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Hawaii Free Printable Form M-100A, Rev 2013, Application to Purchase Cigarette Tax Stamps for 2019 Hawaii Application to Purchase Cigarette Tax Stamps

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Application to Purchase Cigarette Tax Stamps
Form M-100A, Rev 2013, Application to Purchase Cigarette Tax Stamps

Clear Form STATE OF HAWAII — DEPARTMENT OF TAXATION FORM M-100A (REV. 2013) APPLICATION TO PURCHASE CIGARETTE TAX STAMPS    Initial Application      Amended Application (This supercedes all previous applications.) Information About the Licensee Name Cigarette Tax and Tobacco Tax License Number ______ DBA Check one:   Wholesaler   Dealer Type of organization (e.g. Corporation, Partnership, Individual, etc.) Hawaii Tax Identification Number:  W __ __ __ __ __ __ __ __ - __ __ Address SSN/FEIN: City or town    State    Postal/ZIP Code Telephone number: ______________________ List the owners, partners, members, or principal corporate officers (Attach additional sheet if needed) Please print. SSN/FEIN Name Title Address Phone No. I declare, under the penalties set forth in section 231-36, HRS, that the information contained in this application has been examined by me and, to the best of my knowledge and belief, is true and correct. Signature of Owner, Partner, Member, or Principal Corporate Officer Print Name of Signatory Date Title DEPARTMENT OF TAXATION USE ONLY Upon approval, the above named licensee is authorized to purchase Hawaii Cigarette Tax Stamps. APPROVED BY ________________________ Approval Number CIGFORM M-100A FORM M-100A (REV. 2013) Page 2 Purpose of Form M-100A Where to Get Information and Forms Form M-100A is used to apply to purchase cigarette tax stamps. Oahu District Office 830 Punchbowl Street P. O. Box 259 Honolulu, HI 96809-0259 Tel. No.: (808) 587-4242 Toll-Free: 1-800-222-3229 For the hearing impaired: Tel. No.: (808) 587-1418 Toll-Free: 1-800-887-8974 Maui District Office 54 S. High St., #208 Wailuku, HI 96793-2198 Toll-Free: 1-800-222-3229 Hawaii District Office 75 Aupuni Street, #101 Hilo, HI 96720-4245 Toll-Free: 1-800-222-3229 Kauai District Office 3060 Eiwa St., #105 Lihue, HI 96766-1889 Toll-Free: 1-800-222-3229 GENERAL INSTRUCTIONS Sections 245-21 and 245-22, Hawaii Revised Statutes (HRS), provide that licensees, as defined in section 245-1, HRS, shall pay the cigarette tax through the use of cigarette tax stamps and that licensees are required to place cigarette tax stamps on packs of cigarettes prior to distribution, as defined in section 245-1, HRS. Under section 245-22(e), HRS, the price of cigarette tax stamps may be reduced by a certain rate if the licensee is in compliance with the State of Hawaii’s tax laws. To demonstrate compliance with the State of Hawaii’s tax laws and thus be eligible for the reduced cigarette tax stamp price, a tax clearance certificate (Form A-6, Tax Clearance Application) with the State of Hawaii’s approval must be submitted to the Department of Taxation. If the licensee has a tax clearance certificate with the State of Hawaii’s approval dated within six months from the date of submitting Form M-100A to the Department of Taxation, the licensee may submit a copy of that certificate in lieu of a completed Form A-6. Otherwise, the licensee shall complete and submit Form A-6 along with Form M-100A. Signature Tax information and forms: tax.hawaii.gov Where to submit Form M-100A Mail Form M-100A to the following address: Hawaii Department of Taxation Licensing Section P.O. Box 259 Honolulu, HI 96809-0259 Form M-100A must be signed and dated by the cigarette tax and tobacco tax licensee. FORM M-100A
Extracted from PDF file 2018-hawaii-form-m-100a.pdf, last modified June 2003

More about the Hawaii Form M-100A Other TY 2018

We last updated the Application to Purchase Cigarette Tax Stamps in February 2019, so this is the latest version of Form M-100A, fully updated for tax year 2018. You can download or print current or past-year PDFs of Form M-100A directly from TaxFormFinder. You can print other Hawaii tax forms here.

Other Hawaii Other 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 HW-4 Employee's Withholding Exemption and Status Certificate
Form VP-1 Tax Payment Voucher (Rev. 2018 - Fillable)
Form HW-6 Employee's Statement to Employer Concerning Nonresidence in the State of Hawaii
Form ITPS-COA Change of Address
Form HW-3 Employer’s Annual Return & Reconciliation of Hawaii Income Tax Withheld from Wages

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 M-100A from the Department of Taxation in February 2019.

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Historical Past-Year Versions of Hawaii Form M-100A

We have a total of four past-year versions of Form M-100A in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:


2018 Form M-100A

Form M-100A, Rev 2013, Application to Purchase Cigarette Tax Stamps

2017 Form M-100A

Form M-100A, Rev 2013, Application to Purchase Cigarette Tax Stamps

2016 Form M-100A

Form M-100A, Rev 2013, Application to Purchase Cigarette Tax Stamps

Forms 2013 2015 Form M-100A

Form M-100A, Rev 2013, Application to Purchase Cigarette Tax Stamps


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