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Hawaii Free Printable Form M-100A, Rev 2019, Application to Purchase Cigarette Tax Stamps for 2021 Hawaii Application to Purchase Cigarette Tax Stamps

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Application to Purchase Cigarette Tax Stamps
Form M-100A, Rev 2019, Application to Purchase Cigarette Tax Stamps

Clear Form FORM M-100A (REV. 2019) STATE OF HAWAII — DEPARTMENT OF TAXATION APPLICATION TO PURCHASE CIGARETTE TAX STAMPS     Initial Application       Amended Application (This supersedes all previous applications.) Information About the Licensee Name Hawaii Tax I.D. No.:  TO  DBA SSN/FEIN:  Address  Check one:   Wholesaler     Dealer    City or town    State   Postal/ZIP Code Type of organization (e.g. Corporation, Partnership, Individual, etc.) 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                      Date:              M100A_I 2019A 01 VID01 ID NO 01 FORM M-100A FORM M-100A (REV. 2019) Purpose of Form M-100A Form M-100A is used to apply to purchase cigarette tax stamps. 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. Signature Form M-100A must be signed and dated by the Cigarette and Tobacco Licensee. Where to Get Forms, Instructions, and Publications Forms, publications, and other documents, such as copies of Tax Information Releases and Administrative Rules issued by the Department, are available on the Department’s website at tax.hawaii.gov or you may contact a customer service representative at: Page 2 Voice: 808-587-4242 1-800-222-3229 (Toll-Free) Telephone for the Hearing Impaired: 808-587-1418 1-800-887-8974 (Toll-Free) Fax: 808-587-1488 Mail: Taxpayer Services Branch P. O. Box 259 Honolulu, HI 96809-0259 Where to submit Form M-100A Form M-100A can be filed electronically through the State’s Internet portal. For more information, go to tax. hawaii.gov/eservices/. You may also mail Form M-100A to the following address: Hawaii Department of Taxation Licensing Section P.O. Box 259 Honolulu, HI 96809-0259
Extracted from PDF file 2019-hawaii-form-m-100a.pdf, last modified June 2003

More about the Hawaii Form M-100A Other

We last updated the Application to Purchase Cigarette Tax Stamps in March 2020, and the latest form we have available is for tax year 2019. This means that we don't yet have the updated form for the current tax year. Please check this page regularly, as we will post the updated form as soon as it is released by the Hawaii Department of Taxation. You can print other Hawaii tax forms here.


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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 L-80 Tracer Request For Tax Year ______
Form HW-14 Periodic Withholding Tax Return
Form ITPS-COA Change of Address
Form L-72 Request for Copies of Hawaii Tax Return
Form HW-7 Exemption from Withholding on Nonresident Employee's 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 March 2020.

Show Sources >

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

We have a total of five 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:


2019 Form M-100A

Form M-100A, Rev 2019, Application to Purchase Cigarette Tax Stamps

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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