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Get HI DoT N-196 2020-2023

FORM N-196 PAGE 2 INSTRUCTIONS FOR COMPLETING AND FILING FORM N-196 Completing Form N-196 1. Enter the last two digits of the calendar year upper right corner for which this Form N-196 is being completed. 2. For example if you pay both interest and dividends file Forms 1099-INT with one Form N-196 and Forms 1099-DIV with a second Form N-196. When to File File Form N-196 and State copies of Forms 1099 on or before February 28 of the following year. Do not fill in both Boxes 1 and 2. 4. In Box 3 enter the number of 1099 forms you are filing with this Form N-196. Corrected forms may be filed electronically. See FILING FORM N-196 Form N-196 and Forms 1099 must be filed on the basis of the calendar year even though your income tax return is filed on the basis of a fiscal year. On each package write your name and identifying number. Number the packages consecutively and place Form N-196 in package number one. Street address 1 Federal Employer I. D. Number 2 Social Security Number 3 Total number of forms 4 Total amount reported with this Form N-196. Use of Substitute Forms Persons wishing to use a substitute of Form N-196 must comply with the Department s most current Forms Reproduction Policy. City State and Postal/ZIP code Check only one box below to indicate the type of form being transmitted If this is your FINAL return check here. Name of person to contact if the Department of Taxation needs more information* Telephone Number 1099DIV 1099G 1099INT 1099K 1099MISC 1099OID 1099PATR 1099R I hereby declare under penalties by section 231-36 HRS that to the best of my knowledge and belief the accompanying documents constitute a true and complete return of payments of the above described classes of income made by the person or organization named above during the calendar year indicated above. Authorized Signature Title Date - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - DETACH HERE - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - GENERAL INFORMATION Purpose of Form Use this form to transmit State copies of paper 1099 forms to the Department of Taxation* The use of federal Forms 1099-DIV 1099-G 1099-INT 1099-K 1099-MISC 1099-OID 1099PATR and 1099-R are required as the Department of Taxation is not printing its own version of these forms. Also use this form to transmit State copies of corrected 1099 forms to the Department of Taxation* or Form 1099 filed electronically directly from the taxpayer. For further Who Must File Forms 1099 With the Hawaii Department of Taxation Every person engaged in a trade or business in Hawaii or having a place of business or a fiscal or paying office in Hawaii and making payments in the course of such trade or business to another person must make a separate information return on Form 1099. Form 1098 Mortgage Interest Statement Form 1098-C Contributions of Motor Vehicles Boats and Airplanes Form 1098-E Student Loan Interest Statement Form 1098-T Tuition Statement Form 1099-A Acquisition or Abandonment of Secured Property Form 1099-B Proceeds From Broker and Barter Exchange Transactions Form 1099-C Cancellation of Debt Form 1099-CAP Changes in Corporate Control and Capital Structure Form 1099-H Health Coverage Tax Credit HCTC Advance Payments Form 1099-LTC Long-Term Care and Accelerated Death Benefits Form 1099-Q Payments From Qualified Education Programs Under Sections 529 and 530 Form 1099-SA Distributions From an HSA Archer MSA or Medicare Advantage MSA Form 5498 IRA Contribution Information Form 5498-ESA Coverdell ESA Contribution Information and Form 5498-SA HSA Archer MSA or Medicare Advantage Internet Address Forms and other tax information may be downloaded from the Department s website at tax.

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