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Hawaii Free Printable Form A-6, Rev. 10/2019, Tax Clearance Application for 2022 Hawaii Tax Clearance Application

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Tax Clearance Application
Form A-6, Rev. 10/2019, Tax Clearance Application

Clear Form STATE OF HAWAII — DEPARTMENT OF TAXATION FORM A-6 (REV. 2021) FOR OFFICE USE ONLY TAX CLEARANCE APPLICATION BUSINESS START DATE IN HAWAII IF APPLICABLE Form A-6 can be filed electronically OR for all state, city, or county government contracts, may be obtained through Hawaii Compliance Express. See Instructions. (NOTE: References to “married” and “spouse” are also references to “in a civil union” and “civil union partner,” respectively.) /   / HAWAII RETURNS FILED IF APPLICABLE 20______ 20______ 20______ 1. APPLICANT INFORMATION:     (PLEASE TYPE OR PRINT CLEARLY) Applicant’s Name  ________ ________ ________ Address  STATE APPROVAL STAMP (State Approval QR Code) City/State/Postal/Zip Code  DBA/Trade Name 2. TAX IDENTIFICATION NUMBER: HAWAII TAX I.D. #                                          FEDERAL EMPLOYER I.D. # (FEIN)         -                            SOCIAL SECURITY # (SSN)             -        -                  3. APPLICANT IS A/AN: You may scan the QR code to authenticate this tax clearance (Check only ONE box) IRS APPROVAL STAMP  CORPORATION   S CORPORATION   TAX EXEMPT ORGANIZATION  INDIVIDUAL  PARTNERSHIP  ESTATE  TRUST   LIMITED LIABILITY COMPANY   LIMITED LIABILITY PARTNERSHIP   Single Member LLC disregarded as separate from owner; enter owner’s FEIN/SSN           Subsidiary Corporation; enter parent corporation’s name and FEIN                  (City, County, or State Government Contract)                                                  4. THE TAX CLEARANCE IS REQUIRED FOR: (MUST check at least ONE box)   CITY, COUNTY, OR STATE GOVERNMENT CONTRACT IN HAWAII *   REAL ESTATE LICENSE   CONTRACTOR LICENSE   PROGRESS PAYMENT  PERSONAL   FEDERAL CONTRACT  SUBCONTRACT  OTHER   LIQUOR LICENSE   FINANCIAL CLOSING   HAWAII STATE RESIDENCY  LOAN * IRS APPROVAL STAMP IS ONLY REQUIRED FOR PURPOSES INDICATED BY AN ASTERISK. A6_I 2021A 01 VID01 5. DECLARATION - I declare that I am either the taxpayer whose name is shown on line 1, or a person authorized under section 231-15.6 or 231-15.7, HRS, to sign on behalf of the taxpayer. If the request applies to a joint return, at least one spouse must sign. I declare to the best of my knowledge and belief, that this is a true, correct, and complete form, made in good faith pursuant to Title 14 of the HRS, and the rules issued thereunder. (   )     (   )     SIGNATURE DATE TELEPHONE FAX PRINT NAME PRINT TITLE: Corporate Officer, General Partner or Member, Individual (Sole Proprietor), Trustee, Executor POWER OF ATTORNEY. If submitted by someone other than a Corporate Officer, General Partner or Member, Individual (Sole Proprietor), Trustee, or Executor, a power of attorney (State of Hawaii, Department of Taxation, Form N-848) must be submitted with this application. If a Tax Clearance is required from the Internal Revenue Service, IRS Form 8821, or IRS Form 2848 is also required. Applications submitted without proper authorization will be sent to the address of record with the taxing authority. UNSIGNED APPLICATIONS WILL NOT BE PROCESSED. PLEASE TYPE OR PRINT CLEARLY  —  THE FRONT PAGE OF THIS APPLICATION BECOMES THE CERTIFICATE UPON APPROVAL. SEE PAGE 2 ON REVERSE & SEPARATE INSTRUCTIONS. Failure to provide required information on page 2 of this application or as required in the separate instructions to this application will result in a denial of the Tax Clearance request. ID NO 01 (Page 1 of 2) FORM A-6 (REV. 2021) APPLICANT’S NAME FROM PAGE 1  6. CITY, COUNTY, OR STATE GOVERNMENT CONTRACT:     Bid/Entering Into or Ongoing Contract        Completion/Final Payment For completion/final payment of contract, provide the name, agency, and telephone number of the contact person at the State or County Agency. Name:                                       Agency:                                     Telephone Number:                           7. LIQUOR LICENSING:  Initial  Renewal   Transfer-Seller   Transfer-Buyer   Special Event 8. CONTRACTOR LICENSING:  Initial  Renewal 9. STATE RESIDENCY: DATE APPLICANT ARRIVED OR RETURNED TO HAWAII  10. ACCOUNTING PERIOD:   Calendar year   Fiscal year ending (MM/DD)  11. TAX EXEMPT ORGANIZATION: A) Provide the Internal Revenue Code section that applies to your exemption (e.g., 501(c)(3)):         B) Does your organization file federal Form 990-T, Exempt Organization Business Income Tax Return?     YES    NO C) Is your organization required to file federal Form 990, Return of Organization Exempt From Income Tax, or federal Form 990-EZ, Short Form Return of Organization Exempt From Income Tax?     YES    NO If “YES,” your organization is required to obtain a general excise tax license. Go to line 13. If “NO,” go to line 11D. D) Does your organization have fundraising income?     YES    NO If “YES,” your organization is required to obtain a general excise tax license. 12. INDIVIDUAL:    Spouse’s Name  SSN  13. IF YOU DO NOT HAVE A GENERAL EXCISE TAX LICENSE AND REQUIRE A TAX CLEARANCE: A) Description of your firm’s business B) Has your firm had any business income in Hawaii?   YES    NO C) Has your firm had an office, inventory, property, employees, or other representatives in the State of Hawaii?   YES    NO D) Has your firm provided any services within the State of Hawaii (e.g., servicing computers, training sessions, etc.)?   YES    NO E) In the current or preceding calendar year has your firm had gross income of $100,000 or more, or entered into 200 or more separate transactions attributable to Hawaii in any of the following, or combination of the following, activities? a) Tangible property delivered in Hawaii; b) Services used or consumed in Hawaii; or c) Intangible property used in Hawaii.   YES    NO Note: If you answer “Yes” to any of the above questions, you are required to apply for a general excise tax license. FILING THE APPLICATION FOR TAX CLEARANCE The completed application may be mailed, faxed, or submitted in person to the Department of Taxation, Taxpayer Services Branch. Form A-6 may be used to get both a state tax clearance and a federal tax clearance. If you need to get a tax clearance from both agencies, you should submit a separate Form A-6 to each agency. State Department of Taxation Taxpayer Services Branch P.O. Box 259 Honolulu, HI 96809-0259 Internal Revenue Service W&I Field Assistance 300 Ala Moana Blvd., #1-128 Honolulu, HI 96850 Telephone No.: 808-587-4242 Toll Free: 1-800-222-3229 Fax No.: 808-587-1488      or 830 Punchbowl Street RM 124 Honolulu, HI 96813-5094 (By appointment only. To make an appointment, please call 844-545-5640.) Automated phone messaging: 808-466-6011 Fax No.: 855-877-0789 Applications are available at Department of Taxation and IRS offices in Hawaii, and may also be requested by calling the Department of Taxation on Oahu at 808-587-4242 or toll-free at 1-800-222-3229. The Tax Clearance Application, Form A-6, can be downloaded from the Department of Taxation’s website at tax.hawaii.gov. (Page 2 of 2)
Extracted from PDF file 2021-hawaii-form-a-6.pdf, last modified October 2002

