Form 6627 - Environmental Taxes Page 2
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Form 6627 (Rev. 1-2013)
Page
ODC Tax on Imported Products, IRS No. 19
Part III
Election. If you elect to report the tax on imported products at the time you import the products instead of when you sell or use
the products, check this box .
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(a)
(b)
(c)
(f)
(d)
(e)
Imported product and the
Number of
ODC weight of
Tax
Tax per pound
Entry value
applicable ODC
products
product
(see Part III instructions)
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Total ODC tax on imported products. Add all amounts in column (f), include amounts from any
additional sheets. Enter the total here and on Form 720 on the line for IRS No. 19 .
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$
Tax on Floor Stocks of ODCs, IRS No. 20
Part IV
(c)
(d)
(a)
(b)
Tax per pound
Tax (multiply column (b)
ODC
Number of pounds
(see Part IV instructions)
by column (c))
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Total floor stocks tax. Add all amounts in column (d), include amounts from any additional
sheets. Enter the total here and on Form 720 on the line for IRS No. 20
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$
6627
Form
(Rev. 1-2013)
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