Form G-37 - Schedule A - General Excise/use Tax Exemption For Certified Or Approved Housing Projects - List Of Unlicensed Suppliers And Subcontractors

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SCHEDULE A

FORM G-37

(REV. 2011)

STATE OF HAWAII – DEPARTMENT OF TAXATION

General Excise/Use Tax Exemption For Certified or Approved Housing Projects

Schedule A – List of Unlicensed Suppliers and Subcontractors

Attach additional sheets if necessary.

Submit this form with Form G-37.

Name as Shown on Form G-37

Hawaii Tax Identification No.

Date

W __ __ __ __ __ __ __ __ - __ __

Project Name

USE Tax

No.

Name and Address of Company

Type of Business

Effective Date

Landed Value*

Exemption

Amount**

Total Use Tax exemption amount. Also enter this amount on Form G-37.

If an unlicensed seller listed above is determined by the Department of Taxation to be subject to Hawaii’s General Excise Tax on any part of the amount

of the sale of tangible personal property, services, or contracting described above, the unlicensed seller may use a copy of this Schedule A as evidence

of exemption certification of that portion of the unlicensed seller’s sale to the qualified entity of the property, services, or contracting qualifying for the

exemption under sections 237-29 and 238-3(j), Hawaii Revised Statutes.

“Landed Value” means the value of imported tangible personal property which is the fair and reasonable cash value of the tangible personal property

when it arrives in Hawaii. It includes the purchase price, shipping and handling fees, insurance costs, and customs duty. It does not include sales tax

paid to another state.

** The exemption applies to the tangible personal property, services, or contracting purchased from the unlicensed seller which will be used for a

qualified project. If a portion of the tangible personal property, services, or contracting is used for other than a qualified project, the exemption is limited

to qualifying purchases for qualified projects.

SCHEDULE A

FORM G-37