×
tax forms found in
Tax Form Code
Tax Form Name

Hawaii Free Printable Form M-36, Rev 9/2019, Combined Claim for Refund of Fuel Taxes Under Chapter 243, HRS for 2020 Hawaii Combined Claim for Refund of Fuel Taxes under Chapter 243

It appears you don't have a PDF plugin for this browser. Please use the link below to download 2019-hawaii-form-m-36.pdf, and you can print it directly from your computer.

Combined Claim for Refund of Fuel Taxes under Chapter 243
Form M-36, Rev 9/2019, Combined Claim for Refund of Fuel Taxes Under Chapter 243, HRS

Clear Form STATE OF HAWAII - DEPARTMENT OF TAXATION FORM M-36 (REV. 9/2019) QUARTERLY COMBINED CLAIM FOR REFUND OF FUEL TAXES UNDER CHAPTER 243, HRS Name • PRINT OR TYPE • THIS SPACE FOR DATE RECEIVED STAMP Federal Employer I.D. No. or Social Security No. DBA or C/O Hawaii Tax I.D. No. (LF-###-###-####-##) LF– Mailing Address (Number and Street) Period Beginning (MM-YY) City or Town, State, and Postal/ZIP Code. If foreign address, see Instructions. Period Ending (MM-YY) NOTE: All claims are to be filed with the Department of Taxation on or before the 20th day of the month following the close of the filing period. GASOLINE (GALLONS) STATEMENT OF FUEL TRANSACTIONS AND REFUND DUE 1. On hand at beginning of period 1. 2. Purchases 2. 3. Total (Add lines 1 and 2) 3. 4. 5. Use Off Public Highways or Other Exempt Purposes (Enter amount(s) in the appropriate column(s) on page 2.) Used for other taxable purposes (State purpose:                   ) DIESEL OIL (GALLONS) ALTERNATIVE FUEL (GALLONS) 4. 5. 6. Total (Add lines 4 and 5) 6. 7. On hand at end of period (Line 3 less line 6) 7. 8. REFUND ON GALLONS USED OFF PUBLIC HIGHWAYS or OTHER EXEMPT PURPOSES 8.  (Use the computation(s) on page 2 to calculate refund.) 9. TOTAL REFUND AMOUNT (Add all amounts on line 8) .................................................................................... 10. Used in the County of (Check only one): (File separate claim for each county) 10. 11. Name of seller(s) 11. $ $ o Honolulu o Maui $ 9.  o  Hawaii $ o  Kauai DECLARATION I declare, under the penalties set forth in section 231-36, HRS, that this is a true, correct, and complete return, prepared in accordance with the provisions of chapter 243, HRS, the Fuel Tax Law, and chapter 18-243, HAR. By checking this box and signing below, I attest that the fuel reported on line 4 meets one of the following conditions making it eligible for a refund of fuel taxes paid: (a) The fuel tax was imposed and collected because the purchaser failed to furnish an Exemption Certificate but, in fact, the fuel was ultimately used off the public highways, or other exempt purposes; or (b) The fuel purchased was initially intended for use upon the public highways but was subsequently used off the public highways. For gasoline, the use was for operating agricultural equipment off the public highways. (   ) Signature Type or Print Name and Title Date Daytime Phone Number FORM M-36 (REV. 9/2019) M36_I 2019B 01 VID01 ID NO 01 FORM M-36 (REV. 9/2019) SCHEDULE OF TAX RATES PAGE 2 SCHEDULE I. GASOLINE AND DIESEL OIL APPLICABLE TAX TYPE OF FUEL CITY & COUNTY OF HONOLULU COUNTY OF MAUI COUNTY OF HAWAII COUNTY OF KAUAI State Gasoline Diesel Oil Gasoline Diesel Oil 15¢ 15¢ 16.5¢ 16.5¢ 15¢ 15¢ 23¢ 23¢ 15¢ 15¢ 19¢c/23¢d 19¢c/23¢d 15¢ 15¢ 17¢ 17¢ County COMPUTATION OF TAX REFUND Gasoline Diesel Oil State Tax 15¢  x  Gals.1 =  $ 15¢ x  Gals.1 =  $ County Tax: Honolulu 16.5¢ x  Gals. = $ 16.5¢ x  Gals. = $ Maui 23¢ x  Gals. = $ 23¢ x  Gals. = $ Hawaii 19¢c/23¢d x  Gals. = $ 19¢c/23¢d x  Gals. = $ Kauai 17¢ x  Gals. = $ 17¢ x  Gals. = $ Refund on Gallons Used Off Public Highways or Other Exempt Purposes          $         $ (Enter amount(s) in the appropriate column(s) on line 8–Front Page) SCHEDULE II. ALTERNATIVE FUEL APPLICABLE TAX TYPE OF FUEL CITY & COUNTY OF HONOLULU COUNTY OF MAUI COUNTY OF HAWAII COUNTY OF KAUAI State Biodiesel Compressed Natural Gas Ethanol Liquefied Natural Gas LPG Methanol Biodiesel Compressed Natural Gas Ethanol Liquefied Natural Gas LPG Methanol 4¢ b 4¢ 2.4¢ 4¢a 5.2¢ 1.9¢ 8.3¢ 8.2¢b 2.4¢ 8.2¢a 5.4¢ 1.8¢ 4¢ 4¢b 2.4¢ 4¢a 5.2¢ 1.9¢ 0¢ 11.4¢b 11.5¢ 11.4¢a 11.5¢ 11.5¢ 4¢ 4¢b 2.4¢ 4¢a 5.2¢ 1.9¢ 0¢ 9.4¢b,c/11.4¢b,d 2.8¢c/3.3¢d 9.4¢a,c/11.4¢a,d 6.3¢c/7.6¢d 2.1¢c/2.5¢d 4¢ 4¢b 2.4¢ 4¢a 5.2¢ 1.9¢ 0¢ 8.4¢b 2.5¢ 8.4¢a 5.6¢ 1.9¢ County COMPUTATION OF TAX REFUND Note: If you are requesting a refund for more than one type of alternative fuel, attach a separate schedule showing the type of alternative fuel, tax rate, number of gallons, and total refund claimed. Type of Alternative Fuel                          State Tax (Tax rate from Schedule II)  x  County Tax: Honolulu (Tax rate from Schedule II)  x  Maui (Tax rate from Schedule II)  x  Hawaii (Tax rate from Schedule II)  x  Kauai (Tax rate from Schedule II)  x  Refund on Gallons Used Off Public Highways or for Other Exempt Purposes (Enter amount in the alternative fuel column on line 8–Front Page) Gals.1 =  $ Gals. = $ Gals. = $ Gals. = $ Gals. = $ $ 1 Same as line 4, front page Effective July 1, 2015, LNG calculation is based on the energy content of 128,714 BTU. b Effective July 1, 2015, CNG calculation is based on the energy content of 128,621 BTU. c Effective July 1, 2018, Hawaii County Resolution No. 212-17 (Draft 2) d Effective July 1, 2019, Hawaii County Resolution No. 212-17 (Draft 2) a FORM M-36 (REV. 9/2019)
Extracted from PDF file 2019-hawaii-form-m-36.pdf, last modified July 2003

