FORM TA-2                                                                                                                               STATE OF HAWAII — DEPARTMENT OF TAXATION  
                                     (Rev. 2022)                                                                                                                                                                                                                                                          DO NOT WRITE IN THIS AREA       26
                                                                                                                                                                             TRANSIENT ACCOMMODATIONS TAX 
                                                                                                                                                         ID NO 01            ANNUAL RETURN & RECONCILIATION
                                                                                                                                                                             For Tax Years Ending After December 31, 2017
                                     TA2_I 2022A 01 VID01

                                                                                                                                                    Place an “X” in this box ONLY if this is an AMENDED return
                                                                                                                                                                             (mm dd yy)

                                                                                                                                  TAX YEAR ENDING                                                           HAWAII TAX I.D. NO.           TA

                                                                                                                                  NAME:____________________________________                                                Last 4 digits of your FEIN or SSN    
                                                                                                                                                                             Column a                                      Column b                                                                                    Column c
                                                                                                                                                      DISTRICT               GROSS RENTAL OR                               EXEMPTIONS/DEDUCTIONS                                                                 TAXABLE PROCEEDS
                                                                                                                                                                              GROSS RENTAL PROCEEDS                        (Explain on Reverse Side)                                                             (Column a minus Column b)

                                                                                                                                                    1.  OAHU                                                                                                                                                                                 1
                                                                                                                                                                                                  .                                       .                                                                                         .
                                                                                                                                                    2. MAUI, MOLOKAI, LANAI                                                                                                                                                                  2
                                                                                                                                                                                                  . .                                     . .                                                                                       . .

                                                                        PART I — TRANSIENT                                                          3.  HAWAII                                    . .                                     . .                                                                                       . .      3
                                                                                                                                  ACCOMMODATIONS TAX
                                                                                                                                                    4.  KAUAI                                                                                                                                                                                4
                                                                                                                                                                                                  . .                                     . .                                                                                       .
                                                                                                                                                                                                                                                                                                              TOTAL FAIR MARKET RENTAL VALUE
                                                                                                                                                    5. OAHU DISTRICT  ...................................................................................................................... 5. 
                                                                                                                                                                                                                                                                                                                                    . .
                                                                                                                                                    6. MAUI, MOLOKAI, LANAI DISTRICT  ......................................................................................... 6. 
                                                                                                                                                                                                                                                                                                                                    . .
                                                                                                                                                    7. HAWAII DISTRICT  .................................................................................................................... 7. 
                                                                                                                                  OCCUPANCY TAX                                                                                                                                                                                     . .
                                                    PART II — TIMESHARE 
                                                                                                                                                    8. KAUAI DISTRICT  ...................................................................................................................... 8. 
                                                                                                                                                                                                                                                                                                                                    . .
                                                                                                                                    9.                 TOTAL AMOUNT TAXABLE. Add Column c of lines 1 through 4 and lines 5 through 8. 
                                                                                                                                                       Enter result here (but not less than zero). .......................................................................................................9. 
                                                                                                                                                                                                                                                                                                                                    . .
                                                                                                                                   10.                 Tax Rate                                                                           10.                                                                                  x0.1025
                                                                                                                                   11.                 TOTAL TAXES DUE. Multiply line 9 by line 10 and enter the result here. If you did  
                                     PART III — TAX                                                                               COMPUTATION          not have any activity for the year, enter “0.00” here .......................................................... 11. 
• ATTACH CHECK OR MONEY ORDER HERE •                                                                                                                                                                                                                                                                                                . .
                                                                                                                                                                                                  PENALTY    
                                                                                                                                  12.                 Amounts assessed during the year...                                      . .
                                                                                                                                                                                                                                          12. 
                                                                                                                                                                                                  INTEREST                     . .                                                                                                  . .
                                                                                                                                   13.                 TOTAL AMOUNT.  Add lines 11 and 12.  .......................................................................... 13. 
                                                                                                                                                                                                                                                                                                                                    . .
                                                                                                                                   14.  TOTAL PAYMENTS MADE LESS ANY REFUNDS RECEIVED FOR THE TAX YEAR. .......... 14. 
                                                                                                                                                                                                                                                                                                                                    . .
                                                                                                                                   15.                CREDIT CLAIMED ON ORIGINAL ANNUAL RETURN (For Amended Return ONLY) ............ 15. 
                                                                                                                                                                                                                                                                                                                                    . .
                                                                                                                                   16.                 NET PAYMENTS MADE. Line 14 minus line 15 ...................................................................... 16. 
                                                                                                                                                                                                                                                                                                                                    . .
                                                                                                                                   17.                 CREDIT TO BE REFUNDED.  Line 16 minus line 13 .............................................................. 17. 
                                                                                                                                                                                                                                                                                                                                    . .
                                                                                           PART IV — ADJUSTMENTS & RECONCILIATION  18.                 ADDITIONAL TAXES DUE.  Line 13 minus line 16  ................................................................ 18. 
                                                                                                                                                                                                                                                                                                                                    . .
                                     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 tax period stated, pursuant to the 
                                                                                                                                                        Transient Accommodations Tax Laws, and the rules issued thereunder.
                                                                                                                                                        IN THE CASE OF A CORPORATION OR PARTNERSHIP, THIS RETURN MUST BE SIGNED BY AN OFFICER, PARTNER OR MEMBER, OR DULY AUTHORIZED AGENT.
                                                                                                                                                        SIGNATURE                                 TITLE                        DATE                                                                                    DAYTIME PHONE NUMBER 

                                                                                                                                                                Continued on page 2 — Parts V, VI & VII MUST be completed                                                                                                      Form TA-2       
                                     TA21E3T4                                                                                                                                                                                                                                                                                  (Rev. 2022)  
                                                                                                                                                                                                                                                                                                                                            26

                                                   FORM TA-2 
                                                   (Rev. 2022)                         Name:___________________________________________________

                                                                                       Hawaii Tax I.D. No.   

