STATE OF HAWAII—DEPARTMENT OF TAXATION
Clear Form
FORM
THIS SPACE FOR DATE RECEIVED STAMP
STATEMENT OF WITHHOLDING ON
N-288A
DISPOSITIONS BY NONRESIDENT PERSONS
(Rev. 2015)
OF HAWAII REAL PROPERTY INTERESTS
2016
Copy A
For State of Hawaii, Department of Taxation.
NFF151
See Instructions on back of this copy.
1. Description and location of property transferred (Include tax map key number)
6. Transferor/Seller is:
An individual or revocable living trust
A partnership
A corporation
An S corporation
2. Date of transfer or installment
3. Amount realized (Your share
A trust or estate
payment date
of sales or contract price)
7. If the transferor/seller is reporting
8. Hawaii income tax withheld
the gain under the installment
(Your share of tax withheld)
method, check box
4. Transferee/Buyer’s I.D. no. (SSN or FEIN)
9. Transferor/Seller’s I.D. no. (SSN
10. Spouse’s SSN
or FEIN) (Enter only one I.D. no.)
5. Transferee/Buyer’s name
11.Name of transferor/seller (Enter
12. Spouse’s Name
only one name. See Instructions.)
Street address
Transferor/Seller’s street address
City, state, and postal/ZIP code
City, province or state, postal/ZIP code, and country
THIS FORM IS TO BE USED FOR TRANSFERS OR PAYMENTS MADE IN 2016 ONLY.
ATTACH COPY A OF FORM(S) N-288A AND YOUR CHECK OR MONEY ORDER TO FORM N-288 (Payable to “Hawaii State Tax Collector”)
FORM N-288A
STATE OF HAWAII—DEPARTMENT OF TAXATION
FORM
THIS SPACE FOR DATE RECEIVED STAMP
STATEMENT OF WITHHOLDING ON
N-288A
DISPOSITIONS BY NONRESIDENT PERSONS
(Rev. 2015)
OF HAWAII REAL PROPERTY INTERESTS
2016
Copy A
For State of Hawaii, Department of Taxation.
NFF151
See Instructions on back of this copy.
1. Description and location of property transferred (Include tax map key number)
6. Transferor/Seller is:
An individual or revocable living trust
A partnership
A corporation
An S corporation
2. Date of transfer or installment
3. Amount realized (Your share
A trust or estate
payment date
of sales or contract price)
7. If the transferor/seller is reporting
8. Hawaii income tax withheld
the gain under the installment
(Your share of tax withheld)
method, check box
4. Transferee/Buyer’s I.D. no. (SSN or FEIN)
9. Transferor/Seller’s I.D. no. (SSN
10. Spouse’s SSN
or FEIN) (Enter only one I.D. no.)
5. Transferee/Buyer’s name
11.Name of transferor/seller (Enter
12. Spouse’s Name
only one name. See Instructions.)
Street address
Transferor/Seller’s street address
City, state, and postal/ZIP code
City, province or state, postal/ZIP code, and country
THIS FORM IS TO BE USED FOR TRANSFERS OR PAYMENTS MADE IN 2016 ONLY.
ATTACH COPY A OF FORM(S) N-288A AND YOUR CHECK OR MONEY ORDER TO FORM N-288. (Payable to “Hawaii State Tax Collector”)
FORM N-288A