BOE-393 (2-97)
STATE OF CALIFORNIA
SETTLEMENT PROPOSAL FOR
BOARD OF EQUALIZATION
SALES AND USE TAX CASES
Account No.: _________________________________
Under Revenue and Taxation Code Section 7093.5, I request that the sales and/or use tax liability determined against
the above account on ________________________________________________________________________ for the
(DATE OF NOTICE OR BILLING)
period(s) _____________________________________ through ________________________________ be considered
(MONTH/DAY/YEAR)
(MONTH/DAY/YEAR)
for settlement as follows:
Proposed Settlement Amount $ ______________________________________
I believe this settlement offer is reasonable because: ____________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
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I understand that all settlement offers are subject to review and that only those considered reasonable by the Board of
Equalization's Settlement Section staff and submitted to the Members of the Board of Equalization for approval will
qualify for settlement. I also understand that, once approved, any settlement entered into will be final and nonappealable,
and that approved settlements become part of the Board's public record.
___________________________________________________
FIRM NAME
**By __________________________________________
SIGNATURE
Dated ________________________________________
____________________________________________________________________________
TITLE
At ____________________________________________
______________________________________________
DAYTIME TELEPHONE NUMBER
**Signer, if not a corporate officer, partner or owner,
certifies under penalty of perjury that he or she holds a
power of attorney to execute this document, as evidenced
by the attached notarized "Power of Attorney" form.