FORM HW-14                                                                                          DO NOT WRITE IN THIS SPACE
                                (Rev. 2022)                                                  STATE OF HAWAII
                                                                        DEPARTMENT OF TAXATION
                                                                   WITHHOLDING TAX RETURN

                                HW14_I 2022A 01 VID01

                                    AMENDED return
                                                                                                                                                                                         Y  Y  Y  Y

                                         Quarter Ending            Mar                       Jun            Sep                     Dec

                                         HAWAII TAX I.D. NO.                                                WH

                                         Last 4 digits of your FEIN

                                         NAME:   ______________________________________________________________________
                                         This return must be filed on or before the 15th day of the month following the close of the calendar quarter.

                                    Fill in this oval if this is your FINAL return and you are cancelling this withholding account as of 
                                1.  TOTAL WAGES PAID (include COLA, 3rd party sick leave, and other benefits) Enter “0” if no wages 
                                   were paid or no tax withheld. ....................................................................................................................1
                                                                                                                                                                                                           .
                                2.  TOTAL HAWAII INCOME TAX WITHHELD ...............................................................................................2
                                                                                                                                                                                                           .
                                3.  TOTAL PAYMENTS MADE for the quarter  ...............................................................................................3
                                                                                                                                                                                                           .
                                4.  AMOUNT OF CREDIT TO BE REFUNDED (If line 2 is greater than line 3, skip to line 5. Otherwise, 
                                   line 3 minus line 2 and enter “0.00” on lines 5, 7 and 8.) ..........................................................................4
                                                                                                                                                                                                           .
                                5.  ADDITIONAL TAXES DUE for this quarter (line 2 minus line 3) ...............................................................5
                                                                                                                                                                                                           . .
                                                                                                                                                                                       REMINDER:  All  EFT  payments 
                                                     6a. PENALTY .......................
                                6. FOR LATE                                                                                                                                            must be transmitted by the payment 
                                                                                                                      . .                                                              due date or a 2% EFT penalty will 
• ATTACH CHECK OR MONEY ORDER •    FILING ONLY 6b. INTEREST ......................                                                                                                    be applied.
                                                                                                                      . .
                                7.  TOTAL AMOUNT now due and PAYABLE (Add lines 5, 6a, and 6b) ........................................................7
                                8.  Enter AMOUNT of payment. Attach your check or money order payable to                                                                                                   . .
                                   “Hawaii State Tax Collector” in U.S. dollars drawn on any U.S. bank to Form HW-14.                                                                  AMOUNT OF PAYMENT 
                                   Write the filing period and your Hawaii Tax I.D. No. on your check or money order. 
                                   IF NO PAYMENT ATTACHED, ENTER “0.00.”  You may also e-pay at: hitax.hawaii.gov ....................8
                                                                                                                                                                                                           . .
                                                                                                      I declare under the penalties set forth in section 231-36, HRS, that this 
                                                                                                 is a true and correct return, prepared in accordance with the withholding 
                                                                                                 provisions of the Hawaii Income Tax Law and the rules issued thereunder.
                                                                                                 SIGNATURE                                                                                        DATE

                                                                                                 TITLE                                                                                 DAYTIME PHONE NUMBER

                                                     —  MAILING ADDRESS  — 
                                            HAWAII DEPARTMENT OF TAXATION 
                                                     P.O. BOX 1425 
                                                     HONOLULU, HI 96806-1425
                                                                                                                                                                                       FORM HW-14 (REV. 2022)
                                HW14E3T4                                                     ID NO 01