![]() Enter all amounts paid or required to be paid for the real property interest conveyed (cash and/or noncash). (If agent is signing, print or type name below signature) SIGNATURE(S) - Purchaser(s)/Transferee(s)/Grantee(s), Etc. SIGNATURE(S) - Seller(s)/Transferor(s)/Grantor(s), Etc. Note: You must have a power of attorney if signing as agent. On the conveyance to which this certificate is appended, pursuant to the Conveyance Tax Law, chapter 247, HRS. ![]() Has been examined by me (us) and, to the best of my (our) knowledge and belief, is a true, correct, and complete certificate, made in good faith, for the actual and full consideration paid I (We) declare, under the penalties prescribed for false declaration in section 231-36, Hawaii Revised Statutes (HRS), that this certificate (including accompanying schedules or statements) Total Balance Due (Add lines 7 and 8) (Minimum tax due is $1.00). Conveyance Tax (Multiply line 4 by line 6 and round to the nearest ten cents ($.10).Ĩa. Enter the applicable Conveyance Tax Rate: (For Transactions dated prior to Jsee Instructions for rates.) The purchaser is ELIGIBLE for a county real property tax homeowner's exemption with respect to the property conveyed. Not a sale of a condominium or single family residence OR attest under penalties set forth in the declaration below, By checking this box and signing below, the Purchaser(s)/Transferee(s)/Grantee(s), etc. Difference - Actual and full consideration (line 2 minus line 3 ).ĥ. Less: personal property included in amount on line 2, if applicable.Ĥ. Amount from, Part IV, line 1, 2c, 3c, or 4c.ģ. DATE OF TRANSACTION (For Transactions dated prior to Jsee Instructions for rates.). Please provide real property tax billing address, if different from assessment address (do not enter “Same” or “No Change”): Please provide mailing address for assessment notice (do not enter “Same” or “No Change”): If the document will not be recorded, please provide: (1) land area and (2) address or short legal description of property:_ PURCHASER(S) / TRANSFEREE(S) / GRANTEE(S), ETC. SELLER(S) / TRANSFEROR(S) / GRANTOR(S), ETC. ![]() or call the Department to request forms atĢ. To obtain the Instructions, go to the Department of Taxation’s website at ![]() If any area is incomplete, Form P-64A will not be accepted.īefore completing this form, please read the Instructions for Form P-64A andįorm P-64B. Conveyance Tax Certificate Form P-64A, Rev 2019, Conveyance Tax CertificateForm P-64AĬLIP THIS FORM TO DOCUMENT TO BE RECORDED AND MAIL OR DELIVER TO ![]()
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