HomeMy WebLinkAboutHTAT-3 Bulk Filers Authorization Form Revised February 2025FORM HTAT-3 (Revised 2/2025)
PART IV
FORM
HTAT-3
(Revised 2/2025)
COUNTY OF HAWAI'I — DEPARTMENT OF FINANCE
INTERNAL CONTROL & TRANSIENT ACCOMMODATIONS TAX DIVISION
HTAT Reporting Agent Authorization
PART I TAXPAYER INFORMATION ☐ New Authorization ☐ Updated Authorization
Taxpayer’s Name Hawaiʻi TAT Identification Number
Trade Name or Doing Business as (DBA) Name FEIN/SSN
C/O Contact Name
Mailing Address (Number and Street) Contact Daytime Telephone Number
( )
City, State, and Postal/ZIP Code Contact Fax Number
( )
Contact E-mail Address
PART II REPORTING AGENT INFORMATION
Reporting Agent’s Name (Name of company or business) Authorized Representative’s Name
Reporting Agent’s Mailing Address (Number and Street) Representative’s Hawaiʻi VPID Number
City, State, and Postal/Zip Code Representative’s Daytime Telephone Number
( )
PART III AUTHORIZATION TO DISCUSS AND PAY TAX RETURNS APPLICABLE TO HCTAT
The Reporting Agent and the above named Authorized Representative are authorized to discuss and pay the Hawaii County Transient Accommodations
Tax (HCTAT) in connection with the below indicated tax returns:
TA-1, Transient Accommodations Tax Periodic Tax Return..................................... for the period beginning
TA-2, Transient Accommodations Tax Annual Return & Reconciliation ..................... for the period beginning Authorize Reporting Agent to Sign Refund Request ………………………………….for the period beginning ______________________________
Authorize Reporting Agent to receive communication including: HCTAT Statements, emails, mailings, announcements, etc. in regards to
reporting periods listed above.
AUTHORIZATION AGREEMENT
Please read the following Authorization Agreement:
The above-named taxpayer understands the following responsibilities: • The above-named taxpayer is responsible for the actions of the Reporting Agent and the above-named Authorized Representative in connection with (a) the above indicated tax returns filed and (b) the related payments made;
• All tax returns must be timely filed and all taxes must be timely paid; and
• All filed tax returns are true, correct, and complete by the above-named taxpayer.
The failure of the Reporting Agent and the above-named Authorized Representative to comply with tax laws shall not absolve the above-named
taxpayer of its responsibilities to comply with tax laws. The Reporting Agent and the above-named Authorized Representative are authorized to may
payments and discuss account information in regards to Hawaiʻi County Transient Accommodations Taxes in connection with the above indicated tax returns
for the above-named taxpayer. This authorization applies to the above indicated tax returns and related payments beginning with the indicated tax period
and remains in effect until the above-named taxpayer notifies the Hawaiʻi County Transient Accommodations Tax Office. I authorize the County of
Hawai'i, Department of Finance, to disclose otherwise confidential tax information to the Reporting Agent and the above-named Authorized
Representative in connection with the transmission of the above indicated tax returns and related payments. I hereby certify under the penalties
of perjury that I have the authority to authorize, on behalf of the above-named taxpayer, the Reporting Agent and the above-named Authorized
Representative (a) to discuss the above indicated tax returns, (b) to make payments in connection with the above indicated tax returns, and (c) to
receive confidential information in connection with the transmission of the above indicated tax returns and related payments.
Taxpayer Signature Date
Print Name Title
FORM HTAT-3 (Revised 2/2025)
FORM HTAT -3
(Revised 2/2025) PAGE 2
GENERAL INSTRUCTIONS
PURPOSE OF THIS FORM
Use Form HTAT-3 to designate and authorize a
Reporting Agent and an Authorized Representative to
discuss and pay tax returns for the Transient
Accommodations Tax (Form TA-1 and Form TA-2)
attributable to the County of Hawai'i in connection with the
HCTAT Bulk Filers Program (BFP).
The County of Hawai'i Department of Finance’s BFP will
allow approved reporting agents to make bulk payments
using the Automated Clearing House (ACH) method and
submit an Excel worksheet with detailed payment
information.
WHERE TO FILE THIS FORM
Once you complete and sign this form, give it to your
Reporting Agent. The Reporting Agent must provide this
form to Hawaiʻi County TAT office prior to making the first
HCTAT Payment. The Reporting Agent should provide this
form prior to making payments on your behalf.
WHERE TO OBTAIN INFORMATION
REGARDING BULK FILING
The Reporting Agent must obtain a completed Form
HTAT-3 from you before making a payment to HCTAT on
your behalf. Reporting Agents approved for the Bulk Filer
Program will receive a Bulk Filers Program ID number upon
approval of the Hawaiʻi County’s Bulk Filer Program.
For information about the Bulk Filers Program contact:
COUNTY OF HAWAI'I
DEPARTMENT OF FINANCE
IC & TAT OFFICE
25 AUPUNI STREET, STE 1101
HILO HI 96720
Phone: (808) 961-8793
Website: www.hawaiicounty.gov/tat
E-mail: hawaiicountytatbulkfilers@hawaiicounty.gov
SPECIFIC INSTRUCTIONS
PART I, TAXPAYER INFORMATION. Check New
Authorization or Updated Authorization, whichever applies to
the Taxpayer. Enter the taxpayer’s information (as
applicable). For example, a taxpayer authorizing the
designated Reporting Agent and Authorized Representative
to sign and file Form TA-1 would enter the taxpayer’s name,
Hawaiʻi TAT ID number, mailing address, and contact
information.
PART II, REPORTING AGENT INFORMATION. Enter the
designated Reporting Agent’s name and mailing address.
Also enter the Authorized Representative’s name, Hawaiʻi
VPID number, and daytime telephone number including
area code. Form HTAT-3 must be completed for each
individual who is an authorized representative of the
taxpayer.
Authorized representatives MUST register for a Hawaiʻi
VPID number online at hitax.hawaii.gov. There is no fee for
this registration. For more information, see State of Hawaii
Department of Taxation Announcement No. 2017-03,
Verified Practitioner Registration and Representing
Taxpayers before the Department, which may be found at:
https://files.hawaii.gov/tax/news/announce/ann17-03.pdf.
PART III, AUTHORIZATION TO DISCUSS AND PAY TAX
RETURNS APPLICABLE TO HCTAT.
Check all applicable boxes to indicate which tax returns you
are authorizing your Reporting Agent and Authorized
Representative to discuss and pay HCTAT on your behalf.
Then enter the date (MM/DD/YYYY) from which this
authorization begins. If you are authorizing your Reporting
Agent to sign for refunds on your behalf, please also check
that box. If you are allowing your Reporting Agent to receive
communications indicated, please check that box.
PART IV, AUTHORIZATION AGREEMENT.
Carefully read the authorization agreement and sign, date,
and print name and title. This form must be signed. This
form is not valid if it is not signed.
Note: This authorization agreement authorizes the
Reporting Agent and Authorized Representative to
discuss e-file return and payment procedures only. This
designation is not a power of attorney and does not replace
State of Hawaii's Department of Taxation Form N-848,
Power of Attorney.