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Hawaii Resale Certificate Form G-17

This document is a Resale Certificate for Goods used in the State of Hawaii, allowing purchasers to certify their tax identification and the nature of their business for tax exemption on certain purchases. It outlines the responsibilities of the purchaser regarding the resale of tangible personal property and the requirement to notify the seller if the certificate does not apply to specific orders. The seller must retain this certificate for their records and it should not be sent to the Department of Taxation.

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108 views1 page

Hawaii Resale Certificate Form G-17

This document is a Resale Certificate for Goods used in the State of Hawaii, allowing purchasers to certify their tax identification and the nature of their business for tax exemption on certain purchases. It outlines the responsibilities of the purchaser regarding the resale of tangible personal property and the requirement to notify the seller if the certificate does not apply to specific orders. The seller must retain this certificate for their records and it should not be sent to the Department of Taxation.

Uploaded by

azhza01
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

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FORM G-17 STATE OF HAWAII — DEPARTMENT OF TAXATION


(REV. 2016)

RESALE CERTIFICATE FOR GOODS


GENERAL FORM 1
(PLEASE PRINT OR TYPE)

To
Name of Seller

Address of Seller Date of this Certificate

City State Postal/ZIP Code

The undersigned hereby certifies the following under the penalties set forth in section 231-36, Hawaii Revised Statutes
(HRS), as Purchaser or as an authorized agent or representative of the named Purchaser:

That the Purchaser is the holder of Hawaii Tax Identification No. GE __ __ __ -__ __ __ -__ __ __ __ - __ __ under the
General Excise Tax Law and subject to the taxing jurisdiction of the State.

That the nature and character of the Purchaser’s business is:

That this Certificate, until revoked by notice in writing, shall apply to all purchases of tangible personal property which
the Purchaser shall purchase from the Seller named above except those orders which the Purchaser specifies by notice in
writing that this Certificate does not apply.

That all of the purchases of tangible personal property to which this Certificate applies:

 are purchases for resale at retail or leases under Chapter 237, HRS; and/or

 are purchases for resale at wholesale under Chapter 237, HRS;

That the Purchaser, pursuant to section 237-13(2)(F)(i), HRS, and section 18-237-13-02(d)(2)(B), Hawaii Administrative
Rules, shall pay to the seller the amount of any additional tax imposed upon the seller with respect to any transactions
covered by this certificate.

Name of Purchaser Signature

Address of Purchaser Print Name of Signatory

City State Postal/ZIP Code Title (Owner, Partner or Member, Officer, or Duly Authorized Agent)
Date

Seller should retain this Certificate for Seller’s files. Do NOT send to the Department of Taxation.

FORM G-17

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