Form Boe-345 - Notice Of Business Change Page 2

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BOE-345 (BACK) REV. 9 (8-01)
CLAIM FOR REFUND OR CREDIT
(please see tax return instructions)
NAME OF TAXPAYER(S)
TAXPAYER ACCOUNT NUMBER
GENERAL PARTNER (if applicable)
Pursuant to:
Chapter 7, Article 1, of the California Sales and Use
Tax Law and, where applicable, Uniform Local Sales and Use
Tax Ordinances and the Transit District Transaction (sales)
and Use Tax Ordinances, or
The undersigned hereby makes claim for refund or credit of
$
, or such other amounts as may be established
in tax, interest and penalty in connection with:
Return(s) filed for the period
to
Determination(s) dated
and paid $
Other (describe fully)
The overpayment described above was caused by
SIGNATURE
DATE
PRINT NAME OF SIGNATORY
TELEPHONE
(
CLEAR
PRINT

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