Form Boe-517-Pn - Property Statement - Intercounty Pipelines Noncommon Carrier Pipelines - California Board Of Equalization

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BOE-517-PN (S1F) REV. 13 (12-04)

STATE OF CALIFORNIA

PROPERTY STATEMENT — INTERCOUNTY PIPELINES

BOARD OF EQUALIZATION

NONCOMMON CARRIER PIPELINES

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

SUBMITTED

DATE TO BE

N/A

THIS STATEMENT SHALL CONSIST OF:

HEREWITH

SUBMITTED

(1) Dollar-Age Detail Report:

A. Fixed Equipment — BOE-533-PF

B. Continuous Pipeline — BOE-533-PP

C. Pipeline Mileage Report — BOE-575-P

(2) BOE-517-PN Schedules:

B. Plant and Equipment

H. Construction Work in Progress

Pipeline Statistics

(3) Schedule of Intangible Information — BOE-529-I

(4) Other information as requested:

A. Annual Report to Federal Agencies

B. Annual Report to State Agencies

C. Supplemental Information

NAME AND ADDRESS OF PERSON TO WHOM CORRESPONDENCE REGARDING AUDIT SHOULD BE ADDRESSED:

NAME

ADDRESS (city, state & zip code)

TELEPHONE NUMBER

(

)

Authorized Representative (if applicable); Statement of Authorization (BOE-892) must be filed annually.

NAME

ADDRESS (city, state & zip code)

TELEPHONE NUMBER

(

)

LOCATION OF ACCOUNTING RECORDS (complete address and zip code)

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

✍