Form Boe-501-Eu - Electrical Energy Surcharge Return Form

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BOE-501-EU (FRONT) REV. 6 (7-07)
STATE OF CALIFORNIA
BOARD OF EQUALIZATION
ELECTRICAL ENERGY SURCHARGE RETURN
BOARD USE ONLY
RA-B/A
AUD
REG
DUE ON OR BEFORE
RR-QS
FILE
REF
YOUR ACCOUNT NO.
[
]
FOID
EFF
BOARD OF EQUALIZATION
EXCISE TAXES DIVISION
P O BOX 942879
SACRAMENTO CA 94279-6085
READ INSTRUCTIONS
BEFORE PREPARING
AVAILABLE ELECTRICAL ENERGY
Kilowatt Hours
1. Electrical energy generated
1.
2. Generated electrical energy sold to the Power Exchange (PX)
2.
3. Total generated electrical energy available for sale or consumption (line 1 minus line 2)
3.
4.
Electrical energy purchased
4.
5. Total available electrical energy (add lines 3 and 4)
5.
DEDUCTIONS
Kilowatt Hours
6. Electrical energy sales to exempt customers
6.
7. Electrical energy used or lost in generation, transmission, and/or distribution
7.
8. Pooled electrical energy used exempt from surcharge (cannot exceed line 1)
8.
9. Total deductions (add lines 6, 7, and 8)
9.
COMPUTATION OF SURCHARGE
10. Electrical energy sold or consumed subject to the surcharge (kilowatt-hours)
10.
(line 5 minus line 9)
11. Rate of surcharge (per kilowatt-hour)
11.
$
12. Total surcharge (multiply line 10 by the rate on line 11)
12. $
13. Billing adjustments
13. $
$
14. Net surcharge due with this return (add lines 12 and 13)
14.
15. Penalty [multiply line 14 by 10% (0.10) if payment is made after due date]
15. $
PENALTY
16.
INTEREST: One month's interest is due on the surcharge for each month or
16. $
fraction of a month that payment is delayed after the due date. The adjusted
INTEREST
monthly interest rate is
17. TOTAL AMOUNT DUE AND PAYABLE (add lines 14, 15, and 16)
17. $
IF PAID BY CREDIT CARD, CHECK HERE (Mandatory EFT accounts MUST pay by EFT). [
]
I hereby certify that this return, including any accompanying schedules and statements, has been
examined by me and to the best of my knowledge and belief is a true, correct, and complete return.
YOUR SIGNATURE AND TITLE
DATE
TELEPHONE NUMBER
Make check or money order payable to State Board of Equalization.
Always write your account number on your check or money order. Make a copy of this document for your records.
CLEAR
PRINT

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