Enlarge image | Clear Form FORM STATE OF HAWAII — DEPARTMENT OF TAXATION L-80 TRACER REQUEST FOR TAX YEAR ______ (REV. 2019) (See back for Instructions) (NOTE: References to “married” and “spouse” are also references to “in a civil union” and “civil union partner,” respectively.) Check One Tax Type for this tracer request: Net Income Franchise Public Service Company Estate General Excise/Use Transient Accommodations Withholding Liquor Rental Motor Vehicle, Tour Vehicle and Car-Sharing Vehicle Cigarette and Tobacco Fuel Part I General Information (Complete lines 1 through 5) 1. Taxpayer’s Name(s): 2. Social Security No(s). or Federal Employer I.D. No.: Primary Taxpayer Primary Taxpayer Spouse Spouse Hawaii Tax I.D. Number for the tax account indicated above ________________________________________ 3. Mailing Address on the Return 4. New Mailing Address (if different) 5. Daytime Telephone Number: Residence (______)_______________ Business (______)_______________ Part II Reason For Tracer Request 1. Did you receive the refund check? Yes No If “No,” stop here, otherwise continue to line 2. 2. The refund check was received but was (check ONE of the following boxes): Lost Stolen Destroyed Other ____________________________________ AND Was the check endorsed? Yes No If “No,” stop here, otherwise continue to line 3. 3. The refund check was endorsed, check which box applies to your endorsement: All required signatures Taxpayer's signature only Spouse's signature only Payee’s signature Officer, Partner or Member, Executor, Trustee, or Authorized Agent signature For Deposit Only Pay to the Order of NOTE: A “STOP PAYMENT” will be issued on the original refund check upon receipt of this form. If you receive/find your original check after submitting this form, DO NOT CASH THE ORIGINAL CHECK. You must return the check to the Department of Taxation. Part III Direct Deposit Recall Was your ACH information correct on your return? If “No,” enter the correct bank information: Yes No Account No. ______________________________ Routing No. ______________________________ Amount of Refund $ _________________ Part IV Declaration I hereby declare, under the penalties provided by sections 231-34, 231-35, and 231-36, HRS, that I have examined this request and, to the best of my knowledge and belief, it is true, correct, and complete. __________________________ ________________________ ________________________ _____________ Print or Type Your Name Signature Title (if applicable) Date FORM L-80 L80_I 2019A 01 VID01 ID NO 01 |
Enlarge image | FORM L-80 (REV. 2019) PAGE 2 GENERAL INFORMATION NOTE: Civil unions are recognized in Hawaii. Hawaii’s laws that apply to a husband and wife, spouses, or person in a legal marital relationship shall be deemed to apply to partners in a civil union with the same force and effect as if they were “husband and wife,” “spouses,” or other terms that describe persons in a legal marital relationship. Same sex marriages are recognized in Hawaii. Hawaii law recognizes marriages between individuals of the same sex and extends to such same-sex couples the same rights, benefits, protections, and responsibilities of marriage that opposite-sex couples receive. PURPOSE OF THIS FORM Use Form L-80 to trace a refund check or to request a recall of a refund issued by direct deposit. INSTRUCTIONS 1. Enter the tax year for which the refund was due at the top of the Form L-80 and check the appropriate box to indicate the type of tax the tracer request is for. If you are requesting a tracer for more than one refund, you must complete a separate Form L-80 for each request. 2. If you are using Form L-80 to trace a refund check, complete Parts I, II and IV of the Form. A “STOP PAYMENT” will be issued on the original check after you send in Form L-80. If you receive or find your original check after submitting the Form, DO NOT CASH THE ORIGINAL CHECK. You must return the check to the Department of Taxation. If you are using Form L-80 to request a recall of a direct deposit that was sent to the wrong account, complete Parts I, III and IV of the Form. In the case of a corporation, partnership or trust, an officer, a partner or member, executor, trustee or duly authorized agent must sign Form L-80. Be sure to complete Part IV, Declaration, print or type your name, include title (if applicable) and date in the spaces provided. You must include your signature. Your request will not be processed if any requested information is missing. If you provided a new mailing address on Form L-80, the Department of Taxation will update its records with the new mailing address that you provided. Any future correspondences will be mailed to the new mailing address that you provided. If you need to change your mailing address again in the future, please complete and submit Form ITPS-COA. Forms are available online at tax.hawaii.gov/forms. 3. Send the completed Form L-80 (and ITPS-COA, if applicable) to: Hawaii Department of Taxation Attention: Revenue Accounting P.O. Box 259 Honolulu, HI 96809-0259 You should receive information about your refund in four to six weeks. If you have any questions, please call the Department of Taxation at (808) 587-4242 or toll-free at 1-800-222-3229. For hearing impaired access, please call (808) 587-1418 or toll-free at 1-800-887-8974. |