Form Boe-501-Tk - Underground Storage Tank Fee Return - California Board Of Equalization
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1PO BOX 942879
(916) 322-9669
BOE-501-TK REV. 6 (1-02)
STATE OF CALIFORNIA
BOARD OF EQUALIZATION
SACRAMENTO, CA 94279-0030
BOARD USE ONLY
UNDERGROUND STORAGE TANK FEE 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
IF NAME OR
ADDRESS
SACRAMENTO CA 94279-6151
IS INCORRECT
READ INSTRUCTIONS
BEFORE PREPARING
FILING REQUIREMENTS
Every owner of an underground storage tank shall file a storage fee return showing the total number of gallons
placed into the owner's tanks during the quarter covered by the return. The return must be filed for all tanks
including tanks that are temporarily empty or not in use. The return is due on or before the 25th day of the month
following the end of the reporting period. Late payment results in a penalty of 10% and interest at an adjusted
rate established under Section 6591.5 of the Revenue and Taxation Code. The return must be filed even though
you have no liability for the fee.
If you have sold any of your tanks or have moved, please notify this office of the change of ownership or
changed address. If you are not the tank owner, please indicate the current owner's full name and address on an
attachment and forward along with this return.
Total gallons of petroleum placed in all tanks owned
1.
1.
Rate of fee
2.
2.
Total fee due (multiply line 1 by line 2)
3.
3.
4.
Penalty [multiply line 3 by 10% (.10) if payment is made or return is filed
PENALTY
4.
after the due date shown above]
INTEREST
5.
5.
6.
TOTAL AMOUNT DUE AND PAYABLE (add lines 3, 4 and 5)
6.
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 THE 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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