Hawaii Fiduciary Income Tax Return Form

In the case of an employer in the State of Hawaii wanting to report the employees’ fiduciary income tax return to the IRS, the following form has to be completed and submitted.

Extracted Text for Proper Search

COPY A — For Hawaii State Tax Collector	
EMPLOYER	: 	See Instr	uctions	 	 	on re	 verse side.	
COPY A — For Hawaii State Tax Collector
COPY A — For Hawaii State Tax CollectorEMPLOYER	
: 	See Instr	
uctions	 	 	on re	 verse side.
EMPLOYER	: 	See Instr	uctions	 	 	on re	 verse side.
 	ST	ATE OF HAWAII — DEPARTMENT OF TAXATION
FORM	 	STATEMENT OF HAWAII INCOME TAX WITHHELD	 	CALENDAR	
HW-2	 	AND WAGES  PAID	 	YEAR	 	20	12	
(REV. 2012)
EMPLOYEE�S Name	 	Social Secur	 ity Number:
Address and Postal/ZIP Code	
0085	0003Corrected	
Total Wages (Before Payroll Deductions)	 	Ha	waii Income Tax Withheld  	P	 ayments Not Included in Total Wages
 	2012	      	$	
 	$  	$  	Nature of P	 ayment 	        	
EMPLOYER’S Name
Address and Postal/ZIP Code
Hawaii Tax I.D. No. W	
 __ __ __ __ __ __ __ __ - __ __	  	FORM HW-2	
 	ST	 ATE OF HAWAII — DEPARTMENT OF TAXATION
FORM	 	STATEMENT OF HAWAII INCOME TAX WITHHELD	 	CALENDAR	
HW-2	 	AND WAGES  PAID	 	YEAR	 	20	12	
(REV. 2012)
EMPLOYEE�S Name	 	Social Secur	 ity Number:
Address and Postal/ZIP Code	
0085	0003Corrected	
Total Wages (Before Payroll Deductions)	 	Ha	waii Income Tax Withheld  	P	 ayments Not Included in Total Wages
 	2012	      	$	
 	$  	$  	Nature of P	 ayment 	        	
EMPLOYER’S Name
Address and Postal/ZIP Code
Hawaii Tax I.D. No. W	
 __ __ __ __ __ __ __ __ - __ __	  	FORM HW-2	
 	ST	 ATE OF HAWAII — DEPARTMENT OF TAXATION
FORM	 	STATEMENT OF HAWAII INCOME TAX WITHHELD	 	CALENDAR	
HW-2	 	AND WAGES  PAID	 	YEAR	 	20	12	
(REV. 2012)
EMPLOYEE�S Name	 	Social Secur	 ity Number:
Address and Postal/ZIP Code	
0085	0003Corrected	
Total Wages (Before Payroll Deductions)	 	Ha	waii Income Tax Withheld  	P	 ayments Not Included in Total Wages
 	2012	      	$	
 	$  	$  	Nature of P	 ayment 	        	
EMPLOYER’S Name
Address and Postal/ZIP Code
Hawaii Tax I.D. No. W	
 __ __ __ __ __ __ __ __ - __ __	  	FORM HW-2

