Form Boe-770-Dvw - Diesel Fuel Tax Claim For Refund - Sales To Ultimate Purchasers - 2011 Page 2

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STATE OF CALIFORNIA
BOE-770-DVW (S1B) REV. 6 (7-11)
BOARD OF EQUALIZATION
REFUND COMPUTATION WORKSHEET
Use this worksheet to help you complete your claim and calculate the refund due.
(A)
SECTION A. TAX-PAID CREDITS
FROM
DIESEL FUEL
(Total Gallons)
AT CURRENT RATE
SCHEDULE
1. Tax-paid fuel sold for use on farms for farming purposes (enter totals from
13D
column 11 on Schedule 13D)
2. Tax-paid fuel sold to exempt bus operators (enter totals from column 11
13E
on Schedule 13E)
3. TOTAL TAX-PAID CREDITS (add lines 1 and 2)
Enter this amount in column A on line 1 on the front of the claim.
Note: Even if you qualify to file weekly claim forms, any exempt sales to ultimate purchasers for the last week of the period
must be claimed on the periodic report (BOE-770-DV). Do not include on this form sales listed on previously filed claims for
refund (BOE-770-DV or BOE-770-DVW). Do not include claims for tax paid at prior tax rate. Claims for tax paid at a prior tax
rate must be made on your periodic report/claim for refund on (BOE-770-DV).
INSTRUCTIONS
DIESEL FUEL TAX CLAIM FOR REFUND - SALES TO ULTIMATE PURCHASERS
General Information
Refer to BOE-770-DV, Diesel Fuel Ultimate Vendor Report/Claim For Refund, that is mailed with this claim form for general
information, filing requirements, schedule preparation, and schedule, product, and mode code information applicable to this
form.
Preparation of the Refund Computation Worksheet
The Refund Computation Worksheet is provided to assist you in calculating the refund claim amount and completing your
claim. (This worksheet should be kept with your records. Do not send the worksheet with your claim.) Add the totals from
column 11 on each of the schedules for diesel fuel to determine the total gallons to be included in each column of the
worksheet. Refer to BOE-810-FTE, Instructions for Preparing Motor Fuels Schedules, for detailed instructions on the use of and
reporting requirements for each schedule.
Section A. Tax-Paid Credits
Line 1. Enter the total gallons of tax-paid diesel fuel sold to a person who uses the fuel on farm for farming purposes by
adding the totals from column 11 for each disbursement schedule coded 13D.
Line 2. Enter the total gallons of tax-paid diesel fuel sold to exempt bus operators for use in exempt bus operations by adding
the totals from column 11 for each disbursement schedule coded 13E.
Line 3. Enter the total gallons of tax-paid diesel fuel transactions for which you are claiming a refund of tax during the claim
period by adding lines 1 and 2.
Preparation of the Claim
Before completing the claim, prepare the applicable Receipt and Disbursement Schedules and the Refund Computation
Worksheet.
Line 1. Enter the total gallons for which a refund of tax is due from section A, line 3 of the Refund Computation Worksheet.
Line 2. This is the current rate of tax for diesel fuel.
Line 3. Enter the total refund claimed by multiplying line 1 by line 2.
Note: Do not include any sales you have already reported on a weekly claim or any other claim for refund. Duplicate reports of
sales may result in a delay in the processing of your claim for refund. If you qualify to claim ultimate vendor sales on a weekly
basis on BOE-770-DVW, any exempt sales for the last week of the report must be claimed on the periodic report on
BOE-770-DV.
For more information, visit the BOE website at You may also call the Taxpayer Information Section at
800-400-7115 (TTY:711); from the main menu, select the option Special Taxes and Fees. Assistance is available
weekdays from 8:00 a.m. to 5:00 p.m., Pacific time, except state holidays.

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