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<br />FORM <br />COUNTY OF HAWAI’I––DEPARTMENTOFFINANCE <br />HCTAT-1 <br />TRANSIENT ACCOMMODATIONS <br />(revised 7/2022) <br />TAXPAYMENTVOUCHER <br />PURPOSE OF VOUCHERHOW TO PAY <br />Effective January1, 2022, the County of Hawai‘i imposesa Make the check or money order payable in U.S. dollars to <br />Hawai‘iCounty Transient Accommodations Tax(HCTAT)at the “Director of Finance.” Make sure yourname, <br />the rate of 3% on gross rental proceeds and/or fair market “HCTAT”, filing period,phone numberand Hawaii Tax I.D. <br />rental value attributable to the County of Hawai‘i. Use this Number. appear on the check or money order. Do not <br />form to submit your payment for the HCTAT.postdate the check. Do not send cash. <br />COMPLETING THE VOUCHER <br />By Mail–Mail payment with the payment voucher form to: <br />Print the name that is associated withyour Hawai’i State <br />County of Hawai‘i <br />Tax IDaccount. <br />Department of Finance-TAT Office <br />Fill in the period for the payment.Enter the date as <br />25 Aupuni Street, Suite 1101 <br />MM/DD/YY. <br />Hilo,HI 96720 <br />Enteryour Hawai’iStateTax I.D. No. that startswith TA, <br />the 10-digitaccount number and the 2-digitextension <br />Online–Electronic funds transfer (EFT-ECheck) payments <br />will be accepted via the County’s online payment portal.A <br />Line 1. Enter the net rental proceeds from your State Form <br />$.50 fee per transactionwill be assessed for EFT <br />TA-1 or TA-2, line 3,column c. <br />payments.*Payments by credit cards are assessedhigher <br />Line 2.Enter the total fair market rental value(for <br />convenience fees. Go to: <br />timeshares)from your State Form TA-1 or TA-2, line 7. <br /> www.hawaiicountiestat.us <br />Line 3.Add lines 1 and 2. Enter the total here. <br />Taxpayers whose liability for the HCTAT exceeds $100,000 <br />Line 4.Multiply line 3 by 0.03 (3%) and enter your total <br />per year are required to pay tax by electronic funds transfer <br />Amount of Payment. <br />(EFT). EFTpaymentsmade via the County’s online <br />payment portal will satisfy this requirement. <br />––––––––––––––––––––––––DETACH HERE–––––––––––––––––––––––– <br />COUNTY OF HAWAI’I—DEPARTMENT OF FINANCE <br />Form <br />TRANSIENT ACCOMMODATIONSTAX <br />HCTAT-1 <br />PAYMENT VOUCHER <br />(revised 7/2022) <br />Name (Please print):Period Ending: __ __ / __ __ / __ __ <br />Hawaii State Tax I.D. Number: TA–__ __ __ –__ __ __ –__ __ __ __ –__ __ <br />$ <br />Line 1.Enter the net rental proceeds from your State Form TA-1 or TA-2, line 3,column c. . . . . . . <br />$ <br />Line 2.Enter the total fair market rental value from your State Form TA-1 or TA-2, line 7. . . . . . . . <br />$ <br />Line 3.Total subject to HCTAT. Add lines 1 and 2. Enter the total here.. . . . . . . . . . . . . . . . . . . . . . . <br />$ <br />Line 4.Multiply line 3 by 0.03 (3%) and enter your total Amount of Payment. . . . . . . . . . . . . . . . . . . <br />Attach this voucher with check or money order payable to <br />“DIRECTOR OF FINANCE” Write your name, “HCTAT”, <br />the filing period, a contact phone number, and your Hawaii <br />Tax I.D. Number on your check or money order. <br />FormHCTAT-1(revised 7/2022) <br />