More about the Hawaii Form A-6 Corporate Income Tax TY 2021

We last updated the Tax Clearance Application in January 2022, so this is the latest version of Form A-6, fully updated for tax year 2021. You can download or print current or past-year PDFs of Form A-6 directly from TaxFormFinder. You can print other Hawaii tax forms here.

Other Hawaii Corporate Income Tax Forms:

TaxFormFinder has an additional 164 Hawaii income tax forms that you may need, plus all federal income tax forms.

Form Code Form Name
Form N-301 Application for Automatic Extension of Time to File Hawaii Corporation Income Tax Return
Form N-848 Power of Attorney
Form A-6 Tax Clearance Application
Form N-30 Corporation Income Tax Return
Form N-323 Carryover of Tax Credit (Rev. 2016)

Download all HI tax forms View all 165 Hawaii Income Tax Forms


Form Sources:

Hawaii usually releases forms for the current tax year between January and April. We last updated Hawaii Form A-6 from the Department of Taxation in January 2022.

Show Sources >

About the Corporate Income Tax

The IRS and most states require corporations to file an income tax return, with the exact filing requirements depending on the type of company.

Sole proprietorships or disregarded entities like LLCs are filed on Schedule C (or the state equivalent) of the owner's personal income tax return, flow-through entities like S Corporations or Partnerships are generally required to file an informational return equivilent to the IRS Form 1120S or Form 1065, and full corporations must file the equivalent of federal Form 1120 (and, unlike flow-through corporations, are often subject to a corporate tax liability).

Additional forms are available for a wide variety of specific entities and transactions including fiduciaries, nonprofits, and companies involved in other specific types of business.

Historical Past-Year Versions of Hawaii Form A-6

We have a total of seven past-year versions of Form A-6 in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:


2021 Form A-6

Form A-6, Rev. 10/2019, Tax Clearance Application

2020 Form A-6

Instructions A-6, Rev. 2019, Instructions for Form A-6 Tax Clearance Application

2019 Form A-6

Instructions A-6, Rev. 2019, Instructions for Form A-6 Tax Clearance Application

2018 Form A-6

Instructions A-6, Rev. 2018, Instructions for Form A-6 Tax Clearance Application

2017 Form A-6

Form A-6, Rev. 2014, Tax Clearance Application

2016 Form A-6

Form A-6, Rev. 2014, Tax Clearance Application

Forms 2014 - Fillable 2015 Form A-6

Form A-6, Rev. 2014, Tax Clearance Application


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