Excise Tax is a tax paid when a purchase is made on a specific good, service, or activity. Typically, the IRS applies an excise tax to anything that may be harmful to a person or the environment. This can include tobacco, alcohol, health products or services, highway and fuel usage, and aviation usage and services. The Affordable Care Act also added several health-related excise taxes in 2010. Having a tax professional assist you with understanding how excise taxes apply to you and how you can prepare for them properly helps you to remain in compliance.