Form TP-550 Fillable Quarterly Return for Special Assessments on Hazardous Waste Generated in New York State
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(9/11) (File on or before the 20th day of the month following the end of the quarter ) (see instr ) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) 1 Keep a completed copy of Form TP 550 for your records 1 Tons of hazardous waste generated in New York State that were treated or disposed of on site during 10 Tons of hazardous waste designated for removal or removed from the site of 11 Tons of hazardous waste incinerated on site of generation $ 2 = 12 Total tons of hazardous waste subject to assessments (add Tons column 13 Total assessments for current quarter (add Assessment column lines 7 through 11) If the amount reported 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 2 Attach a check or money order payable to: Commissioner of Taxation and Finance 2 Tons of hazardous waste reported on line 1 that were treated or disposed 3 Tons of hazardous waste reported on line 1 that were generated under an 3 Write your identification number Form TP 550 and the quarter covered by this return in the memo area of your check or money order 4 Tons of hazardous waste recovered from a materials recovery process 5 Tons of hazardous waste not subject to assessments (add lines 2 3 and 4) 6 Total tons of hazardous waste subject to assessments (subtract line 5 from line 1) 7 $ 27 = 7 Tons of hazardous waste disposed of in a landfill on the site of generation 8 Tons of hazardous waste designated for removal or removed from the site of 9 Tons of hazardous waste designated for removal or removed from the site of ALBANY NY 12227 Albany NY 12227 Use this form to report any transactions for the quarter: Authorized Change of business information? See Business information in Form TP 550 I City State ZIP code Computation of net tons subject to assessment for the quarter Computation of special assessments on hazardous waste for the quarter Department of Environmental Conservation during the reporting quarter for treatment disposal or storage prior to such treatment or disposal 1 E mail address of individual preparing this return Employer identification number (EIN) or social security number (SSN) Firm s EIN Firm s name (or yours if self employed) generation for disposal in a landfill or storage prior to disposal in a landfill 8 $ 27 = generation for incineration or storage prior to incineration $ 9 = generation for treatment or disposal (except by landfill or incineration) or Hazardous Waste Generated in New York State I hereby certify that to the best of my knowledge and belief this is a true and complete return If you choose to use a private delivery service instead of the U S Postal Service see Private delivery services in Form TP 550 I Legal name lines 7 through 11) 12 Mail this return along with your check or money order to: NYS TAX DEPARTMENT Mailing instructions MISCELLANEOUS TAX RETURNS PROCESSING New York State Department of of on site except by incineration or landfill disposal 2 on line 13 is $27 or less stop; you do not have to file this return or pay the assessments 13 order of or agreement or contract with the New York State person Please print or typeEnvironmental protection agency (EPA) number preparer Preparer s NYTPRIN Preparer s PTIN or SSN Quarterly Return for Special Assessments on Read Form TP 550 I Instructions for Form TP 550 before making entries below Please print or type Signature of authorized person Official title Signature of individual preparing this return Address City State ZIP code storage prior to such treatment or disposal 9 $ 16 = Street address Taxation and Finance TP 550 the reporting quarter or were removed from or designated for removal from the site of generation through Tons (to nearest 1/10 ton) Rate = Assessment TP 550 (9/11) (back) W A Harriman Campus