More about the Hawaii Form M-36 Other TY 2019

We last updated the Combined Claim for Refund of Fuel Taxes under Chapter 243 in March 2020, so this is the latest version of Form M-36, fully updated for tax year 2019. You can download or print current or past-year PDFs of Form M-36 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 HW-6 Employee's Statement to Employer Concerning Nonresidence in the State of Hawaii
Form L-80 Tracer Request For Tax Year ______
Form HW-14 Periodic Withholding Tax Return
Form ITPS-COA Change of Address

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-36 from the Department of Taxation in March 2020.

Show Sources >

Historical Past-Year Versions of Hawaii Form M-36

We have a total of five past-year versions of Form M-36 in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:


2019 Form M-36

Form M-36, Rev 9/2019, Combined Claim for Refund of Fuel Taxes Under Chapter 243, HRS

2018 Form M-36

Form M-36, Rev 2018, Combined Claim for Refund of Fuel Taxes Under Chapter 243, HRS

2017 Form M-36

Form M-36, Rev 2017, Combined Claim for Refund of Fuel Taxes Under Chapter 243, HRS

2016 Form M-36

Form M-36, Rev 1/2016, Combined Claim for Refund of Fuel Taxes Under Chapter 243, HRS

Forms 2015 - Fillable 2015 Form M-36

Form M-36, Rev 2015, Combined Claim for Refund of Fuel Taxes Under Chapter 243, HRS


TaxFormFinder Disclaimer:

While we do our best to keep our list of Hawaii Income Tax Forms up to date and complete, we cannot be held liable for errors or omissions. Is the form on this page out-of-date or not working? Please let us know and we will fix it ASAP.

** This Document Provided By TaxFormFinder.org **
Source: http://www.taxformfinder.org/hawaii/form-m-36