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FORM                                 STATE OF HAWAII—DEPARTMENT OF TAXATION                                                              THIS SPTHIS SPACE FOR DATE RECEIVED STAMPACE FOR DATE RECEIVED STAMP

N-288C                  APPLICATION FOR TENTATIVE REFUND OF WITHHOLDING 
(REV. 2022)             ON DISPOSITIONS BY NONRESIDENT PERSONS OF HAWAII 
                                                    REAL PROPERTY INTERESTS

                                             For Tax Year Ending
                  (NOTE: References to “married” and “spouse” are also references to “in a civil union” and “civil union partner,” respectively.)
NOTE:  DO NOT file this form unless you have received notification from the Department of Taxation that we have received your 
              withholding payment.
Check only ONE box:                    Individual                Corporation                             Trust                     Partnership            Estate 
 Name                                                                              Last Name                                     Suffix        Your Social Security Number

 Spouse’s Name                                                                     Spouse’s Last Name                            Suffix        Spouse’s Social Security Number

 Name (Corporation, Partnership, Trust, or Estate)                                                                                             Federal Employer I.D. No.

 Trade Name/Doing Business As (DBA) Name or C/O                                                                                               Daytime Phone No.
                                                                                                                                               (    )
 Mailing Address (number and street)

 City or Province                                  State                                     Postal/ZIP Code                                  Country

Description of Hawaii real property transaction:                                                       b.   Location and general description of property
            a. Date of transfer (mm dd yyyy)                                                                 __________________________________________________
            c. Tax map key number                                                                            __________________________________________________
            d. County where property is located                                                              __________________________________________________
Was the property used at anytime as a rental?        Yes           No                   If yes, enter your Hawaii Tax I.D. Number: GE __ __ __ -__ __ __ -__ __ __ __ - __ __ 
and indicate the start date and end date of the rental activity: (month, day, year) ____________________ to (month, day, year) ____________________ 

1.  Enter the amount withheld on Form N-288A. (Attach a copy of Form N-288A) ................................................................                            1 •

2.  Sales price (Attach final sales statement) ......................................................................................................................... 2

3.  Purchase price of property (Attach final purchase statement) .........................................                      3
4.  Improvements (Attach schedule) ....................................              4
5.  Selling expenses .............................................................   5
6.  Other (Attach list and schedule) ......................................          6
7.          Total Additions — Add lines 4 thru 6.  ............................................................................ 7
8.  Depreciation (Attach schedule) .......................................           8
9.  Other (Attach list and schedule) ......................................          9
10.         Total Subtractions — Add lines 8 and 9.  ......................................................................     10

11.  Adjusted basis of property. (Line 3 plus line 7, minus line 10) ..........................................................................................          11

12. Gain. Line 2 minus line 11 (See Instructions for installment sales) ...................................................................................              12

13. Enter the tentative tax on the gain (See Instructions) .......................................................................................................       13 •

14.         REFUND of amount withheld. Line 1 minus line 13. (This line MUST be filled in.)  .......................................................                     14 •
                   I hereby declare under penalties provided by section  231-36, HRS, that I have examined this application and accompanying  attachments, and, to the best of my knowledge and 
                   belief, they are true, correct, and complete. 
Please 

Sign                 __________________________________    Signature                                  _________________________  Title (If applicable)   __________________Date 

Here                 __________________________________    Signature                                  _________________________  Title (If applicable)   __________________Date  

 N288C_I 2022A 01 VID01                                                                                                                          FORM N-288C (REV. 2022)
288CE3T4                                                                            ID NO 01

