Form Bt-135-A - Declaration Of Timely Mailing - 1994

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BT-135-A REV. 5 (7-94)
STATE OF CALIFORNIA
DECLARATION OF TIMELY MAILING
BOARD OF EQUALIZATION
ACCOUNT NUMBER
NAME OF TAXPAYER
REPORTING BASIS
I, _______________________________________________________ , state that on or about
___________________ o’clock on the _______________ day of _______________ 19 ___ ,
I placed in the United States mail at a post office, mail box or other like facility
located at _________________________________________________ , a postage prepaid
sealed envelope addressed to the State Board of Equalization, which contained a
prepayment
tax return for the period ended ____________________________ ,
together with a check or money order in the amount of $ _____________________ for
liability under the account number shown above.
CERTIFICATION
I certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
SIGNATURE
DATE

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