - __ __ __ __ - __ __                                                                                     FORM HW-2
HW2_I 2020A 01 VID01                                                 ID NO 01

NOTICE TO EMPLOYEE:

This statement is important. It must be filed with your Hawaii 
Income Tax Return for that tax year. If your social security 
number, name, or address is stated incorrectly, correct the 
information on this copy and notify your employer.

NOTICE TO EMPLOYEE:

This statement is important. It must be filed with your Hawaii 
Income Tax Return for that tax year. If your social security 
number, name, or address is stated incorrectly, correct the 
information on this copy and notify your employer.

NOTICE TO EMPLOYEE:

This statement is important. It must be filed with your Hawaii 
Income Tax Return for that tax year. If your social security 
number, name, or address is stated incorrectly, correct the 
information on this copy and notify your employer.

                                        STATE OF HAWAII — DEPARTMENT OF TAXATION
FORM                                    STATEMENT OF HAWAII INCOME TAX WITHHELD                                                            CALENDAR
                                                                     AND WAGES PAID                                                        YEAR
HW-2                                                                                                                                                  20___
(REV. 2020)                                                                                                                               COPY C — For Employee’s Records
EMPLOYEE’S Name                                                                               Social Security Number:

Address and Postal/ZIP Code

                                                                                                                                            Corrected
Total Wages (Before Payroll Deductions)                            Hawaii Income Tax Withheld Payments Not Included in Total Wages
                                                                                                                                          $
  $                                                                $                                                                      Nature of Payment         
EMPLOYER’S Name                                                                                                                          EMPLOYEE: This is your receipt for your 
                                                                                                                                         Hawaii Income Tax withheld. 
Address and Postal/ZIP Code                                                                                                               
                                                                                                                                         DO NOT LOSE THIS STATEMENT.

Hawaii Tax I.D. No. WH  __ __ __ - __ __ __ - __ __ __ __ - __ __                                                                                     FORM HW-2 
HW2_I 2020A 01 VID01
                                                              CUT HERE                                                         ID NO 01                             

                                        STATE OF HAWAII — DEPARTMENT OF TAXATION
FORM                                    STATEMENT OF HAWAII INCOME TAX WITHHELD                                                            CALENDAR
                                                                     AND WAGES PAID                                                        YEAR
HW-2                                                                                                                                                  20___
(REV. 2020)                                                                                                                               COPY C — For Employee’s Records
EMPLOYEE’S Name                                                                               Social Security Number:

Address and Postal/ZIP Code

                                                                                                                                            Corrected
Total Wages (Before Payroll Deductions)                            Hawaii Income Tax Withheld Payments Not Included in Total Wages
                                                                                                                                          $
  $                                                                $                                                                      Nature of Payment         
EMPLOYER’S Name                                                                                                                          EMPLOYEE: This is your receipt for your 
                                                                                                                                         Hawaii Income Tax withheld. 
Address and Postal/ZIP Code                                                                                                               
                                                                                                                                         DO NOT LOSE THIS STATEMENT.

Hawaii Tax I.D. No. WH __ __ __ - __ __ __ - __ __ __ __ - __ __                                                                                      FORM HW-2
HW2_I 2020A 01 VID01
                                                              CUT HERE                                                         ID NO 01                             

                                        STATE OF HAWAII — DEPARTMENT OF TAXATION
FORM                                    STATEMENT OF HAWAII INCOME TAX WITHHELD                                                            CALENDAR
                                                                     AND WAGES PAID                                                        YEAR
HW-2                                                                                                                                                  20___
(REV. 2020)                                                                                                                               COPY C — For Employee’s Records
EMPLOYEE’S Name                                                                               Social Security Number:

Address and Postal/ZIP Code

                                                                                                                                            Corrected
Total Wages (Before Payroll Deductions)                            Hawaii Income Tax Withheld Payments Not Included in Total Wages
                                                                                                                                          $
  $                                                                $                                                                      Nature of Payment         
EMPLOYER’S Name                                                                                                                          EMPLOYEE: This is your receipt for your 
                                                                                                                                         Hawaii Income Tax withheld. 
Address and Postal/ZIP Code                                                                                                               
                                                                                                                                         DO NOT LOSE THIS STATEMENT.

