FORM TA-1 (REV. 2015)
PAGE 2
Name
Hawaii Tax I.D. Number
Period Ending (MM/YY)
PART VI — TIMESHARE OCCUPANCY TAX
(To be completed by Plan Managers ONLY)
TOTAL FAIR MARKET
TAXATION
TAXES
RATE
RENTAL VALUE
(b)
(c)
DISTRICT
(a)
For Periods ending BEFORE January 1, 2016
QBF152
24
OAHU
.0725
24
25
MAUI, MOLOKAI, LANAI
.0725
25
26
HAWAII
.0725
26
27
KAUAI
.0725
27
For Periods beginning AFTER December 31, 2015 and ending BEFORE January 1, 2017
28
OAHU
.0825
28
29
MAUI, MOLOKAI, LANAI
.0825
29
30
HAWAII
.0825
30
31
KAUAI
.0825
31
For Periods beginning AFTER December 31, 2016
32
OAHU
.0925
32
33
MAUI, MOLOKAI, LANAI
.0925
33
34
HAWAII
.0925
34
35
KAUAI
.0925
35
Total Timeshare Occupancy Tax. Add column (c) of lines 24
36
thru 35. Enter here and on Part IV, line 13 . . . . . . . . . .
36
PART VII — EXEMPTIONS AND/OR DEDUCTIONS
LIST DETAILS CONCERNING “EXEMPTIONS” AND/OR “DEDUCTIONS” CLAIMED.
Amounts claimed as an exemption or deduction must be explained; otherwise, the amounts claimed will be disallowed and proposed assessments
prepared against you. If any of these exemptions or deductions are claimed in Column (b) on the front page, you must itemize them in the spaces
provided below. Refer to the SCHEDULE OF TRANSIENT ACCOMMODATIONS TAX EXCLUSIONS, EXEMPTIONS, AND DEDUCTIONS in Form TA-1
Instructions for further information about exemptions and deductions.
AMOUNT
OAHU
AMOUNT
MAUI, MOLOKAI, LANAI
AMOUNT
HAWAII
AMOUNT
KAUAI
AMOUNT
GRAND TOTAL EXEMPTIONS and/or DEDUCTIONS (Enter here and on line 23, front page.)
(NOTE: If additional space is needed, please attach schedule.)