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CLAIM FOR SOLAR WATER HEATER TAX CREDIT
Mailing Address
Business Phone Residence Phone
1. Installation date of solar water heater on property:
2. Final Inspection Date by
County of Hawai‘i:
3.
County of Hawai‘i Final Inspection Form
Attached: [ ]
I certify that I own this parcel in accordance with Section 19-104, Chapter 19 and that a permitted
solar water heater was installed on the property EHWZHHQ January 1, 2008DQG'HFHPEHU
I understand that any misstatement of facts will be grounds for disqualification and penalty.
Signature of Claimant
Date
The deadline to file this claim is on or before September 30
preceding the tax year for which such credit
is being claimed. Please submit the completed claim form with a copy of the final inspection form to:
(FOR TAX OFFICE USE ONLY)
Received By (U.S. Postmark):
By:
Tax Credit Applied to Tax Year
Input Date:
By:
CASE NO. EX CD
TAX MAP KEY/PARCEL ID
ISLE Z S PLAT PARCEL CPR
C
OUNTY OF HAWAI‘I
R
EAL PROPERTY TAX DIVISION
Hawai‘i County is an Equal Opportunity Provider and Employer
Real Property Tax Division – Hilo Office
101 Pauahi Street Suite No. 4
Hilo HI 96720
Real Property Tax Division – Kona Office
74-5044 Ane Keohokalole Hwy., Bldg. D, 2nd Flr.
Kailua Kona HI 96740

Aupuni Center 101 Pauahi Street Suite No. 4 Hilo, Hawai‘i 96720 Fax (808) 961-8415 
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3/($6(5($',16758&7,216
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Appraisers (808) 961-8354 Clerical (808) 961-8201 Collections (808) 961-8282
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West Hawai‘i Civic Center
74-5044 Ane Keohokalole Hwy. Bldg. D, 2nd Flr. Kailua Kona, Hawai‘i 96740

7+,6)250
Fax (808) 327-3538
Appraisers (808) 323-4881 Clerical (808) 323-4880
CASE NO._______________
STREET ADDRESS:
MAILING ADDRESS:
T
(Print Claimant's Name)
3
SOLAR WATER HEATER TAX CREDIT
1. An owner of real property that has a single-family dwelling, ohana dwelling, farm dwelling,
duplex, or double-family dwelling unit(s) and who installs a SHUPLWWHGsolar water heater on the
owner’s propertyJanuary 1, 2008DQG'HFHPEHU shall be entitled to a one-time tax
credit per tax map key of up to $00 against the owner’s real property tax liability, except for
the minimum tax from all propertytaxes.
2. The credit shall be claimed against real property tax liability for the tax year immediately
following approval of the application for the credit. The tax credit shall entitle the owner to a credit
only for the single tax year. There shall be no carryover tax credit.
INSTRUCTIONS
1. Fill in the tax map key/parcel ID of your property.
2. Complete the claim form and submit a copy of the County of Hawai‘i Final Inspection form
issued by the County of Hawai‘i, Department of Public Works, Building Division.
3. Deliver or mail the claim form on or before September 30 with the supporting documentation
to:
Real Property Tax Division - Hilo Office Real Property Tax Division - Kona Office
101 Pauahi Street Suite 4 74-5044 Ane Keohokalole Hwy., Bldg. D, 2nd Flr.
Hilo HI 96720 Kailua Kona HI 96740
Telephone: (808) 961-8201 Telephone: (808) 323-4880
4. Claim forms are available at the Real Property Tax Division’s Hilo office, Kona office or on the
website at www.hawaiipropertytax.com.