Rp Form 19-71 Claim For Home Exemption Page 2

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HOME EXEMPTION
You are entitled to the home exemption if the following requirements are met:
1.
The property is owned and occupied as your principal home more than 200 calendar days of a calendar year. The term "principal
home" is defined as the place where an individual has a true, fixed, permanent home and principal establishment and to which place
the individual has whenever absent, the intention of returning. It is the place in which a person has voluntarily fixed habitation, not for
mere special, temporary or vacation purposes, but with the intention of making a permanent home.
The ownership is recorded at the Bureau of Conveyances or Land Court in Honolulu on or before December 31 preceding the tax year
2.
for which the exemption is claimed or by June 30. All leases must be for a term of ten years or more and recorded at the Bureau of
Conveyances in order for the lessee to qualify for the home exemption. In the case of Hawaiian Homestead Land, either lessee and/or
spouse shall be entitled to the home exemption. Proof of marriage must be submitted for the non-Hawaiian spouse claiming the home
exemption.
You file a claim for home exemption, RP Form 19-71, with the Real Property Tax Division on or before December 31 preceding the tax
3.
year for the first half payment or June 30 for the second half payment.
4.
You have filed a State of Hawai‘i Resident Income Tax Return (N-11 or N-13) within the last 12 months or have requested a waiver
from this requirement for one of the following reasons: You are a new resident to the State of Hawai‘i and will file a State of Hawai‘i
Resident Income Tax Return (N-11 or N-13) within the next 12 months or You are not required to file under State of Hawai‘i Income
Tax Law and not required to file income tax in any other jurisdiction other than at the U.S. Federal level and understand that you are
required to refile this waiver every three (3) years. The social security number and date of birth as provided will be used to confirm
compliance with this requirement. Failure to provide this information will result in the disqualification of this application and the
benefits of the home exemption.
INSTRUCTIONS
1.
Fill in the tax map key/parcel ID of your property.
2.
Complete the claim form and submit a photocopy of your proof of age. Acceptable proof includes driver’s
license, state identification, birth certificate, or other government or legal document.
3.
Claim forms are available at the Real Property Tax Division Hilo Office, Kona Office, or the website at
4.
Deliver or mail the claim form with supporting documentation to:
Real Property Tax Division
Real Property Tax Division
Aupuni Center
West Hawai'i Civic Center
74­5044 Ane Keohokalole Hwy Bldg. D 2nd Flr.
101 Pauahi Street, Suite No. 4
Kailua­Kona, HI 96740
Hilo, HI 96720
Telephone: (808) 323­4880
Telephone: (808) 961­8201
SOCIAL SECURITY NUMBER
The social security number is required for the purpose of verifying the identity of the claimant, spouse, and State of Hawai‘i Resident
Income Tax Return filing status as required by Chapter 19-71(e)(1)(D), of the Hawai‘i County Code as revised. The requirement is
authorized under the Federal Social Security Act (42 U.S.C.A. Sec. 405 (c)(2)(C)). Disclosure is for the purpose of this exemption and
social security numbers will not be subject to public access. Failure to provide the last four digits of all applicant's social security
numbers will result in the disqualification of the Homeowner's Exemption benefit.
PLOT PLAN
Draw a plot plan if there is more than one dwelling unit on the property. Please show the dwelling location along with date built,
approximate size, one or two story, and adjacent roadway. Designate which building is your residence, the relationship of the
occupants of the other dwelling(s) and if it is rented.

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