BOE-735-A (S1) (6-04)
STATE OF CALIFORNIA
REQUEST FOR RELIEF OF INTEREST
BOARD OF EQUALIZATION
UNREASONABLE ERROR OR DELAY
TAXPAYER/FEEPAYER NAME
ACCOUNT NUMBER
Use this form only if you are requesting relief of interest imposed under the tax/fee laws shown on the reverse side of this form. Relief of
interest can be approved only for the reasons shown below. If we approve your request, all or part of the interest may be relieved. Please
attach documentation to support your request if it is available. A Board representative may contact you if additional information is required.
Please use this form only if you believe you were charged interest because of:
•
an unreasonable error or delay by a Board employee acting in his or her official capacity; and
•
no significant aspect of the error or delay is attributable to your actions or your failure to act; or
•
an error was made by the Department of Motor Vehicles (DMV) in calculating the amount of use tax due on your DMV registered
vehicle or vessel.
Indicate the time period for which you are requesting relief of interest and the dollar amount:
Use the space below to explain why you are requesting relief of interest charges. Please describe the error or delay that caused you to pay
the tax late. If you need more space, attach additional sheets.
(complete the reverse side of this form)
CERTIFICATION
I certify (or declare) under penalty of perjury, under the laws of the State of California, that the foregoing is true and correct. I also certify
that our actions, or failure to act, did not significantly contribute to the error or delay.
SIGNATURE
TITLE
DATE
PRINT NAME
BUSINESS PHONE
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MAILING ADDRESS
CITY
STATE
ZIP