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ENTER AMOUNT OF PAYMENT. Attach your check or money order EFT CHECK or MONEY ORDER payable to Hawaii State Tax Collector in U.S. dollars drawn on any U.S. bank to Form HW-3. NUMBER OF HW-2 FORMS COPY A or FEDERAL FORM W-2 COPY 1. 1 2. TOTAL WAGES SHOWN ON THESE FORMS include COLA 3rd party sick leave and other bene ts. 2 3. TOTAL HAWAII INCOME TAX WITHHELD FROM WAGES SHOWN ON THESE FORMS. 3 3a. PENALTIES ASSESSED ON PERIODIC RETURNS. Clear Form FORM HW-3 REV. 2014 DO NOT WRITE IN THIS AREA STATE OF HAWAII DEPARTMENT OF TAXATION EMPLOYER S ANNUAL RETURN AND RECONCILIATION OF HAWAII INCOME TAX WITHHELD FROM WAGES FOR CALENDAR YEAR WCF141 AMENDED Return NAME ATTACH CHECK OR MONEY ORDER HAWAII TAX I. D. NO. W FEDERAL I. D. NO. FOR AMENDED RETURNS ATTACH ANY CORRECTED FORMS HW-2 OR FEDERAL FORMS W-2C 1. NUMBER OF HW-2 FORMS COPY A or FEDERAL FORM W-2 COPY 1. 1 2. TOTAL WAGES SHOWN ON THESE FORMS include COLA 3rd party sick leave and other bene ts. 2 3. TOTAL HAWAII INCOME TAX WITHHELD FROM WAGES SHOWN ON THESE FORMS. 3 3a* PENALTIES ASSESSED ON PERIODIC RETURNS. 3b. INTEREST ASSESSED 3c* TOTAL AMOUNT DUE Add Lines 3 3a and 3b. 3c 4. TOTAL PAYMENTS OF TAXES WITHHELD including any penalty or interest paid with the periodic returns Amended Returns also include amount paid with original HW-3. 4 5. AMOUNT OF CREDIT TO BE REFUNDED Line 4 minus Line 3c. 5 6. AMOUNT OF TAXES NOW DUE AND PAYABLE Line 3c minus Line 4. 6 FOR LATE FILING ONLY 7a* PENALTY. 7b. INTEREST. 8. TOTAL AMOUNT NOW DUE AND PAYABLE Add Lines 6 7a and 7b. 8 9. IF THERE IS AN AMOUNT DUE ON LINE 8 INDICATE THE METHOD OF YOUR PAYMENT. Place an X in a box. 9 10. Write HW the ling period and your Hawaii Tax I. D. No* on your check or money order. IF NO PAYMENT AMOUNT OF PAYMENT ENTER 00. 00. You may also e-pay at tax. hawaii. gov/eservices/. 10 Please le two copies of this form together with the Statements of Hawaii Income Tax Withheld and Wages Paid copy A of Form HW-2 or copy 1 of federal Form W-2. I declare under the penalties set forth in section 231-36 HRS that this is a true and correct return prepared in accordance with the withholding provisions of the Hawaii Income Tax Law and the rules issued thereunder. SIGNATURE DATE TITLE DAYTIME PHONE NUMBER THE SPACE BELOW RESERVED FOR DEPARTMENTAL USE SIGN THE RETURN AND MAIL TO Hawaii Department of Taxation P. D. NO. W FEDERAL I. D. NO. FOR AMENDED RETURNS ATTACH ANY CORRECTED FORMS HW-2 OR FEDERAL FORMS W-2C 1. NUMBER OF HW-2 FORMS COPY A or FEDERAL FORM W-2 COPY 1. 1 2. TOTAL WAGES SHOWN ON THESE FORMS include COLA 3rd party sick leave and other bene ts. 2 3. TOTAL HAWAII INCOME TAX WITHHELD FROM WAGES SHOWN ON THESE FORMS. 3 3a* PENALTIES ASSESSED ON PERIODIC RETURNS. 3b. INTEREST ASSESSED 3c* TOTAL AMOUNT DUE Add Lines 3 3a and 3b. 3c 4. TOTAL PAYMENTS OF TAXES WITHHELD including any penalty or interest paid with the periodic returns Amended Returns also include amount paid with original HW-3. 3b. INTEREST ASSESSED 3c* TOTAL AMOUNT DUE Add Lines 3 3a and 3b. 3c 4. TOTAL PAYMENTS OF TAXES WITHHELD including any penalty or interest paid with the periodic returns Amended Returns also include amount paid with original HW-3. 4 5. AMOUNT OF CREDIT TO BE REFUNDED Line 4 minus Line 3c. 5 6. AMOUNT OF TAXES NOW DUE AND PAYABLE Line 3c minus Line 4.