Form SCC-1 "Spill Compensation and Control Tax Application for Registration" - New Jersey

What Is Form SCC-1?

This is a legal form that was released by the New Jersey Department of the Treasury - a government authority operating within New Jersey. Check the official instructions before completing and submitting the form.

Form Details:

  • Released on September 1, 2014;
  • The latest edition provided by the New Jersey Department of the Treasury;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form SCC-1 by clicking the link below or browse more documents and templates provided by the New Jersey Department of the Treasury.

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Download Form SCC-1 "Spill Compensation and Control Tax Application for Registration" - New Jersey

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Division Use Only
Division Use Only
— DLN Stamp—
— Date Stamp—
09-2014
Pursuant to P.L. 1976, C 141
Spill Compensation and Control Tax
Form SCC-1
Application for Registration
Mail the completed application to:
State of New Jersey
Division of Taxation – Excise Tax Branch
PO Box 189
Trenton, NJ 08695
There is no fee for this application.
Date of filing this
Date of first taxable
application:
transfer:
Company Information
Section 1:
Company Name
Physical Address
Company Trade Name
City
State
Zip
12 Digit New Jersey Tax ID Number
Mailing Address
Point of Contact
City
State
Zip
Point of Contact Title
Registered Agent in New Jersey
Email Address
Address Where Records are Available for Inspection
Phone Number
Extension
City
State
Zip
Transfers to New Jersey
Section 2:
Do you receive or initiate transfers to New Jersey of:
a) Petroleum Products?
Yes
No
b) Hazardous Substances Other than Petroleum Products?
Yes
No
If yes to either, list name and address of terminal(s) to which the products are transferred, and the products transferred.
Terminal Name
Terminal Address
Product Transferred
Division Use Only
Division Use Only
— DLN Stamp—
— Date Stamp—
09-2014
Pursuant to P.L. 1976, C 141
Spill Compensation and Control Tax
Form SCC-1
Application for Registration
Mail the completed application to:
State of New Jersey
Division of Taxation – Excise Tax Branch
PO Box 189
Trenton, NJ 08695
There is no fee for this application.
Date of filing this
Date of first taxable
application:
transfer:
Company Information
Section 1:
Company Name
Physical Address
Company Trade Name
City
State
Zip
12 Digit New Jersey Tax ID Number
Mailing Address
Point of Contact
City
State
Zip
Point of Contact Title
Registered Agent in New Jersey
Email Address
Address Where Records are Available for Inspection
Phone Number
Extension
City
State
Zip
Transfers to New Jersey
Section 2:
Do you receive or initiate transfers to New Jersey of:
a) Petroleum Products?
Yes
No
b) Hazardous Substances Other than Petroleum Products?
Yes
No
If yes to either, list name and address of terminal(s) to which the products are transferred, and the products transferred.
Terminal Name
Terminal Address
Product Transferred
Products Owned in New Jersey
Section 3:
At any Public Storage Terminal in New Jersey, do you own:
a) Petroleum Products?
Yes
No
b) Hazardous Substances Other than Petroleum Products?
Yes
No
If yes to either, list name and address of terminal(s) where the products are stored, and the products stored.
Terminal Name
Terminal Address
Product Stored
Subleased Space in New Jersey
Section 4:
At any Public Storage Terminal in New Jersey, do you sublease to another entity any storage space for:
a) Petroleum Products?
Yes
No
b) Hazardous Substances Other than Petroleum Products?
Yes
No
If yes to either, list name of the company, the name and address of terminal(s) where space is sublet, and the products stored there.
Company Name
Terminal Name and Address
Product Stored
Additional Questions – see instructions
Section 5:
1) Do you own or operate vessels, tank cars, and/or tank trucks to which transfers are made?
Yes
No
2) Do you own or operate a Public Storage Terminal?
Yes
No
3) Do you own or operate a facility in New Jersey that processes Precious Metals?
Yes
No
4) Do you own or operate a Pipeline in New Jersey?
Yes
No
5) Do you own or operate a Major Facility in New Jersey?
Yes
No
6) Enter the combined storage capacity in New Jersey:
Affirmation
Section 6:
By signing, the signatory affirms under applicable penalties for perjury that the statements contained on this form, including any
attachments are complete and true.
Signature of Owner or Authorized Officer
Printed Name
Title
Date Signed
For Division of Taxation Use Only
Yes
No
Application Approved
Investigation Started
Investigation Ended
Effective Date
Investigation Completed by:
Comments:
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