Form 6627 (2019 version)

6627

Environmental Taxes

Form
(Rev. January 2019)

Part I

to Form 720.
▶ Go to www.irs.gov/Form6627 for the latest information.

Employer identification number (EIN)

Quarter ending

(a)
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Part II

OMB No. 1545-0123

▶ Attach

Department of the Treasury
Internal Revenue Service
Name (as shown on Form 720)

(b)
Rate

(c)
Tax

Tax on Ozone-Depleting Chemicals (ODCs), IRS No. 98

Elections. If you elect to report the tax on post-1989 ODCs at the time you sell or use a mixture containing such chemicals
instead of when you make the mixture, check this box (the 1990 election) . . . . . . . . . . . . . . . . . . ▶
If you elect to report the tax on post-1990 ODCs at the time you sell or use a mixture containing such chemicals instead of when
you make the mixture, check this box (the 1991 election) . . . . . . . . . . . . . . . . . . . . . . . . ▶
(a)
ODC

(b)
Number of pounds

(c)
Tax per pound
(see Part II instructions)

(d)
Tax (multiply column (b)
by column (c))

1
2
3
4

Total ozone-depleting chemicals 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. 98. . . ▶

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 720.

Cat. No. 43490I

$
Form 6627 (Rev. 1-2019)

Page 2

Form 6627 (Rev. 1-2019)

Part III

ODC Tax on Imported Products, IRS No. 19

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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ▶
(a)
Imported product and the
applicable ODC

(b)
Number of
products

(c)
ODC weight of
product

(d)
Tax per pound

(f)
Tax
(see Part III instructions)

(e)
Entry value

1
2
3
4

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 . . . . ▶

Part IV

$

Tax on Floor Stocks of ODCs, IRS No. 20
(a)
ODC

(b)
Number of pounds

(c)
Tax per pound
(see Part IV instructions)

(d)
Tax (multiply column (b)
by column (c))

1
2
3
4

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 . . . . . . . ▶

General Instructions

Who Must File

Section references are to the Internal Revenue Code unless
otherwise noted.

For ODCs:

Future Developments
For the latest information about developments related to
Form 6627 and its instructions, such as legislation enacted
after they were published, go to www.irs.gov/Form6627.

What’s New
The section 4681 tax rates for ozone-depleting chemicals
(ODCs) in Parts II and III have increased for 2019. See the
listing below.
The section 4611 taxes on petroleum products or crude oil
expired after 2018.
At the time these instructions went to print, the
taxes on petroleum products or crude oil formerly
reported on Part I, lines 1 through 6, had expired,
CAUTION
so don't report those taxes for 2019. Lines 1
through 6 are now shown as "Reserved for future use" in
case Congress extends the taxes for 2019. To find out if
legislation extended the taxes so you can report them on
your 2019 return, go to www.irs.gov/Extenders.

$

• The manufacturer or importer of ODCs who sells or uses
those ODCs;
• The importer of taxable products who sells or uses those
products; and
• The person other than the manufacturer or importer of
ODCs who holds ODCs for sale or use in manufacturing on
January 1, 2019.

Specific Instructions
Part I. Reserved for future use.

!
▲

Purpose of Form
Use this form to figure the environmental tax on ODCs,
imported products that used ODCs as materials in the
manufacture or production of the product, and the floor
stocks tax on ODCs. If you need more lines for any part of
the form, prepare additional sheets using the same format as
the part. Attach the additional sheets with Form 6627 to
Form 720, Quarterly Federal Excise Tax Return. See Pub.
510, Excise Taxes, for more information on environmental
taxes. See the Instructions for Form 720 for information on
when and where to file Form 6627.
Form 6627 (Rev. 1-2019)

Page 3

Form 6627 (Rev. 1-2019)

Part II. Tax on Ozone-Depleting Chemicals
(ODCs), IRS No. 98

Part III. ODC Tax on Imported Products,
IRS No. 19

The following ODCs are taxable.

An imported taxable product is any product entered into the
United States for consumption, use, or warehousing if any
ODC was used as material in the manufacture or production
of the product. The product must also be listed in the
imported products table issued by the IRS. See Regulations
section 52.4682-3(f)(6). The tax is based on the weight of
ODCs used in the manufacture of the product. If the weight
cannot be determined under the exact method or table
method (see below), the tax is 1% of the entry value of the
product (value method).
Importer election. Generally, an imported taxable product is
taxed when it is sold or used by the importer. However, an
importer may elect to treat the entry of products into the
United States as the use of such products. This election
applies to all products held by the importer when the
election becomes effective. It also applies to all products the
importer enters into the United States after the election
becomes effective. If an election applies to an imported
taxable product, tax is imposed on the product on the date
of entry. To make the election, check the box in Part III,
under Election. This election may be revoked only with the
consent of the IRS.

