Form Boe-501-Nu - Natural Gas Surcharge Return For Public Utility Gas Corporation
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1
2BOE-501-NU (FRONT) REV. 9 (7-07)
STATE OF CALIFORNIA
BOARD OF EQUALIZATION
NATURAL GAS SURCHARGE RETURN
FOR PUBLIC UTILITY GAS CORPORATIONS
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
PO BOX 942879
SACRAMENTO CA 94279-6097
READ INSTRUCTIONS
BEFORE PREPARING
GENERAL INSTRUCTIONS - Complete form BOE-507-A, Schedule A - Computation Schedule for Natural Gas
Surcharge, prior to completing the return.
The California State Board of Equalization (Board) administers the Natural Gas Surcharge Law. The surcharge is imposed upon
the consumption of natural gas in California on and after January 1, 2001. Each public utility gas corporation and each
consumer of natural gas from an interstate pipeline must remit to the Board the amount of surcharge applicable.
FILING REQUIREMENTS
This return must be filed even though you have no surcharge to report in the specific reporting period. The surcharge rate is
applicable to all billings for periods starting on or after January 1, 2001. A duplicate of the return should be retained for your
records and for verification by Board auditors. If you do not file a return on time, you will be subject to penalty and interest
charges.
STATEMENT OF ADMINISTRATIVE AND RESEARCH AND DEVELOPMENT COLLECTIONS
Information on lines 1, 2, and 3 will be provided as directed by Public Utilities Commission Decision 04-08-010.
1.
Collections for Public Utilities Commission Administrative Costs
1.
2.
Collections for Board of Equalization Administrative Costs
2.
3.
Collections for Research and Development Costs
3.
COMPUTATION OF SURCHARGE
Total therms sold or consumed
4.
4.
5.
Total exempt therms sold or consumed
5.
6.
Therms subject to the surcharge (subtract line 5 from line 4) (from Schedule A, column A3)
6.
7.
Total surcharge due (from Schedule A, column D3)
7.
$
.00
8.
Billing adjustments
8.
$
.00
Net surcharge due (subtract line 8 from line 7)
9.
9.
$
.00
10.
10.
Penalty
$
.00
[multiply line 9 by 10% (0.10) if payment is made after due date shown above]
PENALTY
11.
INTEREST:
One month's interest is due on the surcharge for each month or fraction of a month
11.
.00
$
INTEREST
that payment is delayed after the due date. The adjusted monthly interest rate is
12. TOTAL AMOUNT DUE AND PAYABLE (add lines 9, 10, and 11)
12.
.00
$
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
TELEPHONE NUMBER
DATE
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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