Get Hi N-172 2020-2026

Filling out the HI N-172 form online can appear daunting, but this guide provides step-by-step instructions to help you complete the claim for tax exemption related to visual or hearing impairments. Follow the directions carefully to ensure your application is accurate and complete.

Follow the steps to successfully complete your HI N-172 form.

1. Press the ‘Get Form’ button to access the HI N-172 form in your online editor.
2. In Part I, begin by indicating whether the claim is for an individual or a corporation, partnership, or LLC. Fill in the name and the corresponding identification number as required.
3. Provide the street address and city, state, and ZIP code for both the individual and the business entity if applicable.
4. Check all applicable categories in the section that describes the individual's impairment. Options include being blind, deaf, or totally disabled as defined in the relevant regulations.
5. If applicable, enter the General Excise Tax identification number under the General Excise section, along with the Doing Business As (DBA) name and corresponding business address.
6. Sign and date the form at the bottom of Part I, affirming that the information provided is true and complete.
7. Proceed to Part II for the physician’s or optometrist’s certification. This section must be filled out completely and accurately.
8. Choose the relevant section based on the type of impairment: eye examination, hearing examination, or report on disability. Fill in all the requested details, including diagnosis and any necessary numeric measurements.
9. Ensure that the certifying professional signs and provides their license information to validate the certification.
10. After completing the form, review all entries for accuracy. You can save any changes, download, print, or share the form as needed.

Complete your HI N-172 form online today to ensure efficient processing of your tax exemption claim.