Tax Per
Post-1989 ODCs
Pound in 2019
CFC-11 . . . . . . . . . . . . . . . . $16.15
CFC-12 . . . . . . . . . . . . . . . . 16.15
CFC-113 . . . . . . . . . . . . . . . . 12.92
CFC-114 . . . . . . . . . . . . . . . . 16.15
CFC-115 . . . . . . . . . . . . . . . .
9.69
Halon-1211 . . . . . . . . . . . . . . . 48.45
Halon-1301 . . . . . . . . . . . . . . . 161.50
Halon-2402 . . . . . . . . . . . . . . . 96.90
Tax Per
Post-1990 ODCs
Pound in 2019
Carbon tetrachloride . . . . . . . . . . . . 17.765
Methyl chloroform . . . . . . . . . . . . . 1.615
CFC-13, CFC-111, CFC-112, and CFC-211 through
CFC-217 . . . . . . . . . . . . . . . . 16.15

!
▲
CAUTION

The tax per pound rates above are figured using
the ozone-depletion factor. Do not multiply the tax
per pound by the ozone-depletion factor.

Mixture elections. Generally, the creation of a mixture
containing one or more ODCs by the manufacturer or
importer of an ODC is treated as the use of the ODC in the
mixture. However, the manufacturer or importer may elect to
treat the sale or use of the mixture as the first sale or use of
the ODC in the mixture.
Post-1989 ODCs (the 1990 election). If this election
is made, the tax on the post-1989 ODCs (listed earlier)
contained in the mixture is imposed on the date of sale or
use of the mixture. To make the election, check the first box
in Part II, under Elections. This election may be revoked only
with the consent of the IRS.
Post-1990 ODCs (the 1991 election). If this election
is made, the tax on the post-1990 ODCs (listed earlier)
contained in the mixture is imposed on the date of sale or
use of the mixture. To make the election, check the second
box in Part II, under Elections. This election may be revoked
only with the consent of the IRS.
Column (c). Enter the tax per pound using the chart earlier.

Figure the ODC weight of the product as follows.
Exact method. If you determine the weight of each ODC
used as a material in the manufacture of the product and you
can support this determination, the ODC weight is the weight
you determine.
Table method. If you don’t use the exact method and the
ODC weight is listed in the imported products table, use the
ODC weight listed to figure the tax. See Pub. 510 for more
information.

Figure the tax for Part III.
Column (a). Enter the imported product and the
applicable ODC. Use additional lines if there is more than
one ODC.
Column (b). Enter the number of taxable products
imported.
Column (c). Enter the ODC weight of the product in
pounds. If you are using the value method, don’t complete
this column.
Column (d). Enter the tax per pound from the chart in the
instructions for Part II, earlier. If you are using the value
method, enter 1% (0.01).
Column (e). If you are using the value method to figure the
tax, enter the entry value of the total number of imported
products.
Column (f). Figure the tax due by multiplying the number
of products in column (b) by the ODC weight in column (c) by
the tax per pound in column (d). If you are using the value
method, multiply the 1% (0.01) rate in column (d) by the
entry value in column (e).

Page 4

Form 6627 (Rev. 1-2019)

Part IV. Tax on Floor Stocks of ODCs, IRS
No. 20
The floor stocks tax for 2019 is imposed on the following
ODCs.
Tax Per
Pound in 2019
. . . $0.45
. . . 0.45
. . . 0.36
. . . 0.45
. . . 0.27
. . . 1.35
. . . 4.50
. . . 2.70
. . . 0.495
. . . 0.045

ODCs
CFC-11 . . . . . . . . . . . . . .
CFC-12 . . . . . . . . . . . . . .
CFC-113
. . . . . . . . . . . . .
CFC-114
. . . . . . . . . . . . .
CFC-115
. . . . . . . . . . . . .
Halon-1211 . . . . . . . . . . . . .
Halon-1301 . . . . . . . . . . . . .
Halon-2402 . . . . . . . . . . . . .
Carbon tetrachloride . . . . . . . . . .
Methyl chloroform . . . . . . . . . . .
CFC-13, CFC-111, CFC-112, and CFC-211 through
CFC-217 . . . . . . . . . . . . . . .

.

.

0.45

!
▲
CAUTION

The tax per pound rates above are figured using
the ozone-depletion factor. Do not multiply the tax
per pound by the ozone-depletion factor.

For 2019, you are liable for the floor stocks tax if, on
January 1, you hold any of the following.
1. At least 400 pounds of ODCs, other than halons or
methyl chloroform, subject to the floor stocks tax.
2. At least 50 pounds of halons.
3. At least 1,000 pounds of methyl chloroform.
Report the tax on Form 6627 and Form 720 for the
second calendar quarter of 2019. Payment of the tax is due
by June 30, 2019.
Column (c). Enter the tax per pound using the chart above.