Form Boe-770-Dv (S1f) - Diesel Fuel Ultimate Vendor Report/claim For Refund Page 5
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6STATE OF CALIFORNIA
BOARD OF EQUALIZATION
BOE-770-DV (S3F) REV. 9 (4-13)
Preparation of the Refund Computation Worksheet
The Refund Computation Worksheet is provided to assist you in calculating the refund claim and completing your report. (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 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 exported below the California terminal racks by adding the totals from column
11 for each disbursement schedule coded 13A.
Line 2.
Enter the total gallons of tax-paid diesel fuel sold to the United States Government by adding the totals from column
11 for each disbursement schedule coded 13C.
Line 3.
Enter the total gallons of tax-paid diesel fuel sold to a person who uses the fuel on a farm for farming purposes by
adding the totals from column 11 for each disbursement schedule coded 13D.
Line 4.
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 5
Enter the total gallons of tax-paid diesel fuel sold to train operators by adding the totals from column 11 for each
disbursement schedule coded 13G.
Line 6.
Enter the total gallons of tax-paid diesel fuel used in an exempt manner not reportable on any other credit schedule by
adding the totals from column 11 for each disbursement schedule coded 13J.
Line 7.
Enter the total gallons of tax-paid diesel fuel transactions for which you are claiming a refund of tax during the reporting
period by adding lines 1 through 6 for columns A and B.
Preparation of the Report/Claim
Before completing the report/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 7, columns A and B of the Refund
Computation Worksheet.
Line 2.
These are the current and prior year tax rates for diesel fuel.
Line 3.
For columns A and B, multiply line 1 by line 2 for each column and enter the result in the appropriate column on line 3.
Line 4.
Enter the total refund claimed by adding columns A and B of line 3.
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
(BOE-770-DVW), any exempt sales for the last week of the period or claimed at a prior tax rate must be claimed on this form.
If you are claiming a refund at the prior tax rate, you must have reported your below the rack activities on Schedules 12A, 12B, and
12C for all previous reporting periods from the period prior to the tax rate change forward through the period on which you are
making the claim. For example, to claim a credit transaction claimed at the prior tax rate in the September 2011 period, you would
need to report on these schedules for the June 2011 period and all subsequent periods. You must also report these schedule
activities for this reporting period.
BOE-810-FTE, Instructions for Preparing Motor Fuels Schedules, is available on our website at ,
and provides detailed instructions on the reporting requirements for these schedules.
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