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Hawaii Free Printable Form M-105, Rev 2022, Schedule of Imported Foreign Cigarettes to Which Cigarette Tax Stamps Have Been Affixed for 2024 Hawaii Schedule of Imported Foreign Cigarettes to Which Cigarette Tax Stamps Have Been Affixed

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Schedule of Imported Foreign Cigarettes to Which Cigarette Tax Stamps Have Been Affixed
Form M-105, Rev 2022, Schedule of Imported Foreign Cigarettes to Which Cigarette Tax Stamps Have Been Affixed

Clear Form FORM M-105 (REV. 2022) STATE OF HAWAII - DEPARTMENT OF TAXATION SCHEDULE OF IMPORTED FOREIGN CIGARETTES TO WHICH CIGARETTE TAX STAMPS HAVE BEEN AFFIXED M105_I 2022A 01 VID01 Prepare in triplicate 1- Tax Department 2- Attorney General 3- Your files Report For the Month of           Year     1. Licensee’s name  2. Hawaii Tax I.D. No.:  TO                  3. The following items MUST be attached to this schedule: A. A copy of a permit issued pursuant to section 5713 of the Internal Revenue Code to the person importing the cigarettes into the United States, permitting the person to import the cigarettes. B. A copy of the United States Customs Service form containing, with respect to the cigarettes, the federal tax information required by the United States Bureau of Alcohol, Tobacco and Firearms. In the upper right-hand corner of the copies, write the corresponding line reference to identify the cigarettes from the list below. No. Brand Style Quantity Name of Supplier Name of Customer 1 2 3 4 5 Attach an additional sheet if more space is needed. As an authorized representative of the licensee, I declare, under penalty of perjury, that I have examined this schedule and to the best of my knowledge and belief, the information provided is true, correct, accurate and complete. Signature   Date  Print Name   Title  As an officer of the manufacturer or importer of the cigarettes listed above, I certify, under penalty of perjury and the penalties set forth in section 231-36, Hawaii Revised Statutes (HRS), that the manufacturer or importer of cigarettes listed above has complied with (1) the package health warning and ingredient reporting requirements of the Federal Cigarette Labeling and Advertising Act, 15 U.S.C. sections 1333 and 1335a, with respect to the cigarettes; and (2) chapter 675, HRS. Is the manufacturer a participating manufacturer within the meaning of section 675-3, HRS?   Yes  (Note: You must check one of these boxes.) Signature   Date  Print Name   Title   No FORM M-105 (REV. 2022) ID NO 01 FORM M-105 (REV. 2022) Page 2 GENERAL INFORMATION Signatures Purpose of Form Form M-105 must be signed and dated by the Cigarette and Tobacco Licensee and an officer of the manufacturer or importer of the cigarettes. Form M-105 is used to provide documentation of cigarettes imported into the United States to which a licensee has affixed a cigarette tax stamp as required under section 24557, Hawaii Revised Statutes (HRS). ADDITIONAL INFORMATION Export and Foreign Cigarettes Prohibited It is unlawful for an entity to possess, keep, store, retain, transport, sell, or offer to sell, distribute, acquire, hold, own, import, or cause to be imported into the State any of the cigarettes described in section 245-51, HRS. Stamping or Sale of Cigarettes Not Listed in the Directory Prohibited Unless the cigarette package is exempt under section 2453(b), HRS, it is unlawful (a) to affix a cigarette tax stamp to any cigarette package whose tobacco product manufacturer or brand family is not listed in the directory established under chapter 486P, HRS, or (b) to import, sell, offer, keep, store, acquire, transport, distribute, receive, or possess for sale or distribution cigarettes of a tobacco product manufacturer or brand family not included in the directory. Any entity in violation will be guilty of a class C felony. To determine whether the cigarette manufacturer or brand family is listed in such directory, please visit the Tobacco Enforcement Unit, Department of the Attorney General’s website at: ag.hawaii.gov/cjd/tobacco-enforcement-unit. The Tobacco Enforcement Unit also may be contacted as follows: Correspondence: TOBACCO ENFORCEMENT UNIT Department of the Attorney General 425 Queen Street Honolulu, Hawaii 96813 Telephone: (808) 586-1203 SPECIFIC INSTRUCTIONS Fill this form out completely. In the Name of Customer column of the table, you must identify the person or persons, if any, to whom the cigarettes have been conveyed for resale. Attach a separate sheet if more space is needed. When and Where to File File this form on the first business day of the month following the month in which a Hawaii cigarette tax stamp has been affixed to cigarettes imported into the United States. If this date falls on a Saturday, Sunday, or holiday, file this form on the next business day. Do not file this form with your Hawaii Cigarette and Tobacco Products Monthly Tax Return. Mail two copies of Form M-105, with attachments, to the following address: Hawaii Department of Taxation Tax Registration P.O. Box 259 Honolulu, HI 96809-0259 The Department of Taxation will forward one of the copies to the Department of the Attorney General. 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: 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
Extracted from PDF file 2023-hawaii-form-m-105.pdf, last modified June 2003

More about the Hawaii Form M-105 Other TY 2023

We last updated the Schedule of Imported Foreign Cigarettes to Which Cigarette Tax Stamps Have Been Affixed in February 2024, so this is the latest version of Form M-105, fully updated for tax year 2023. You can download or print current or past-year PDFs of Form M-105 directly from TaxFormFinder. 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 HW-4 Employee's Withholding Exemption and Status Certificate
Form HW-14 (Obsolete) Periodic Withholding Tax Return
Form HW-3 Employer’s Annual Return & Reconciliation of Hawaii Income Tax Withheld from Wages
Form HW-7 Exemption from Withholding on Nonresident Employee's Wages
Form HW-16 Dependent Care Provider's Identification and Certification

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-105 from the Department of Taxation in February 2024.

Show Sources >

Historical Past-Year Versions of Hawaii Form M-105

We have a total of nine past-year versions of Form M-105 in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:


2023 Form M-105

Form M-105, Rev 2022, Schedule of Imported Foreign Cigarettes to Which Cigarette Tax Stamps Have Been Affixed

2022 Form M-105

Form M-105, Rev 2022, Schedule of Imported Foreign Cigarettes to Which Cigarette Tax Stamps Have Been Affixed

2021 Form M-105

Form M-105, Rev 2019, Schedule of Imported Foreign Cigarettes to Which Cigarette Tax Stamps Have Been Affixed

2020 Form M-105

Form M-105, Rev 2019, Schedule of Imported Foreign Cigarettes to Which Cigarette Tax Stamps Have Been Affixed

2019 Form M-105

Form M-105, Rev 2019, Schedule of Imported Foreign Cigarettes to Which Cigarette Tax Stamps Have Been Affixed

2018 Form M-105

Form M-105, Rev 2013, Schedule of Imported Foreign Cigarettes to Which Cigarette Tax Stamps Have Been Affixed

2017 Form M-105

Form M-105, Rev 2013, Schedule of Imported Foreign Cigarettes to Which Cigarette Tax Stamps Have Been Affixed

2016 Form M-105

Form M-105, Rev 2013, Schedule of Imported Foreign Cigarettes to Which Cigarette Tax Stamps Have Been Affixed

Forms 2013 (fillable version) 2015 Form M-105

Form M-105, Rev 2013, Schedule of Imported Foreign Cigarettes to Which Cigarette Tax Stamps Have Been Affixed


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