Form TOB: HWST "Hazardous Waste Fee Report" - Alabama

What Is Form TOB: HWST?

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

Form Details:

  • Released on May 1, 2017;
  • The latest edition provided by the Alabama Department of Revenue;
  • 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 printable version of Form TOB: HWST by clicking the link below or browse more documents and templates provided by the Alabama Department of Revenue.

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Download Form TOB: HWST "Hazardous Waste Fee Report" - Alabama

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A
D
R
LABAMA
EPARTMENT OF
EVENUE
TOB: HWST
B
& L
T
D
5/17
USINESS
ICENSE
AX
IVISION
P.O. Box 327495 • Montgomery, AL 36132-7495 • (334) 353-7827
Hazardous Waste Fee Report
www.revenue.alabama.gov
AS AMENDED BY ACT NO. 2013-174
Online filing required at www.MyAlabamaTaxes.alabama.gov
___________________________________
For the Month of
COMPANY
FEIN
OR
ADDRESS
SSN
CITY
STATE
ZIP
ACCOUNT NUMBER
CONTACT PERSON
TELEPHONE NUMBER
(          )
A
B
C
D
HAZARDOUS WASTE OR
TOTAL TONS RECEIVED
FEE RATE
FEE COLLECTED
HAZARDOUS SUBSTANCE
1 Waste listed under Section 3001 of the RCRA of 1976
FOR DISPOSAL
5 50
as amended and “PCB” waste . . . . . . . . . . . . . . . . . . . . . . . .
1
1
1
5 50
2 All other waste . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2
2
2
3 TOTAL TONS (Col. B) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
TOTAL FEE (Col. D). . . . .
3
3
4 Additional fee ($1.00 per ton disposed). (Enter total tons – _____________________________ ) . . . . . . . . . . . . . . . . . . .
4
5 TOTAL FEE (Add fees on lines 3 & 4) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5
6 Failure to Timely File Penalty (Late filing, greater of 10% of Total Fee or $50) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6
7 Failure to Timely Pay Penalty (Late payment, 10% of Total Fee). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7
8 Failure to Submit Monthly Report (Penalty not to exceed $250.00) (22-30B-06). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8
9 Failure to Timely Pay Penalty (10% of fee due) (22-30B-05) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9
10 Interest (Code of Alabama 1975, Section 40-1-44) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10
11 TOTAL AMOUNT DUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11
AFFIDAVIT
STATE OF ALABAMA, COUNTY OF ___________________________________________________________________
Before me, the undersigned authority, personally appeared ________________________________________________________________________________ who being by me first duly sworn,
deposes and says that he is a duly authorized representative of _______________________________________________________________________________________________________
and the information herein contained is true and correct.
_________________________________________________________________________
SIGNATURE OF DEPONENT
Sworn to and subscribed before me
this _______________ day of _______________________________________ , _____________ .
_________________________________________________________________________
NOTARY PUBLIC
NOTE: The return and remittance are due no later than the thirtieth (30th) day of the month for the previous calendar month’s activity. A return is
due regardless of activity.
A
D
R
LABAMA
EPARTMENT OF
EVENUE
TOB: HWST
B
& L
T
D
5/17
USINESS
ICENSE
AX
IVISION
P.O. Box 327495 • Montgomery, AL 36132-7495 • (334) 353-7827
Hazardous Waste Fee Report
www.revenue.alabama.gov
AS AMENDED BY ACT NO. 2013-174
Online filing required at www.MyAlabamaTaxes.alabama.gov
___________________________________
For the Month of
COMPANY
FEIN
OR
ADDRESS
SSN
CITY
STATE
ZIP
ACCOUNT NUMBER
CONTACT PERSON
TELEPHONE NUMBER
(          )
A
B
C
D
HAZARDOUS WASTE OR
TOTAL TONS RECEIVED
FEE RATE
FEE COLLECTED
HAZARDOUS SUBSTANCE
1 Waste listed under Section 3001 of the RCRA of 1976
FOR DISPOSAL
5 50
as amended and “PCB” waste . . . . . . . . . . . . . . . . . . . . . . . .
1
1
1
5 50
2 All other waste . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2
2
2
3 TOTAL TONS (Col. B) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
TOTAL FEE (Col. D). . . . .
3
3
4 Additional fee ($1.00 per ton disposed). (Enter total tons – _____________________________ ) . . . . . . . . . . . . . . . . . . .
4
5 TOTAL FEE (Add fees on lines 3 & 4) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5
6 Failure to Timely File Penalty (Late filing, greater of 10% of Total Fee or $50) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6
7 Failure to Timely Pay Penalty (Late payment, 10% of Total Fee). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7
8 Failure to Submit Monthly Report (Penalty not to exceed $250.00) (22-30B-06). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8
9 Failure to Timely Pay Penalty (10% of fee due) (22-30B-05) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9
10 Interest (Code of Alabama 1975, Section 40-1-44) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10
11 TOTAL AMOUNT DUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11
AFFIDAVIT
STATE OF ALABAMA, COUNTY OF ___________________________________________________________________
Before me, the undersigned authority, personally appeared ________________________________________________________________________________ who being by me first duly sworn,
deposes and says that he is a duly authorized representative of _______________________________________________________________________________________________________
and the information herein contained is true and correct.
_________________________________________________________________________
SIGNATURE OF DEPONENT
Sworn to and subscribed before me
this _______________ day of _______________________________________ , _____________ .
_________________________________________________________________________
NOTARY PUBLIC
NOTE: The return and remittance are due no later than the thirtieth (30th) day of the month for the previous calendar month’s activity. A return is
due regardless of activity.