                                                   TA2_I 2022A 02 VID01                Last 4 digits of your FEIN or SSN                                                                          TAX YEAR ENDING
                                                                                                                                                                                                                                      
                                                                                19. FOR LATE                                    PENALTY       
                                                                                                                                                                              . .
                                                                                                                                                                                                                                 19. 
                                                                                    FILING ONLY                                 INTEREST          
                                                                                                                                                                               . .                                                              . .
                                                                                20. TOTAL AMOUNT DUE AND PAYABLE.  Add lines 18 and 19 ......................................................20. 
                                                                                21.  PLEASE ENTER THE AMOUNT OF YOUR PAYMENT.  Attach a check or money order                                                                                    . .
                                                                                    payable to “HAWAII STATE TAX COLLECTOR” in U.S. dollars drawn on any U.S. bank. Write “TA” 
                                                                                    the filing period, your Hawaii Tax I.D. No., and a daytime phone number on your check or money  
                                                                                    order. Mail to: HAWAII DEPARTMENT OF TAXATION, P.O. BOX 1425, HONOLULU, HI 96806- 
                                                                                    1425hitax.hawaii.gov If.you are NOT submitting a payment                                                                                                                         or file and pay electronically at 
                                                     PART V — TOTAL AMOUNT DUE      enter “0.00” here. ..........................................................................................................................21. 
                                                                                                                                                                                                                                                . .

                                                                                                      PART VI — SCHEDULE OF EXEMPTIONS/DEDUCTIONS
                                                   Note: Most ordinary business expenses are NOT DEDUCTIBLE (e.g., materials, supplies, etc.) on your transient accommodations tax return. For more information, see 
                                                   the Form TA-2 Instructions.
                                                                               You must explain your exemptions and deductions, otherwise they will be disallowed and you will owe more taxes. 
                                                     DISTRICT / ED CODE                 AMOUNT                                  DISTRICT / ED CODE AMOUNT                                          DISTRICT / ED CODE                 AMOUNT

                                                                                                       .                                                                    .                                                                     .
                                                                                                       .                                                                    .                                                                     .
                                                                                                       .                                                                    .                                                                     .
                                                                                                       .                                                                    .                                                                     .
is needed, abovemoreamounts space If the inGrand Total of Exemptions and Deductions — Add                                                                                                                                                                                                              here.       Part VI and enter 
                                                   attach a schedule. Include the total deductions claimed from any attachments in this total. (See Instructions) .........................                                                       .
                                                   Additional Instructions for Exemptions/Deductions (ED)
                                                   For each exemptions/deductions you have claimed, enter: 
                                                                               1.  For the “DISTRICT” column, enter the number that represents the Tax District from which the income was earned.  
                                                                               1 = Oahu; 2 = Maui; 3 = Hawaii; and 4 = Kauai
                                                                               2.  For the ED Code please see the list of codes below and enter the corresponding Exemption/Deduction code. 
                                                                               3.  Enter your total amount of the exemption/deduction claimed for that District and ED Code.
                                                                               Example:  Taxpayer A received gross rental proceeds of $2,000.00 from the Consul General of the Philippines for lodging on Maui. Taxpayer A 
                                                                                       enters the following to justify the deduction entered in Part I, Line 2, Column b of the Transient Accommodations Tax Return:
                                                                                                                          DISTRICT / ED CODE       AMOUNT
                                                                                                                                  2 1 1 0               2 0 0 0 . 0 0
                                                                                                                                
                                                   Description (HRS)                                  ED Code                  Description (HRS)         ED Code                                  Description (HRS)                   ED Code
                                                   Complimentary Accommodations (§237D-3(7)) .....100                          Nonprofit Organization, Lodging provided by a                      Temporary Lodging Allowance for military 
                                                   Diplomats and Consular Officials (§237D-3(8)) ......110                      (§237D-3(3)) .................................................140  (§237D-3(4)) .................................................180
                                                   Federal or state subsidized lodging                                         School Dormitories (§237D-3(2)) .......................150         Working Fringe Benefit (§237D-3(7)) ................190
                                                     (§237D-3(5)) .................................................120         Students —  
                                                   Health care facilities defined in HRS§321-11(10)                             Full-time Post-secondary (§237D-3(6)) ........160 
                                                     (§237D-3(1)) .................................................130          Summer Employment (§237D-3(6)) .............170

                                                                                       PART VII — RECONCILIATION OF GROSS RENTAL OR GROSS RENTAL PROCEEDS
                                                                               AMOUNT
                                                                                           1.  Gross rental or gross rental proceeds — Total of Part I, Column a, lines 1 through 4.  (Note: Does NOT include 
                                                                                                      general excise taxes visibly passed on or transient accommodations taxes visibly passed on.)
                                                                                           2.  Total general excise taxes visibly passed on.
                                                                                       .
                                                                                           3.  Add lines 1 and 2.  This amount is your gross proceeds from furnishing transient accommodations that are 
                                                                                       .              reportable on line 13, column c of your General Excise/Use Tax Annual Return & Reconciliation (Form G-49).

                                                   TA22E3T4                                                                     ID NO 01                                                                                              Form TA-2                      
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