FORM N-288C INSTRUCTIONS 
(REV. 2022)                                                                                                                                                                     PAGE 2
                                                                                                                                  contracts, invoices, receipts, IRS Form 8824 for like-
General Instructions                                            Specific Instructions                                             kind exchange, depreciation schedule and any other 
Purpose of Form                                                 NOTE: Before you begin to fill in Form N-288C, you                supporting  documents.  You  must  also  report  all 
                                                                should review the notification you received from the              other Hawaii sourced income and Hawaii tax with-
   Use Form N-288C to apply for a refund of the amount          Department that we received your withholding pay-                 holdings, as well as any deductions or credits that 
withheld on dispositions by nonresident persons of Hawaii       ment to make sure that the information is correct. If             you may have.
real property interests which is in excess of the transferor/   any information is not correct, please return a cor-
seller’s tax liability for the transaction. It is not mandatory rected copy of the notification to the Department.                Enter the information describing the Hawaii real prop-
to file Form N-288C. Form N-288C should be filed if the                                                                           erty transaction. In b, enter the address and description of 
Hawaii income tax return (Form N-15, N-20, N-30, N-35,          At the top of Form N-288C, enter the taxable year end           - the property. In c, enter the tax map key number. In d  , en-
or N-40) for the year is not yet available. If available, the   ing of the transferor/seller.                                     ter the name of the county where the property is located.
transferor/seller should file the appropriate tax return in-    If your mailing address has changed, you must notify              Line 2. Enter the gross sales price. Attach a copy of your 
stead of filing Form N-288C. However, if the transferor/        the Department of the change by completing Form ITPS-             final sales statement.
seller’s tax year has not ended, the transferor/seller may      COA, Change of Address Form. Failure to do so may de-
file Form N-288C. Also, Form N-288C will be rejected if it      lay any important notices or correspondence to you.               Line 3. Enter the purchase price of the property. Attach a 
                                                                                                                                  copy of your final purchase statement.
is filed after the due date of the tax return.                  Enter  the  name,  address,  and  identification  number 
   IMPORTANT: If Form N-288C was filed, the trans-              (social security number or federal employer I.D. number),         Line 4. Cost on improvements of the property, if any. At-
   feror/seller  must  still  file  a  Hawaii  income  tax      if  any,  of  the  transferor/seller. The  name  and  identifica- tach schedule.
   return (Form N-15, N-20, N-30, N-35, or N-40) af-            tion number entered MUST be the same as the name and              Line 5. Selling expense (i.e. commissions, state transfer 
   ter the end of the taxable year, report the entire           identification number entered for the transferor/seller on        taxes, etc.).
   income for the year (from other sources as well              Form N-288A, or as corrected on the copy of the notifica-
   as the transaction), and pay any additional tax              tion you returned to the Department. If the transferor/sell-      Line 6. Other costs. Attach list and schedule.
   due on the income or request a refund. You must              er was issued an individual taxpayer identification number        Line 7. Add lines 4, 5 and 6.
   file the same filing status on Forms N-288C and              (ITIN) by the IRS, enter the ITIN.
   N-15.                                                        CAUTION:           You must provide a valid tax identifica-       Line 8. Depreciation. Attach schedule.
Who May File an Application                                     tion number in order for a tentative refund applica-              Line 9. Other subtractions. Attach list and schedule. Do 
                                                                tion to be processed. If you do not have one, you                 not include any carryforward losses, net operating losses, 
   The transferor/seller may file Form N-288C.                  must file a State income tax return (e.g., Form N-15)             suspended passive activity losses or IRC section 121 ex-
Where to Send Form N-288C                                       in order to obtain a refund, which can be filed only              clusion. These losses may be claimed on seller’s Hawaii 
                                                                after your taxable year has ended. Attach to Form                 income tax return for the year of sale.
   File Form N-288C with the Hawaii Department of Taxa-         N-288C a copy of the escrow closing documents or                  Line 10. Add lines 8 and 9.
tion (Department). See the bottom of page 2 for the mail-       other documents substantiating the amount of State 
ing address.                                                    income tax withheld, schedule of improvements with                Line 12. Line 2 minus line 11. If you are reporting the gain 
                                                                                                                                  under  the  installment  method,  attach  a  separate  sheet 
                                                                                                                                  showing the principal payments received during the tax-
