Form Ta-2 - Transient Accommodations Tax Annual Return & Reconciliation

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STATE OF HAWAII — DEPARTMENT OF TAXATION
FORM TA-2
DO NOT WRITE IN THIS AREA
26
(REV. 1998)
TRANSIENT ACCOMMODATIONS TAX
ANNUAL RETURN & RECONCILIATION
FOR CALENDAR YEAR _____
OR FISCAL YEAR ENDING ____/____/____
T.A. REG. NO. __ __ __ __ __ __ __ __
NAME:
THIS ANNUAL RETURN MUST BE FILED ON OR BEFORE THE TWENTIETH DAY OF THE FOURTH MONTH
FOLLOWING THE CLOSE OF THE CALENDAR OR FISCAL YEAR.
GROSS RENTAL PROCEEDS OR
EXEMPTIONS/DEDUCTIONS
DISTRICT
TAXABLE PROCEEDS
RATE
TAXES
GROSS RENTAL
(EXPLAIN ON REVERSE SIDE)
a
b
c
d
TAXATION DISTRICT 1
1
.0725
1
(OAHU)
TAXATION DISTRICT 2
2
.0725
2
(MAUI, MOLOKAI, LANAI)
TAXATION DISTRICT 3
3
.0725
3
(HAWAII)
TAXATION DISTRICT 4
4
.0725
4
(KAUAI)
TOTAL TAXES DUE
IF YOU DO NOT HAVE ANY GROSS RENTAL PROCEEDS, AND THE RESULT IS
5
5
(ADD LINES 1 — 4)
NO TAX DUE, ENTER “0" IN EACH COLUMN FOR THE APPLICABLE TAX
6
PENALTY
6
DISTRICT(S) AND ON LINES 5 AND 18.
7
INTEREST
7
TOTAL AMOUNT DUE
8
8
(ADD LINES 5, 6, and 7; ENTER AMOUNT HERE.)
TOTAL TAXES PAID ON MONTHLY, QUARTERLY, OR SEMIANNUAL RETURNS
9
9
9
FOR THE PERIOD. PART III ON REVERSE SIDE MUST ALSO BE COMPLETED.
ADDITIONAL ASSESSMENTS PAID FOR THE PERIOD,
10
10
10
IF INCLUDED ABOVE.
PENALTIES $ ______________ INTEREST $ ______________ PAID DURING
11
11
11
THE PERIOD.
12
TOTAL PAYMENTS MADE (ADD LINES 9, 10, and 11)
12
13
CREDIT TO BE REFUNDED (LINE 12 MINUS LINE 8)
13
14
TAXES DUE (LINE 8 MINUS LINE 12)
14
15a Penalty
FOR LATE FILING ONLY
15
15b Interest
16
TOTAL AMOUNT NOW DUE AND PAYABLE (ADD LINES 14 AND 15)
16
PLEASE ENTER AMOUNT OF YOUR PAYMENT
17
17
(PAY IN U.S. DOLLARS ONLY)
18
GRAND TOTAL EXEMPTIONS/DEDUCTIONS FROM BACK OF FORM
18
MAKE CHECK PAYABLE TO
HAWAII STATE TAX COLLECTOR
IN U.S. DOLLARS DRAWN ON ANY U.S. BANK
WRITE YOUR T.A. REGISTRATION NUMBER ON THE CHECK
DECLARATION: I declare, under the penalties set forth in section 231-36, HRS, that this return, including any
accompanying schedules or statements, has been examined by me and, to the best of my knowledge and belief, is a
true, correct, and complete return, made in good faith for the taxable period stated, pursuant to the Transient
Accommodations Tax Law, Chapter 237D, HRS. I also reaffirm my statements on my operator’s registration (as
amended).
A CORPORATION OR PARTNERSHIP TAX RETURN MUST BE SIGNED BY AN OFFICER, PARTNER OR MEMBER, OR DULY AUTHORIZED AGENT OF SUCH ENTITY.
SIGNATURE
TITLE
DATE
— MAILING ADDRESSES —
OAHU DISTRICT OFFICE
MAUI DISTRICT OFFICE
HAWAII DISTRICT OFFICE
KAUAI DISTRICT OFFICE
THIS SPACE FOR DATE RECEIVED STAMP
P.O. BOX 2430
P.O. BOX 1427
P.O. BOX 937
P.O. BOX 1687
26
HONOLULU, HI 96804-2430
WAILUKU, HI 96793-6427
HILO, HI 96721-0937
LIHUE, HI 96766-5687
FORM TA-2

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