Form Boe-517-Rr - Property Statement - Railroads - California Board Of Equalization

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BOE-517-RR (S1F) REV. 25 (12-04)

STATE OF CALIFORNIA

PROPERTY STATEMENT — RAILROADS

BOARD OF EQUALIZATION

2005

DECLARATION OF COSTS AND OTHER RELATED PROPERTY INFORMATION

AS OF 12:01 A.M., JANUARY 1, 2005

This statement must be completed, signed, and filed with the Valuation Division, Board of Equalization, P.O. Box 942879,

Sacramento, California 94279-0061, by March 1, 2005. Omit cents; round to the nearest dollar.

OFFICIAL REQUEST

NAME, STREET, CITY, STATE, and ZIP CODE

This request is made in accordance with section 826 of the Revenue

and Taxation Code. This property statement must be completed

according to the instructions and filed with the Board of Equalization

on or before March 1, 2005. If you do not file this statement, you may

be subject to the penalty provided in section 830 of the Revenue and

Taxation Code. Attached schedules are considered to be part of the

statement. THIS STATEMENT IS SUBJECT TO AUDIT.

MAKE NECESSARY CORRECTIONS TO ADDRESS LABEL

Name and address of person to whom correspondence

DATE

DATE TO BE

N/A

regarding audit should be addressed:

SUBMITTED

THIS STATEMENT SHALL CONSIST OF:

NAME

(1) Tangible Property List includes:

BOE-533-E - TPL Nonunitary Property Only

MAILING ADDRESS (including zip code)

BOE-535-RR - TRA Change List

BOE-569-RR - Railroad Track

TELEPHONE NUMBER

(2) Statement of Land Changes

(

)

(3) Schedule of Intangible

Information—BOE-529-I

Location of accounting records (street, city, state and zip code) :

(4) Financial Schedules A to H

BOE-600-R

(5) Schedules of Leased

BOE-600-B

Equipment

(6) Other Information as Requested

(see instructions on reverse)

NAME OF AUTHORIZED REPRESENTATIVE (if applicable) *

a. Payments to Local Governments

b. Stmt. of Rev/Cost Changes

ADDRESS (street, city, state, zip code)

c. Annual Rept. to Federal Agencies

d. Form 10K

DAYTIME TELEPHONE NUMBER

(

)

e. Shareholders Report — 3 copies

f. Financial Statements — 3 copies

* Statement of Authorization (BOE-892) must be filed annually.

g. Inventory Data

h. Other

List primary business activities generating revenue:

(✔) ENTITY TYPE:

Proprietorship

Partnership

Corporation

Other

Change in ownership prior 12 months?

Yes

CERTIFICATION

I certify (or declare) under penalty of perjury under the laws of the State of California that I have examined this Property Statement, including accompanying schedules

and statements, and to the best of my knowledge and belief it is true, correct, and complete and covers all property required to be reported which is owned, claimed,

possessed, controlled, or managed by the person named in the statement at 12:01 a.m. on January 1, 2005. If prepared by a person other than the taxpayer, this declaration

is based on all information of which preparer has knowledge.

FOR OFFICIAL USE ONLY

FULL LEGAL NAME IF INCORPORATED

SIGNATURE OF OWNER, PARTNER, OFFICER, OR AUTHORIZED AGENT

DATE

✍

2005

PRINTED NAME OF SIGNATORY

TITLE

SIGNATURE AND ADDRESS OF PREPARER OTHER THAN TAXPAYER

DATE

✍