Form Op-271 - Connecticut Solid Waste Assessment Return

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Department of Revenue Services
Connecticut Tax Registration Number
State of Connecticut
OP-271
PO Box 5031
For Period Ending
Hartford, CT 06102-5031
Connecticut Solid Waste
(Rev. 06/02)
Assessment Return
Federal Employer Identification Number
For Department Use Only
If the address
at right is
incorrect,
please make
any changes
necessary
1.
Number of tons of solid waste processed
1.
2.
Tax due @ $1 per ton (Multiply Line 1 by $1.00)
2.
3.
Add Interest
$
and Penalty
$
=
3.
4.
Total amount (Add Line 2 and Line 3)
4.
Instructions
Make your check payable to: Commissioner of Revenue Services.
Line 1. Enter the total number of tons of solid waste that the
Include your Connecticut tax registration number on your check.
resource recovery facility processed during the last
quarter.
You must file a return even if no assessment is due. Enter “0” on
Line 2. Multiply the amount on Line 1 by $1.00 and enter the total.
Line 1 and Line 2 and sign the return.
Line 3. Late Payment Penalty: If tax is due, the penalty for
Due Date: The due date of the return is one month after the end of
underpayment of the tax is 10% (.10) of the tax due or $50,
the period indicated above.
whichever is greater.
New Owners: Do not use the previous owner’s form to file your
Interest: If this is a late or amended return, compute the
return. Any change in ownership requires a new Connecticut tax
interest at the rate of 1% (.01) per month or fraction of a
registration number.
month from the due date until the date of payment. Interest
Signature: You must sign the return.
is based on the amount that should have been remitted
on time.
Line 4. Enter the total of Line 2 and Line 3.
Declaration: I declare under penalty of law that I have examined this return (including any accompanying schedules and statements) and, to the best
of my knowledge and belief, it is true, complete, and correct. I understand that the penalty for willfully delivering a false return to DRS is a fine of not
more than $5,000, or imprisonment for not more than five years, or both. The declaration of a paid preparer other than the taxpayer is based on all
information of which the preparer has any knowledge.
Taxpayer’s Signature
Title
Date
Preparer’s Signature
Preparer’s Address
Date

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