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FORM HW-6 STATE OF HAWAII — DEPARTMENT OF TAXATION
(REV. 2023) EMPLOYEE’S STATEMENT TO EMPLOYER CONCERNING
NONRESIDENCE IN THE STATE OF HAWAII Year
(Please Type or Print.)
ALL lines must be completed, unless otherwise instructed. See separate Instructions. 2024
NOTE: References to “married” and “spouse” are also references to
HW6_I 2023A 01 VID01 “in a civil union” and “civil union partner,” respectively.
Full Name Social Security Number
Present Home Address (Street, City, State, and Postal/ZIP Code)
Name of Employer and Employer’s Address (Street, City, State, and Postal/ZIP Code)
1. Are you currently a resident of Hawaii? (See Instructions for a discussion of a “Resident.”) ...........................................................Yes No
If you checked “Yes,” stop here. Do not complete the rest of this form. Do not file this form with your employer.
Withholding is required on your wages.
2. Have you ever been a resident of Hawaii? .......................................................................................................................................Yes No
If you checked “Yes,” answer questions 3 through 34. If you checked “No,” answer questions 3 through 23.
3. Address of your domicile which is your true, fixed, permanent home and principal establishment and to which
place you intend to return whenever you are absent
4. If you are married or have dependents, state their relationships to you and their present addresses.
Otherwise, enter “Not applicable” on line 4a.
Relationship to You Present Address
a.
b.
5. Can you be claimed as a dependent on another person’s income tax return? (See Instructions.) ..................................................Yes No
If you checked “Yes,” is the person who can claim you as a dependent a Hawaii resident? ...........................................................Yes No
6. Were you physically present in Hawaii at any time during the calendar years 2020 through 2024? ...............................................Yes No
If you checked “Yes,” state approximately how many days, in the aggregate, you spent in Hawaii during
each of the following years: 2020 2021 2022 2023 2024
If you were present in Hawaii more than 200 days during the year, explain the reason you were in Hawaii.
7. Do you own real property in Hawaii? ................................................................................................................................................Yes No
If you checked “Yes,” indicate the type of property: Residential Rental Other (Explain)
8. Do you own real property outside Hawaii? .......................................................................................................................................Yes No
If you checked “Yes,” indicate the type of property: Residential Rental Other (Explain)
Note: If you check “Yes” to any of the questions 9 through 17, please state the reason on the dotted line next to the check boxes.
9. Do you have a Hawaii driver’s license? ............................................................................................................................................Yes No
10. Have you purchased Hawaii auto license plates? ............................................................................................................................Yes No
11. Do your children attend school in Hawaii? .......................................................................................................................................Yes No
12. Do you have any checking accounts or safe deposit boxes with banks, or other financial institutions, on
which you have listed a Hawaii address? .........................................................................................................................................Yes No
13. Do you have a Hawaii telephone listing? .........................................................................................................................................Yes No
14. Are you a member of any social, business, or church groups in Hawaii? ........................................................................................Yes No
15. Are you registered to vote in Hawaii? (Except for Presidential Elections as provided under Chapter 14,
Hawaii Revised Statutes) .................................................................................................................................................................Yes No
16. Will your estate be admitted to probate in Hawaii? ..........................................................................................................................Yes No
17. Do you file Hawaii resident income tax returns? ..............................................................................................................................Yes No
18. With which Internal Revenue Service Center do you file your federal income tax returns?
19. Are you a U.S. citizen? .....................................................................................................................................................................Yes No
If you checked “No,” are you a permanent resident alien of the U.S.? .............................................................................................Yes No
If you are not a permanent resident alien of the U.S., state the type of visa you have.
ID NO 01 FORM HW-6 (Rev. 2023)
