Hawaii Quarterly Tax Return for Additional Fuel Taxes Due

Quarterly Tax Return for Additional Fuel Taxes Due
form M-22 Rev. 2020 Quarterly Tax Return for Additional Fuel Taxes Due
Clear Form
FORM

M-22
(REV. 2020)

			
STATE OF HAWAII—DEPARTMENT OF TAXATION	
			QUARTERLY TAX RETURN FOR

			ADDITIONAL FUEL TAXES DUE
			
TO BE FILED BY END USER

	

• PRINT OR TYPE •

					
THIS SPACE FOR DATE RECEIVED STAMP

Name

Federal Employer I.D. No. or Social Security No.

DBA or C/O

Hawaii Tax I.D. No. (LU-###-###-####-##)

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)

LU–

NOTE:This return with payment must be submitted to the Department of Taxation on or before the 20th day of the month following the close of the filing period.
TYPES OF LIQUID FUEL

(a)
CITY & COUNTY
OF HONOLULU

(b)
COUNTY OF
MAUI

(c)
COUNTY OF
HAWAII

(d)
COUNTY OF
KAUAI

38¢a

32¢

(e)
TOTAL TAXES DUE
(add cols. a thru d)

PART I — DIESEL OIL
1. (a) Gallons purchased where only 1¢
tax previously paid
(b) Tax Rate

31.5¢

39¢b

(c) Additional Tax Due. Multiply line 1(a)
by 1(b) of cols. a thru d

1c

2. (a) Gallons purchased where NO tax
was previously paid
(b) Tax Rate

32.5¢

40¢b

39¢a

33¢

(c) Additional Tax Due. Multiply line 2(a)
by 2(b) of cols. a thru d

2c

3. TOTAL DIESEL OIL TAX DUE — Add column (e), lines 1(c) and 2(c) ....................................................................................

3

PART II — ALTERNATIVE FUEL
4. Type of fuel
(a) Gallons purchased where NO tax was
previously paid
(b) Tax Rate (see instructions)	
(c) Additional Tax Due. Multiply line 4(a)
by 4(b) of cols. a thru d

4c
PART III — NAPHTHA

5. (a) Gallons purchased where only
2¢ tax previously paid
(b) Tax Rate

30.5¢

38¢b

37¢a

31¢

(c) Additional Tax Due. Multiply line 5(a)
by 5(b) of cols. a thru d

5c

6. (a) Gallons purchased where NO tax
was previously paid
(b) Tax Rate	

32.5¢

40¢b

39¢a

33¢

(c) Additional Tax Due. Multiply line 6(a)
by 6(b) of cols. a thru d

6c

7. TOTAL NAPHTHA TAX DUE — Add column (e), lines 5(c) and 6(c).........................................................................................

7

8. TOTAL TAXES DUE — Add column (e), lines 3, 4(c), and 7, enter the total here...................................................................... 8
Continue on page 2
a

Tax rate for fuel used on or after July 1, 2019, Hawaii County Resolution No. 212-17 (Draft 2).

b

Tax rate for fuel used on or after July 1, 2020, Maui County Resolution No. 20-82.

M22_I 2020A 01 VID01

ID NO 01

FORM M-22
(REV. 2020)

FORM M-22 (REV. 2020)

PAGE 2

Name

Hawaii Tax ID Number (LU-###-###-####-##)

Period Ending (MM-YY)

LU–

PART IV — SUMMARY OF GALLONS IN THE COUNTY OF MAUI
TYPES OF LIQUID FUEL

(a)
ISLAND OF LANAI

(b)
ISLAND OF MOLOKAI

(d)
TOTAL GALS. FOR
COUNTY OF MAUI
(Add cols. a to c)

(c)
ISLAND OF MAUI

9.  Diesel Oil

9

10.  Alternative Fuel

10

11.  Naphtha

11

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.

_____________________________
Signature

				

___________________________
Type or Print Name and Title	

		

____________
Date		

(

)

Daytime Phone Number

FORM M-22
REV. 2020
M22_I 2020A 02 VID01

ID NO 01