                                                 Tax Rate Schedules                                                               able  year  and  the  gross  profit  percentage.  Multiply  the 
                                                       Schedule I                                                                 amount of the principal payments by the gross profit per-
        SINGLE INDIVIDUALS AND MARRIED INDIVIDUALS FILING SEPARATE RETURNS                                                        centage and enter the result on line 12.
If the taxable income is:                                          The tax shall be:                                              Line 13. If you are a C corporation, multiply line 12 by 4% 
Not over $2,400 ................................................................. 1.40% of taxable income                         and enter the result on line 13. If you are a person other 
Over $2,400 but not over $4,800 ....................................... $34.00 plus 3.20% over $2,400                             than a C corporation, you must use the tax rate schedules 
Over $4,800 but not over $9,600 ....................................... $110.00 plus 5.50% over $4,800                            to the left to determine the amount to enter on line 13.
Over $9,600 but not over $14,400 ..................................... $374.00 plus 6.40% over $9,600                             NOTE:    These  tax  rates  apply  to  long-term  capital 
Over $14,400 but not over $19,200 ................................... $682.00 plus 6.80% over $14,400                             gains. For short-term capital gains, use the tax rates 
Over $19,200 but not over $24,000 ................................... $1,008.00 plus 7.20% over $19,200                           in the income tax booklets to determine the amount to 
Over $24,000 ..................................................................... $1,354.00 plus 7.25% over $24,000              enter on line 13.
                                                       Schedule II                                                                For partnerships, S corporations, trusts, or estates, the 
MARRIED INDIVIDUALS FILING JOINT RETURNS AND CERTAIN WIDOWS AND WIDOWERS                                                          gain  on  line  12  must  be  allocated  among  each  partner 
If the taxable income is:                                          The tax shall be:                                              or member, S corporation shareholder, or beneficiary of 
Not over $4,800 ................................................................. 1.40% of taxable income                         the trust or estate (member). Calculate the tax liability for 
                                                                                                                                  each member. Enter the total tax liability of all members 
Over $4,800 but not over $9,600 ....................................... $67.00 plus 3.20% over $4,800                             on line 13. Attach a schedule showing the name, identi-
Over $9,600 but not over $19,200 ..................................... $221.00 plus 5.50% over $9,600                             fication number, and the amount of gain and tax liability 
Over $19,200 but not over $28,800 ................................... $749.00 plus 6.40% over $19,200                             allocated to each member. Also, show the computation of 
Over $28,800 but not over $38,400 ................................... $1,363.00 plus 6.80% over $28,800                           the tax liability for each member.
Over $38,400 but not over $48,000 ................................... $2,016.00 plus 7.20% over $38,400                           See federal Publication 523 for more information.
Over $48,000 ..................................................................... $2,707.00 plus 7.25% over $48,000
                                                                                                                                  Signature
                                                       Schedule III
                                                 HEAD OF HOUSEHOLD                                                                Form N-288C must be signed by an individual, a re-
If the taxable income is:                                          The tax shall be:                                              sponsible corporate officer, a member or general partner 
                                                                                                                                  of a partnership, or a trustee, executor, or other fiduciary 
Not over $3,600 ................................................................. 1.40% of taxable income                         of a trust or estate or by an authorized agent with a power 
Over $3,600 but not over $7,200 ....................................... $50.00 plus 3.20% over $3,600                             of attorney. If you file your income tax return as married 
Over $7,200 but not over $14,400 ..................................... $166.00 plus 5.50% over $7,200                             filing a joint return, your spouse must also sign this form.
Over $14,400 but not over $21,600 ................................... $562.00 plus 6.40% over $14,400                             NOTE: Incomplete forms will be returned to the trans-
Over $21,600 but not over $28,800 ................................... $1,022.00 plus 6.80% over $21,600                           feror/seller. Please fill out all items.
Over $28,800 but not over $36,000 ................................... $1,512.00 plus 7.20% over $28,800
Over $36,000 ..................................................................... $2,030.00 plus 7.25% over $36,000

                                                                                   MAILING ADDRESS
                                                                HAWAII DEPARTMENT OF TAXATION
                                                                                   P. O. BOX 1530
                                                                   HONOLULU, HAWAII 96806-1530