Hawaii Tax I.D. No. WH __ __ __ - __ __ __ - __ __ __ __ - __ __                                                                                      FORM HW-2
HW2_I 2020A 01 VID01                                                 ID NO 01

INSTRUCTIONS TO EMPLOYEE: 

This is your receipt for your Hawaii income tax withheld. You 
should keep it for use in preparing your Hawaii Income Tax 
Return for that tax year required to be filed on or before April 20, 
the following year, and as evidence of tax withheld.

DO NOT LOSE THIS STATEMENT

INSTRUCTIONS TO EMPLOYEE: 

This is your receipt for your Hawaii income tax withheld. You 
should keep it for use in preparing your Hawaii Income Tax 
Return for that tax year required to be filed on or before April 20, 
the following year, and as evidence of tax withheld.

DO NOT LOSE THIS STATEMENT

INSTRUCTIONS TO EMPLOYEE: 

This is your receipt for your Hawaii income tax withheld. You 
should keep it for use in preparing your Hawaii Income Tax 
Return for that tax year required to be filed on or before April 20, 
the following year, and as evidence of tax withheld.

DO NOT LOSE THIS STATEMENT

                                        STATE OF HAWAII — DEPARTMENT OF TAXATION
FORM                                    STATEMENT OF HAWAII INCOME TAX WITHHELD                                                           CALENDAR
                                                                     AND WAGES PAID                                                       YEAR
HW-2                                                                                                                                                 20___
(REV. 2020)                                                                                                                                   COPY D — For Employer
EMPLOYEE’S Name                                                                               Social Security Number:

Address and Postal/ZIP Code

                                                                                                                                           Corrected
Total Wages (Before Payroll Deductions)                            Hawaii Income Tax Withheld Payments Not Included in Total Wages
                                                                                                                                         $
  $                                                                $                                                                     Nature of Payment         
EMPLOYER’S Name
                                                                                                                                              EMPLOYER: This copy 
                                                                                                                                                        is for your 
Address and Postal/ZIP Code                                                                                                                             records.

Hawaii Tax I.D. No. WH  __ __ __ - __ __ __ - __ __ __ __ - __ __                                                                                    FORM HW-2 
HW2_I 2020A 01 VID01
                                                              CUT HERE                                                         ID NO 01                

                                        STATE OF HAWAII — DEPARTMENT OF TAXATION
FORM                                    STATEMENT OF HAWAII INCOME TAX WITHHELD                                                           CALENDAR
                                                                     AND WAGES PAID                                                       YEAR
HW-2                                                                                                                                                 20___
(REV. 2020)                                                                                                                                   COPY D — For Employer
EMPLOYEE’S Name                                                                               Social Security Number:

Address and Postal/ZIP Code

                                                                                                                                           Corrected
Total Wages (Before Payroll Deductions)                            Hawaii Income Tax Withheld Payments Not Included in Total Wages
                                                                                                                                         $
  $                                                                $                                                                     Nature of Payment         
EMPLOYER’S Name
                                                                                                                                              EMPLOYER: This copy 
                                                                                                                                                        is for your 
Address and Postal/ZIP Code                                                                                                                             records.

Hawaii Tax I.D. No. WH __ __ __ - __ __ __ - __ __ __ __ - __ __                                                                                     FORM HW-2
HW2_I 2020A 01 VID01
                                                              CUT HERE                                                         ID NO 01                

                                        STATE OF HAWAII — DEPARTMENT OF TAXATION
FORM                                    STATEMENT OF HAWAII INCOME TAX WITHHELD                                                           CALENDAR
                                                                     AND WAGES PAID                                                       YEAR
HW-2                                                                                                                                                 20___
(REV. 2020)                                                                                                                                   COPY D — For Employer
EMPLOYEE’S Name                                                                               Social Security Number:

Address and Postal/ZIP Code

                                                                                                                                           Corrected
Total Wages (Before Payroll Deductions)                            Hawaii Income Tax Withheld Payments Not Included in Total Wages
                                                                                                                                         $
  $                                                                $                                                                     Nature of Payment         
EMPLOYER’S Name
                                                                                                                                              EMPLOYER: This copy 
                                                                                                                                                        is for your 
Address and Postal/ZIP Code                                                                                                                             records.

Hawaii Tax I.D. No. WH __ __ __ - __ __ __ - __ __ __ __ - __ __                                                                                     FORM HW-2
HW2_I 2020A 01 VID01                                                 ID NO 01