Form Tp-550 - Quarterly Return For Special Assessments On Hazardous Waste Generated In New York State

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TP-550
New York State Department of
Taxation and Finance
(12/14)
W A Harriman Campus
Albany NY 12227-0863
Use this form to report any transactions for the quarter:
through
File on or before the 20
day of the month following the end of the quarter.
th
Quarterly Return for Special Assessments on
Hazardous Waste Generated in New York State
Environmental protection agency (EPA) number
Employer identification number (EIN) or social security number (SSN)
Legal name
Street address
City
State
ZIP code
Change of business information? See Business information in Form TP-550-I.
Read Form TP-550-I, Instructions for Form TP-550, before making entries below.
Computation of net tons subject to assessment for the quarter
1 Tons of hazardous waste generated in New York State that were treated or disposed of on-site during
the reporting quarter, or were removed from or designated for removal from the site of generation
during the reporting quarter for treatment, disposal, or storage prior to such treatment or disposal .......................
1
2 Tons of hazardous waste reported on line 1 that were treated or disposed
2
of on-site, except by incineration or landfill disposal ....................................
3 Tons of hazardous waste reported on line 1 that were generated under an
order of, or agreement or contract with, the New York State
Department of Environmental Conservation ..................................................
3
4 Tons of hazardous waste recovered from a materials recovery process ..........
4
5 Tons of hazardous waste not subject to assessments (add lines 2, 3, and 4) ...............................................................
5
6 Total tons of hazardous waste subject to assessments (subtract line 5 from line 1) ....................................................
6
Computation of special assessments on hazardous waste for the quarter
Tons
× Rate =
Assessment
(to nearest 1/10 ton)
7 Tons of hazardous waste disposed of in a landfill on the site of generation .....
7
× $ 27 =
8 Tons of hazardous waste designated for removal or removed from the site of
8
generation for disposal in a landfill or storage prior to disposal in a landfill .......
× $ 27 =
9 Tons of hazardous waste designated for removal or removed from the site of
generation for treatment or disposal (except by landfill or incineration), or
storage prior to such treatment or disposal .....................................................
9
× $ 16 =
10 Tons of hazardous waste designated for removal or removed from the site of
generation for incineration or storage prior to incineration ..............................
10
× $ 9 =
11 Tons of hazardous waste incinerated on site of generation ..............................
11
× $ 2 =
12 Total tons of hazardous waste subject to assessments (add Tons column,
lines 7 through 11) ...........................................................................................
12
13 Total assessments for current quarter (add Assessment column, lines 7 through 11). If the amount reported
on line 13 is $27 or less, stop; you do not have to file this return or pay the assessments .............................................
13
14 Interest due for late payment (see instructions) ......................................................................................................................
14
15 Additional charges for late filing and/or late payment (see instructions) ................................................................................
15
16 Total due (add lines 13, 14, and 15) ........................................................................................................................................
16
17 Total remittance: Make check or money order payable to the Commissioner of Taxation and Finance ............................
17
I hereby certify that to the best of my knowledge and belief, this is a true and complete return.
Authorized
Signature of authorized person
Official title
Date
person
Firm’s name
Firm’s EIN
Preparer’s PTIN or SSN
(or yours if self-employed)
Paid
preparer
Signature of individual preparing this return
Address
City
State
ZIP code
use
only
E-mail address of individual preparing this return
Preparer’s NYTPRIN
Date
(see instr.)

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