Hawaii General Excise Branch License Maintenance Form

General Excise Branch License Maintenance Form
Form G50 Rev. 2021  General Excise Branch License Maintenance Form
FORM G-50
(REV. 2021)

STATE OF HAWAII — DEPARTMENT OF TAXATION

DO NOT WRITE IN THIS AREA

GENERAL EXCISE BRANCH LICENSE
MAINTENANCE FORM

	

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Clear Form

(Use this form to add, change, or cancel a branch license)

NOTE: This form may be filed electronically. Sign in to Hawaii Tax Online and click on the “More...” tab.
Go to the “Registration” panel and select “Manage Location Addresses,” then navigate to the tax
account and select to add, cease, or update a location address.

G50_I 2021A 01 VID01

TYPE OR PRINT LEGIBLY
1.	 TAXPAYER INFORMATION:
(A)	 HAWAII TAX I.D. NO. GE ___ ___ ___ - ___ ___ ___ - ___ ___ ___ ___ - ___ ___
(B)	 NAME 	
2.	 BRANCH INFORMATION:
CHECK ONE AND COMPLETE ITEMS INDICATED:
…	 1	 New (complete all items in (A) below)
…	 2	 Change (complete only items you are changing in (A) below)
…	 3	 Cancel (complete all items in (B) below)

(A)	 Add a New Branch or Change Branch Information
(1)	 Branch DBA Name 		
(2)	 Branch Business Location Address 		
(3)	 Branch Business City/State
Postal/ZIP Code	
(4)	 Branch NAICS Code __ __ __ __ __ __
(5)	 Date Branch Business Started 	
/	
/	
		

MO	

DAY	

YR

(B)	 Cancel (Attach Branch License)
(1)	 Branch DBA Name 		
(2)	 Branch Business Location Address 		
(3)	 Branch Business City/State
Postal/ZIP Code	
(4)	 Date Branch Business Cancelled	 	
/	
/	
	
MO	
DAY	
YR

MAILING ADDRESS & TELEPHONE NUMBERS
HAWAII DEPARTMENT OF TAXATION
P.O. Box 1425
Honolulu, HI 96806-1425
Telephone: 808-587-4242
Toll Free: 1-800-222-3229
The above information is hereby certified to be correct to the best knowledge and belief of the undersigned who is duly authorized to sign this form and
understands that an unsigned form will not be accepted.
			 			 	
Signature							

			
Date

		 				 	
Title (Owner, Partner or Member, Officer)

Daytime Phone No.: (

) 		
FORM G-50

ID NO 01

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