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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, 2008DQG'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
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
3/($6(5($',16758&7,216
Appraisers (808) 961-8354 Clerical (808) 961-8201 Collections (808) 961-8282
217+(%$&.%()25(&203/(7,1
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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)