Form Boe-135-A - Declaration Of Timely Mailing

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BOE-135-A REV. 7 (8-02)
STATE OF CALIFORNIA
DECLARATION OF TIMELY MAILING
BOARD OF EQUALZATION
INSTRUCTIONS: Please complete the entire form and return it to the Board of Equalization (Board) office
that provided the form to you. Otherwise, you may mail the completed form to your local Board office
listed in the telephone directory under State Government, or as listed on our website at
.
Upon receipt of the completed form, the Board will review it and you will be notified by mail of the
decision.
ACCOUNT NUMBER
NAME OF TAXPAYER/FEEPAYER
REPORTING BASIS
I,
, state that on or about
__________________________________________________________________________________________________
o’clock on the
day of
.
_____________
_____________________________
___________________________________________________________
time
day
month and year
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
fee 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
CLEAR
PRINT

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