Form Boe-501-Mj - Dealer Of Aircraft Jet Fuel Tax Return
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12PO BOX 942879
916-322-9669
BOE-501-MJ (S1) REV. 4 (7-02)
STATE OF CALIFORNIA
BOARD OF EQUALIZATION
SACRAMENTO, CA 94279-0030
BOARD USE ONLY
DEALER OF AIRCRAFT JET FUEL TAX RETURN
RR-B/A
AUD
REG
RR-QS
REF
FILE
YOUR ACCOUNT NO.
EFF
BOARD OF EQUALIZATION
FUEL TAXES DIVISION
MAKE CHANGES
PO BOX 942879
TO NAME OR
ADDRESS
SACRAMENTO CA 94279-6135
IS NEEDED
READ INSTRUCTIONS
BEFORE PREPARING
REPORT WHOLE
GALLONS ONLY
Total gallons of aircraft jet fuel sold
1.
1.
Total gallons of aircraft jet fuel you used as an aircraft jet fuel user and for other purposes
2.
2.
3.
Total gallons of aircraft jet fuel sold or used during the month (add lines 1 and 2)
3.
DEDUCTIONS
4.
Aircraft jet fuel sold to the United States Armed Forces (enter from Schedule C)
4.
Aircraft jet fuel sold to aircraft manufacturers (enter from Schedule D)
5.
5.
Aircraft jet fuel sold to air common carriers (enter from Schedule E)
6.
6.
7.
Aircraft jet fuel exported (enter from Schedule F)
7.
Other sales of aircraft jet fuel (enter from Schedule G)
8.
8.
Aircraft jet fuel used by you other than as an aircraft jet fuel user (attach an explanation)
9.
9.
Total deductions (add lines 4 through 9)
10.
10.
11. Taxable gallons (subtract line 10 from line 3)
11.
12.
Rate of tax per gallon
12.
$
.02
13.
13.
Total tax due (multiply line 11 by line 12)
14.
14. $
Penalty [multiply line 13 by 10% (.10) if payment is made or tax return is filed after
PENALTY
due date shown above]
15.
15.
INTEREST
TOTAL AMOUNT DUE AND PAYABLE (add lines 13, 14 and 15)
16.
16. $
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.
PRINT/TYPE NAME AND TITLE
SIGNATURE
PHONE NUMBER
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.
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