HCTAT Payment Voucher (Rev.9-22)

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FORM COUNTY OF HAWAI’I––DEPARTMENTOFFINANCE HCTAT-1 TRANSIENT ACCOMMODATIONS (revised9/2022) TAXPAYMENTVOUCHER Please call our office if you need assistanceat (808) 961- PURPOSE OF VOUCHER 8793. Enter your amount for penalty and interest in line 5. Effective January1, 2022, the County of Hawai‘i imposesa Line 6. Add lines 4 & 5 AMOUNT OF PAYMENT. Hawai‘iCounty Transient Accommodations Tax(HCTAT)at the rate of 3% on gross rental proceeds and/or fair market rental value attributable to the County of Hawai‘i. Use this HOW TO PAY form to submit your payment for the HCTAT. Make the check or money order payable in U.S. dollars to COMPLETING THE VOUCHER the “Director of Finance.” Make sure yourname, “HCTAT”, filing period,phone numberand Hawaii Tax I.D. Print the name that is associated withyour Hawai’i State Number. appear on the check or money order. Do not Tax IDaccount. postdate the check. Do not send cash. Fill in the period for the payment.Enter the date as MM/DD/YY. By Mail–Mail payment with the payment voucher form to: Enteryour Hawai’iStateTax I.D. No. that startswith TA, the 10-digitaccount number and the 2-digitextension County of Hawai‘i Department of Finance-TAT Office Line 1. Enter the net rental proceeds from your State Form 25 Aupuni Street, Suite 1101 TA-1 or TA-2, line 3,column c. Hilo,HI 96720 Line 2.Enter the total fair market rental value(for timeshares)from your State Form TA-1 or TA-2, line 7. Online–Electronic funds transfer (EFT-ECheck) payments Line 3.Add lines 1 and 2. Enter the total here. will be accepted via the County’s online payment portal.A $.50 fee per transactionwill be assessedfor EFT Line 4.Multiply line 3 by 0.03 (3%) and enter your total payments.*Payments by credit cards are assessed higher HCTAT DUE. convenience fees. Go to: Line 5. The penalty for failure to file a return on time is www.hawaiicountiestat.us calculated at 5% per month, or part of a month, on the unpaid tax up to a maximum of 25%. Interest is calculated Taxpayers whose liability for the HCTAT exceeds $100,000 at 2/3 of 1% per month or part of a month, on unpaid taxes per year are required to pay tax by electronic funds transfer and penalties beginning with the firstcalendar day after the (EFT). EFTpaymentsmade via the County’s online date prescribed for payment,whether or not the first payment portal will satisfy this requirement. calendar day falls on a Saturday, Sunday or Holiday. ––––––––––––––––––––––––DETACH HERE–––––––––––––––––––––––– Name (Please print):Period Ending: __ __ / __ __ / __ __ Hawaii State Tax I.D. Number: TA–__ __ __ –__ __ __ –__ __ __ __ –__ __ $ Line 1.Enter the net rental proceeds from your State Form TA-1 or TA-2, line 3,column c. . . . . . . $ Line 2.Enter the total fair market rental value from your State Form TA-1 or TA-2, line 7. . . . . . . . $ Line 3.Total subject to HCTAT. Add lines 1 and 2. Enter the total here.. . . . . . . . . . . . . . . . . . . . . . . $ Line 4.Multiply line 3 by 0.03 (3%) and enter your total HCTAT DUE. .. . . . . . . . . . . . . . . . .. . . . . . $ Line 5. Penalty and Interest . . . . . . . . . . . .. . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Line 6. Add line’s4 & 5 AMOUNT OF PAYMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Attach this voucher with check or money order payable to “DIRECTOR OF FINANCE” Write your name, “HCTAT”, the filing period, a contact phone number, and your Hawaii Tax I.D. Number on your check or money order. FormHCTAT-1(revised 9/2022)