1. 	Prepare this f	orm for each employee to whom wages have 	been paid.	
2. 	Fill in —
(a) The emplo	yee’s name, address, postal/ZIP code and 	social security number.	
(b) T	otal wages subject to withholding, or paid to blind, 	deaf, or totally disabled persons.	
(c) Amount of income tax deducted and withheld.	   If no 	amount was deducted and withheld, enter “none” or 
“0”.	
(d) Amount of pa	yment not included in “Total Wages” as 	to which information is required.  (See Booklet A — 
Employer’s Tax Guide, Section 11.)	
(e) Y	our name, address, postal/ZIP Code and Hawaii Tax 	Identification Number.	
3. 	Giv	e copies B and C to the employee on or before 	 
January 31 following the calendar year, or on the day the 
last payment of wages is made if his or her employment is 
terminated before the close of such calendar year.	
4. 	F	orward Copy A to the Hawaii State Tax Collector in 	accordance with the instruction printed on Form HW-3, 
Employer’s Return and Reconciliation of Hawaii Income Tax 
Withheld From Wages.	
5. 	F	or further information, see Booklet A — Employer’s Tax 	Guide.	
1. 	Prepare this f	 orm for each employee to whom wages have 	been paid.	
2. 	Fill in —
(a) The emplo	yee’s name, address, postal/ZIP code and 	social security number.	
(b) T	otal wages subject to withholding, or paid to blind, 	deaf, or totally disabled persons.	
(c) Amount of income tax deducted and withheld.	   If no 	amount was deducted and withheld, enter “none” or 
“0”.	
(d) Amount of pa	yment not included in “Total Wages” as 	to which information is required.  (See Booklet A — 
Employer’s Tax Guide, Section 11.)	
(e) Y	our name, address, postal/ZIP Code and Hawaii Tax 	Identification Number.	
3. 	Giv	e copies B and C to the employee on or before 	 
January 31 following the calendar year, or on the day the 
last payment of wages is made if his or her employment is 
terminated before the close of such calendar year.	
4. 	F	orward Copy A to the Hawaii State Tax Collector in 	accordance with the instruction printed on Form HW-3, 
Employer’s Return and Reconciliation of Hawaii Income Tax 
Withheld From Wages.	
5. 	F	or further information, see Booklet A — Employer’s Tax 	Guide.	
1. 	Prepare this f	 orm for each employee to whom wages have 	been paid.	
2. 	Fill in —
(a) The emplo	yee’s name, address, postal/ZIP code and 	social security number.	
(b) T	otal wages subject to withholding, or paid to blind, 	deaf, or totally disabled persons.	
(c) Amount of income tax deducted and withheld.	   If no 	amount was deducted and withheld, enter “none” or 
“0”.	
(d) Amount of pa	yment not included in “Total Wages” as 	to which information is required.  (See Booklet A — 
Employer’s Tax Guide, Section 11.)	
(e) Y	our name, address, postal/ZIP Code and Hawaii Tax 	Identification Number.	
3. 	Giv	e copies B and C to the employee on or before 	 
January 31 following the calendar year, or on the day the 
last payment of wages is made if his or her employment is 
terminated before the close of such calendar year.	
4. 	F	orward Copy A to the Hawaii State Tax Collector in 	accordance with the instruction printed on Form HW-3, 
Employer’s Return and Reconciliation of Hawaii Income Tax 
Withheld From Wages.	
5. 	F	or further information, see Booklet A — Employer’s Tax 	Guide.	
TO	  EMPLOYER:	
TO	  EMPLOYER:	
TO	  EMPLOYER:

COPY B — To Be Filed With Employee’s Tax Return	
EMPLOYEE	:  This is not a tax return, 	but must be filed with your Hawaii Income Tax Return for 2012. 	 See 	reverse side of this copy & Copy C for 
Instructions.
COPY B — To Be Filed With Employee’s Tax Return
COPY B — To Be Filed With Employee’s Tax Return EMPLOYEE	
:  This is not a tax retur
n, 	but must be filed with your Hawaii Income Tax Return for 2012. 	 See 	reverse side of this copy & Copy C for 
Instructions.
EMPLOYEE	
:  This is not a tax return, 	but must be filed with your Hawaii Income Tax Return for 2012. 	 See 	reverse side of this copy & Copy C for 
Instructions.
 	ST	ATE OF HAWAII — DEPARTMENT OF TAXATION
FORM	 	STATEMENT OF HAWAII INCOME TAX WITHHELD	 	CALENDAR	
HW-2	 	AND WAGES  PAID	 	YEAR	 	20	12	
(REV. 2012)
EMPLOYEE�S Name	 	Social Secur	 ity Number:
Address and Postal/ZIP Code	
0085	0003Corrected	
Total Wages (Before Payroll Deductions)	 	Ha	waii Income Tax Withheld  	P	 ayments Not Included in Total Wages
 	2012	      	$	
 	$  	$  	Nature of P	 ayment 	        	
EMPLOYER’S Name
Address and Postal/ZIP Code
Hawaii Tax I.D. No. W	
 __ __ __ __ __ __ __ __ - __ __	  	FORM HW-2	
 	ST	 ATE OF HAWAII — DEPARTMENT OF TAXATION
FORM	 	STATEMENT OF HAWAII INCOME TAX WITHHELD	 	CALENDAR	
HW-2	 	AND WAGES  PAID	 	YEAR	 	20	12	
(REV. 2012)
EMPLOYEE�S Name	 	Social Secur	 ity Number:
Address and Postal/ZIP Code	
0085	0003Corrected	
Total Wages (Before Payroll Deductions)	 	Ha	waii Income Tax Withheld  	P	 ayments Not Included in Total Wages
 	2012	      	$	
 	$  	$  	Nature of P	 ayment 	        	
EMPLOYER’S Name
Address and Postal/ZIP Code
Hawaii Tax I.D. No. W	
 __ __ __ __ __ __ __ __ - __ __	  	FORM HW-2	
 	ST	 ATE OF HAWAII — DEPARTMENT OF TAXATION
FORM	 	STATEMENT OF HAWAII INCOME TAX WITHHELD	 	CALENDAR	
HW-2	 	AND WAGES  PAID	 	YEAR	 	20	12	
(REV. 2012)
EMPLOYEE�S Name	 	Social Secur	 ity Number:
Address and Postal/ZIP Code	
0085	0003Corrected	
Total Wages (Before Payroll Deductions)	 	Ha	waii Income Tax Withheld  	P	 ayments Not Included in Total Wages
 	2012	      	$	
 	$  	$  	Nature of P	 ayment 	        	
EMPLOYER’S Name
Address and Postal/ZIP Code
Hawaii Tax I.D. No. W	
 __ __ __ __ __ __ __ __ - __ __	  	FORM HW-2

