Form TMR-12 "Application for Tax Matters Representative Identification Number" - Hawaii

What Is Form TMR-12?

This is a legal form that was released by the Hawaii Department of Taxation - a government authority operating within Hawaii. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on January 1, 2018;
  • The latest edition provided by the Hawaii Department of Taxation;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of Form TMR-12 by clicking the link below or browse more documents and templates provided by the Hawaii Department of Taxation.

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Download Form TMR-12 "Application for Tax Matters Representative Identification Number" - Hawaii

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Clear Form
STATE OF HAWAII — DEPARTMENT OF TAXATION
Form
TMR-12
Application for Tax Matters Representative
Identification Number
(REV. 2018)
(Print or Type in Blue or Black Ink)
First name
Middle name
Last name
1
Name
SSN/ITIN
Date of birth (MM/DD/YYYY)
2
SSN/ITIN and
Date of Birth
Street address. Use a P.O. Box number only if the post office does not deliver mail to your street address.
3
Personal
Mailing
City or town, state or province, country, and ZIP or foreign postal code. Do not abbreviate name of country.
Address
and Phone
Number
Personal domestic
Personal international
phone number
phone number
Enter the email address that should be used to contact you.
4
Email
Address
Under penalties of perjury, I declare that I have examined this application and to the best of my knowledge and belief, it is
Sign
ä
true, correct, and complete. I understand any false or misleading information may result in criminal penalties.
Here
Your signature
Date (MM/DD/YYYY)
FORM TMR-12 (Rev. 2018)
ID NO 01
TMR12_I 2018A 01 VID01
INSTRUCTIONS FOR FORM TMR-12
Line 1
It is important to follow these instructions. If your application is
Enter your legal name.
incomplete, we will request that you supply the missing information
Line 2
within a specified time. We will be unable to process your
Enter your SSN and date of birth. If you are an alien and were
application if you do not provide the missing information.
issued an individual taxpayer identification number (ITIN) by the
Who Must File
IRS, enter your ITIN. Applicants must be at least 18 years of age to
Anyone who is not required to register as a verified practitioner,
apply.
who does not want to disclose their personal social security number
Line 3
(SSN) on Form N-848, and who would like to speak with the
Enter your complete personal mailing address and phone number(s).
Department of Taxation (Department) on behalf of another
taxpayer must register with the Department and obtain a Tax
Line 4
Matters Representative (TMR) Identification Number (TMRID).
Enter the email address we should use if we need to contact you
The issuance of a TMRID does not in any way replace the need for
about matters regarding this form.
an executed Form N-848 giving the TMR the authority to speak to
Sign Here
the Department on the taxpayer’s behalf. Once a TMRID number
Signature — The completed Form TMR-12 must be signed and
is issued to a TMR, the TMR may use the TMRID on all Form
N-848s.
dated by the applicant.
The following persons are required to register as verified
Where To File
practitioners online at http://hitax.hawaii.gov or using Form
Complete and send Form TMR-12 to:
PPS-12: (1) Attorneys; (2) Accountants; (3) Enrolled Agents; (4)
Department of Taxation
Enrolled Actuaries; (5) Enrolled Retirement Plan Agents; and (6)
Taxpayer Services Branch
All other persons who represent taxpayers and receive
P.O. Box 259
compensation for their services.
Honolulu, HI 96809-0259
Clear Form
STATE OF HAWAII — DEPARTMENT OF TAXATION
Form
TMR-12
Application for Tax Matters Representative
Identification Number
(REV. 2018)
(Print or Type in Blue or Black Ink)
First name
Middle name
Last name
1
Name
SSN/ITIN
Date of birth (MM/DD/YYYY)
2
SSN/ITIN and
Date of Birth
Street address. Use a P.O. Box number only if the post office does not deliver mail to your street address.
3
Personal
Mailing
City or town, state or province, country, and ZIP or foreign postal code. Do not abbreviate name of country.
Address
and Phone
Number
Personal domestic
Personal international
phone number
phone number
Enter the email address that should be used to contact you.
4
Email
Address
Under penalties of perjury, I declare that I have examined this application and to the best of my knowledge and belief, it is
Sign
ä
true, correct, and complete. I understand any false or misleading information may result in criminal penalties.
Here
Your signature
Date (MM/DD/YYYY)
FORM TMR-12 (Rev. 2018)
ID NO 01
TMR12_I 2018A 01 VID01
INSTRUCTIONS FOR FORM TMR-12
Line 1
It is important to follow these instructions. If your application is
Enter your legal name.
incomplete, we will request that you supply the missing information
Line 2
within a specified time. We will be unable to process your
Enter your SSN and date of birth. If you are an alien and were
application if you do not provide the missing information.
issued an individual taxpayer identification number (ITIN) by the
Who Must File
IRS, enter your ITIN. Applicants must be at least 18 years of age to
Anyone who is not required to register as a verified practitioner,
apply.
who does not want to disclose their personal social security number
Line 3
(SSN) on Form N-848, and who would like to speak with the
Enter your complete personal mailing address and phone number(s).
Department of Taxation (Department) on behalf of another
taxpayer must register with the Department and obtain a Tax
Line 4
Matters Representative (TMR) Identification Number (TMRID).
Enter the email address we should use if we need to contact you
The issuance of a TMRID does not in any way replace the need for
about matters regarding this form.
an executed Form N-848 giving the TMR the authority to speak to
Sign Here
the Department on the taxpayer’s behalf. Once a TMRID number
Signature — The completed Form TMR-12 must be signed and
is issued to a TMR, the TMR may use the TMRID on all Form
N-848s.
dated by the applicant.
The following persons are required to register as verified
Where To File
practitioners online at http://hitax.hawaii.gov or using Form
Complete and send Form TMR-12 to:
PPS-12: (1) Attorneys; (2) Accountants; (3) Enrolled Agents; (4)
Department of Taxation
Enrolled Actuaries; (5) Enrolled Retirement Plan Agents; and (6)
Taxpayer Services Branch
All other persons who represent taxpayers and receive
P.O. Box 259
compensation for their services.
Honolulu, HI 96809-0259