Form Boe-65-Df - Government Entity Diesel Fuel Tax Account Request To Close Account
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1GOVERNMENT ENTITY DIESEL FUEL TAX ACCOUNT
REQUEST TO CLOSE ACCOUNT
Revenue and Taxation Code sections 60043, 60146, 60205.5
Government entities that operate diesel-powered highway vehicles upon the state's highways are
required to have a diesel fuel tax license and to file tax returns. However, under section 60043, these
licensing and reporting requirements are eliminated for certain government entities.
If you are a government entity that purchases only tax-paid diesel fuel for use in this state, owe no
additional tax on your returns, and do not wish to claim a refund for nontaxable use of diesel fuel, you
may qualify for closeout of your Government Entity Diesel Fuel Tax Account. If you believe you qualify,
please complete the Certification portion below and mail it to the Motor Carrier Office. If we determine
that you qualify for closeout of your account, we will process your request and provide you with written
notification.
CERTIFICATION
Please close our Government Entity Diesel Fuel Tax Account. We purchase only tax-paid diesel fuel for
use in this state, do not owe any additional tax, and do not wish to claim a refund for nontaxable use of
diesel fuel.
I certify under penalty of perjury, under the laws of the State of California, that the foregoing is true and
correct and that I am authorized to submit this request.
BOE ACCOUNT NUMBER
DG
TAXPAYER NAME
ADDRESS (street, city, state, zip code)
TELEPHONE NUMBER
EMAIL ADDRESS
(
)
SIGNATURE OF PERSON AUTHORIZED TO SIGN
DATE
NAME OF PERSON AUTHORIZED TO SIGN (please type or print)
TITLE
MAIL COMPLETED FORM TO:
Motor Carrier Office
State Board of Equalization
PO Box 942879
Sacramento, CA 94279-0065
If you have any questions, please contact the Taxpayer information Section at 800-400-7115 (TTY:711). From the
main menu, select the option for Special Taxes and Fees and the IFTA, International Fuel Tax Agreement. Customer
service representatives are available weekdays from 8:00 a.m. to 5:00 p.m. (Pacific time), except state holidays.
BOE-65-DF REV. 1 (5-12)
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