Form n 172 2026

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The document is Form N-172 from the State of Hawaii's Department of Taxation, which is a claim for tax exemption for individuals with impaired sight or hearing, or those who are totally disabled. It includes sections for personal information, tax exemption claims, and requires certification from licensed professionals regarding the applicant's disability status.

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Click ‘Get Form’ to open it in the editor.
Begin with Part I, where you will provide your personal information. Fill in your name, Social Security Number, and address. If applicable, include your spouse’s details.
Indicate your eligibility by checking the appropriate boxes for blindness, deafness, or total disability as defined in section 235-1, HRS.
If claiming General Excise Tax benefits, complete the business information section including Hawaii Tax I.D. No., Doing Business As (DBA), and type of business activity.
In Part II, have a licensed physician or optometrist complete the certification section relevant to your condition—either eye examination or hearing examination.
Ensure all required signatures are provided at the end of the form and that any necessary certifications are attached.

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