Form R-5216 Schedule D "Extremely Hazardous Waste Generated and Disposed/Stored" - Louisiana

What Is Form R-5216 Schedule D?

This is a legal form that was released by the Louisiana Department of Revenue - a government authority operating within Louisiana. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on July 1, 2007;
  • The latest edition provided by the Louisiana Department of Revenue;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of Form R-5216 Schedule D by clicking the link below or browse more documents and templates provided by the Louisiana Department of Revenue.

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Download Form R-5216 Schedule D "Extremely Hazardous Waste Generated and Disposed/Stored" - Louisiana

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R-5216 (7/07)
Page ______ of ______
HW SCHEDULE D
Extremely Hazardous Waste
Generated and Disposed/Stored
Report extremely hazardous waste generated and
disposed or stored over 90 days for disposal.
PLEASE PRINT OR TYPE.
Name
LA Revenue Account Number
Quarter Ending (MM/DD/YYYY)
a
b
c
d
e
f
g
Total Tons
Disposed/Stored
Exempt Disposals
Method of Exempt
Taxable Wet Weight
Dry Weight
Taxable Dry
Over 90 Days
Description of Waste
(Wet Weight)
(Wet Weight)
Disposal
(Col. B less Col.C)
Factor
Weight
TOTALS
R-5216 (7/07)
Page ______ of ______
HW SCHEDULE D
Extremely Hazardous Waste
Generated and Disposed/Stored
Report extremely hazardous waste generated and
disposed or stored over 90 days for disposal.
PLEASE PRINT OR TYPE.
Name
LA Revenue Account Number
Quarter Ending (MM/DD/YYYY)
a
b
c
d
e
f
g
Total Tons
Disposed/Stored
Exempt Disposals
Method of Exempt
Taxable Wet Weight
Dry Weight
Taxable Dry
Over 90 Days
Description of Waste
(Wet Weight)
(Wet Weight)
Disposal
(Col. B less Col.C)
Factor
Weight
TOTALS