NOTICE TO EMPLOYEE:
This statement is important.  It must be filed with your Hawaii 
Income Tax Return for tax year 2012.  If your social security 
number, name, or address is stated incorrectly, correct the 
information on this copy and notify your employer.
NOTICE TO EMPLOYEE:
This statement is important.  It must be filed with your Hawaii 
Income Tax Return for tax year 2012.  If your social security 
number, name, or address is stated incorrectly, correct the 
information on this copy and notify your employer.
NOTICE TO EMPLOYEE:
This statement is important.  It must be filed with your Hawaii 
Income Tax Return for tax year 2012.  If your social security 
number, name, or address is stated incorrectly, correct the 
information on this copy and notify your employer.

COPY C — For Employee’s Records	
EMPLOYEE: This is your receipt for your 
Hawaii Income Tax withheld. 
 
DO NOT LOSE THIS STATEMENT.
COPY C — For Employee’s Records
COPY C — For Employee’s Records
EMPLOYEE: This is your receipt for your 
Hawaii Income Tax withheld.
 
 
DO NOT LOSE THIS STATEMENT.
EMPLOYEE: This is your receipt for your 
Hawaii Income Tax withheld.  
 
DO NOT LOSE THIS STATEMENT.
 	ST	ATE OF HAWAII — DEPARTMENT OF TAXATION
FORM	 	STATEMENT OF HAWAII INCOME TAX WITHHELD	 	CALENDAR	
HW-2	 	AND WAGES  PAID	 	YEAR	 	20	12	
(REV. 2012)
EMPLOYEE�S Name	 	Social Secur	 ity Number:
Address and Postal/ZIP Code	
0085	0003Corrected	
Total Wages (Before Payroll Deductions)	 	Ha	waii Income Tax Withheld  	P	 ayments Not Included in Total Wages
 	2012	      	$	
 	$  	$  	Nature of P	 ayment 	        	
EMPLOYER’S Name
Address and Postal/ZIP Code
Hawaii Tax I.D. No. W	
 __ __ __ __ __ __ __ __ - __ __	  	FORM HW-2	
 	ST	 ATE OF HAWAII — DEPARTMENT OF TAXATION
FORM	 	STATEMENT OF HAWAII INCOME TAX WITHHELD	 	CALENDAR	
HW-2	 	AND WAGES  PAID	 	YEAR	 	20	12	
(REV. 2012)
EMPLOYEE�S Name	 	Social Secur	 ity Number:
Address and Postal/ZIP Code	
0085	0003Corrected	
Total Wages (Before Payroll Deductions)	 	Ha	waii Income Tax Withheld  	P	 ayments Not Included in Total Wages
 	2012	      	$	
 	$  	$  	Nature of P	 ayment 	        	
EMPLOYER’S Name
Address and Postal/ZIP Code
Hawaii Tax I.D. No. W	
 __ __ __ __ __ __ __ __ - __ __	  	FORM HW-2	
 	ST	 ATE OF HAWAII — DEPARTMENT OF TAXATION
FORM	 	STATEMENT OF HAWAII INCOME TAX WITHHELD	 	CALENDAR	
HW-2	 	AND WAGES  PAID	 	YEAR	 	20	12	
(REV. 2012)
EMPLOYEE�S Name	 	Social Secur	 ity Number:
Address and Postal/ZIP Code	
0085	0003Corrected	
Total Wages (Before Payroll Deductions)	 	Ha	waii Income Tax Withheld  	P	 ayments Not Included in Total Wages
 	2012	      	$	
 	$  	$  	Nature of P	 ayment 	        	
EMPLOYER’S Name
Address and Postal/ZIP Code
Hawaii Tax I.D. No. W	
 __ __ __ __ __ __ __ __ - __ __	  	FORM HW-2

