Form Scc-5 - Spill Compensation And Control Tax - 2008
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52008
State of New Jersey
SCC-5
11-07, R-29
Division of Taxation
N.J.S.A. 58:10-23.11h
SPILL COMPENSATION AND CONTROL TAX
THIS RETURN MUST BE FILED BY THE 20TH DAY OF THE MONTH FOLLOWING THE CLOSE OF THE TAXABLE PERIOD.
For the Taxable Period:
Federal ID #
From ___________________________ (See Instr.)
To ___________________________
Taxpayer Name
Check here if a Reconciliation Form (SCC-8) is
attached.
Street Address
Check here if a Reconciliation Form (SCC-8)
has already been filed for the current year.
City
State
Zip
(A)
(B)
(C)
Petroleum and
Other Hazardous
Precious Metals, Elemental
Phosphorus, Elemental Antimony or
Petroleum Products
Substances
Antimony Trioxide
TAX COMPUTATION
(A) - 1
(A) - 2
(B) - 1
(B) - 2
(C) - 1
(C) - 2
Liquid
Non-Liquid
Liquid
Non-Liquid
Liquid
Non-Liquid
(Gallons)
(Pounds)
(Gallons)
(Pounds)
(Gallons)
(Pounds)
1. Total Quantity of Hazardous Substances
Transferred to You
2. Hazardous Substances Received in a Non-
taxable Manner (See Instruction)
3. Taxable Hazardous Substance Transfers
(Line 1 Minus Line 2)
4. Hazardous Substances Received on Which
Tax Previously Paid (See Instruction)
5. Hazardous Substance Transfers Subject to
Tax (Line 3 Minus Line 4)
6. Conversion to Barrels (See Instruction)
7. Barrels of Hazardous Substances Subject
to Tax
8. Fair Market Value of Barrels Subject to Tax
(See Instruction)
$0.023
$0.023
1.53% of fair
9. Tax Rate
per barrel
per barrel
market value
10. Tax Due (Multiply Line 7 by Line 9 for Columns A and C.
Multiply Line 8 by Line 9 for Column B.)
11. Credit from Part II of Reconciliation Form SCC-8, Line 9
(Enter in the proper column)
12. Amount of Tax Due (Line 10 Minus Line 11)
13. Total Tax Due (Line 12A Plus Line 12B Plus Line 12C)
14. Credit from Part I Line 7 of the Reconciliation Form SCC-8
15. Balance of Tax Due (Line 13 Minus Line 14)
(If Line 14 is greater than Line 13, enter zero here. Do not complete Lines 16 and 17.)
16. Penalty ________________________
Interest ______________________ (See Instruction) . . . . . . . . . .TOTAL
17. Total Balance Due (Line 15 plus Line 16) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Under penalty of perjury, I declare that this is a true, complete, and correct return.
PAY AMOUNT ON LINE 17 IN FULL.
WRITE FEDERAL IDENTIFICATION
____________________________________________________________________________________________
NUMBER ON CHECK AND MAKE
Signature of Duly Authorized Officer of Taxpayer
Title
Date
PAYMENT TO:
State of New Jersey, SCC
____________________________________________________________________________________________
Division of Taxation
Tax Preparer’s Signature
Preparer’s I.D. Number
Date
Revenue Processing Center
PO Box 265
____________________________________________________________________________________________
Trenton, NJ 08646-0265
Name of Tax Preparer’s Employer
Employer’s I.D. Number
Date
READ INSTRUCTIONS CAREFULLY BEFORE COMPLETING RETURN
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