BOE-519-EXT REV. 3 (2-11)
STATE OF CALIFORNIA
REQUEST FOR EXTENSION OF TIME
BOARD OF EQUALIZATION
TO FILE ANNUAL REPORT OF PRIVATE RAILROAD CARS
ASSESSEE’S NAME
COMPANY NO.
LIEN DATE (year)
ASSESSEE’S ADDRESS (street, city, state, and zip code)
CONTACT PERSON’S NAME
CONTACT’S DAYTIME TELEPHONE NO.
FOR BOE USE ONLY
(
)
EXTENSION DATE REQUESTED
APPROVED
EXTENSION DATE
PROPERTY STATEMENT PARTS
GRANTED
(Not to exceed 30 days)
(yes/ no)
Schedule A – Statement of Cars Registered
Schedule B – Shop Time Exclusion Claim
Schedule C – Cars in California Entire Year
Schedule D – Car Reconciliation Schedule
Schedule E – Partner Information
Entire Property Statement
Reason for extension request (R & T Code section 11272 requires a showing of good cause):
Faxed Request to fax number: 916-285-0132
(If request is faxed, it must be followed by a hard copy through regular mail.)
CERTIFICATION
I certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing and all information
herein, including accompanying statements or documents, is true and correct and complete to the best of my knowledge
and belief. If the owner is a corporation, this document must be signed by an officer of the corporation.
APPLICANT’S SIGNATURE
DATE
✍
FOR BOE USE ONLY
Approval or disapproval by BOE State-Assessed Properties Division Chief
Approved as noted
Disapproved
STATE-ASSESSED PROPERTIES DIVISION CHIEF’S SIGNATURE
DATE
✍
Comments:
FOR OFFICIAL USE ONLY
CLEAR
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