INSTRUCTIONS TO EMPLOYEE: 
This is your receipt for your Hawaii income tax withheld.  You 
should keep it for use in preparing your Hawaii Income Tax 
Return for tax year 2012 required to be filed on or before April 
20, 2013, and as evidence of tax withheld. DO NOT LOSE THIS STATEMENT
INSTRUCTIONS TO EMPLOYEE:  
This is your receipt for your Hawaii income tax withheld.  You 
should keep it for use in preparing your Hawaii Income Tax 
Return for tax year 2012 required to be filed on or before April 
20, 2013, and as evidence of tax withheld. DO NOT LOSE THIS STATEMENT
INSTRUCTIONS TO EMPLOYEE:  
This is your receipt for your Hawaii income tax withheld.  You 
should keep it for use in preparing your Hawaii Income Tax 
Return for tax year 2012 required to be filed on or before April 
20, 2013, and as evidence of tax withheld. DO NOT LOSE THIS STATEMENT

COPY D — For Employer
EMPLOYER:	 	This cop	y	 	 	is f	 or your	 	 	records.	
COPY D — For Employer
COPY D — For Employer EMPLOYER:	
 	This cop	y	 	 	is f	 or your	 	 	records.	
EMPLOYER:	 	This cop	y	 	 	is f	 or your	 	 	records.
 	ST	ATE OF HAWAII — DEPARTMENT OF TAXATION
FORM	 	STATEMENT OF HAWAII INCOME TAX WITHHELD	 	CALENDAR	
HW-2	 	AND WAGES  PAID	 	YEAR	 	20	12	
(REV. 2012)
EMPLOYEE�S Name	 	Social Secur	 ity Number:
Address and Postal/ZIP Code	
0085	0003Corrected	
Total Wages (Before Payroll Deductions)	 	Ha	waii Income Tax Withheld  	P	 ayments Not Included in Total Wages
 	2012	      	$	
 	$  	$  	Nature of P	 ayment 	        	
EMPLOYER’S Name
Address and Postal/ZIP Code
Hawaii Tax I.D. No. W	
 __ __ __ __ __ __ __ __ - __ __	  	FORM HW-2	
 	ST	 ATE OF HAWAII — DEPARTMENT OF TAXATION
FORM	 	STATEMENT OF HAWAII INCOME TAX WITHHELD	 	CALENDAR	
HW-2	 	AND WAGES  PAID	 	YEAR	 	20	12	
(REV. 2012)
EMPLOYEE�S Name	 	Social Secur	 ity Number:
Address and Postal/ZIP Code	
0085	0003Corrected	
Total Wages (Before Payroll Deductions)	 	Ha	waii Income Tax Withheld  	P	 ayments Not Included in Total Wages
 	2012	      	$	
 	$  	$  	Nature of P	 ayment 	        	
EMPLOYER’S Name
Address and Postal/ZIP Code
Hawaii Tax I.D. No. W	
 __ __ __ __ __ __ __ __ - __ __	  	FORM HW-2	
 	ST	 ATE OF HAWAII — DEPARTMENT OF TAXATION
FORM	 	STATEMENT OF HAWAII INCOME TAX WITHHELD	 	CALENDAR	
HW-2	 	AND WAGES  PAID	 	YEAR	 	20	12	
(REV. 2012)
EMPLOYEE�S Name	 	Social Secur	 ity Number:
Address and Postal/ZIP Code	
0085	0003Corrected	
Total Wages (Before Payroll Deductions)	 	Ha	waii Income Tax Withheld  	P	 ayments Not Included in Total Wages
 	2012	      	$	
 	$  	$  	Nature of P	 ayment 	        	
EMPLOYER’S Name
Address and Postal/ZIP Code
Hawaii Tax I.D. No. W	
 __ __ __ __ __ __ __ __ - __ __	  	FORM HW-2