Form Boe-501-Oa - Oil Spill Prevention And Administration Fee Return - 2014
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1BOE-501-OA (FRONT) REV. 9 (7-14)
STATE OF CALIFORNIA
BOARD OF EQUALIZATION
OIL SPILL PREVENTION AND ADMINISTRATION FEE RETURN
BOE USE ONLY
RA-B/A
AUD
REG
DUE ON OR BEFORE
RR-QS
FILE
REF
YOUR ACCOUNT NO.
[
]
FOID
EFF
BOARD OF EQUALIZATION
SPECIAL TAXES AND FEES
PO BOX 942879
SACRAMENTO CA 94279-6147
READ INSTRUCTIONS
BEFORE PREPARING
GENERAL INFORMATION
The California State Board of Equalization (BOE) is responsible for collecting the fees payable under the
Lempert-Keene-Seastrand Oil Spill Prevention and Response Act (Government Code section 8670.40).
FILING REQUIREMENTS
Every marine terminal operator shall pay a fee for each barrel of crude oil received from within or outside the state and for every
barrel of petroleum products received from outside the state, by any mode of delivery that passed over, across, under or
through waters of the state.
Every refinery operator shall pay a fee for each barrel of crude oil or petroleum products received by any mode of delivery that
passed over, across, under or through waters of the state.
The return shall be filed on or before the 25th day of the month following the reporting period together with a payment for the
amount of the fee, if any, due for that period. To make your payment online, please visit the BOE website. The return must be
filed even if no fees are due.
BARRELS
(Round to nearest whole barrel)
(A)
(B)
(C)
CRUDE OIL
PETROLEUM PRODUCTS
TOTAL
1.
1. Crude oil received at a marine terminal from within or
outside the state
2. Crude oil received at a refinery from within or outside the
2.
state (effective September 18, 2014)
3.
3. Petroleum products received at a marine terminal from
outside this state
4. Petroleum products received at a refinery from within
4.
or outside the state (effective September 18, 2014)
5. Total barrels received (add lines 1 through 4 in
5.
each column)
6. Barrels included on lines 1 through 4 for which the fee
6.
was previously paid (see Line 6 instructions on back)
7. Total barrels subject to fee (subtract line 6 from line 5 in
7.
columns A and B. Add amounts shown in A and B, and
enter total in C)
8. Rate of fee per barrel
$
8.
9. Total amount of fee due (multiply line 7(C) by line 8)
9.
$
10.
10. Penalty [multiply line 9 by 10% (0.10) if payment made or return filed after due date shown above]
PENALTY
$
11. Interest:
One month's interest is due on the fee for each month or fraction of a month that payment is delayed
11.
$
INTEREST
after the due date. For assistance, use the
Interest Calculator
available at the BOE website. The adjusted
monthly interest rate is
12. TOTAL AMOUNT DUE AND PAYABLE (add lines 9, 10, and 11)
12.
$
EMAIL ADDRESS
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.
SIGNATURE
PRINT NAME AND TITLE
TELEPHONE
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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