Form Boe-837 - Affidavit For Section 6388 Or 6388.5 Exemption From California Sales And Use Tax

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BOE-837 (FRONT) REV. 3 (4-03)
STATE OF CALIFORNIA
AFFIDAVIT FOR SECTION 6388 OR 6388.5 EXEMPTION
BOARD OF EQUALIZATION
FROM CALIFORNIA SALES AND USE TAX
Revenue and Taxation Code (RTC) sections 6388 and 6388.5 provide exemptions from the taxes imposed on the sale, storage, use, or
other consumption of certain new and remanufactured vehicles and trailers. The RTC section 6388 exemption applies to the sale or use
of certain new or remanufactured vehicles. The RTC section 6388.5 exemption applies to the sale or use of certain new or remanufactured
trailers. Additional information about these exemptions and additional requirements to meet these exemptions is available on the back
of this form and in Regulation 1620.1, Sales of Certain Vehicles and Trailers for Use in Interstate or Out-Of-State Commerce.
CHECK AND/OR FILL IN ALL APPROPRIATE BOXES AND BLANKS BELOW
I have purchased a vehicle or trailer the sale and use of which is exempt from California sales and use tax per section
6388
6388.5.
Vehicle or Trailer Information:
The vehicle is a
truck,
truck tractor,
trailer,
semitrailer,
trailer coach, or
auxiliary dolly, described as:
MAKE & MODEL
VIN/ SERIAL NO.
YEAR
PURCHASE PRICE
UNLADEN WEIGHT
MANUFACTURER / REMANUFACTURER
PLACE OF MANUFACTURE / REMANUFACTURE
DATE OF DELIVERY
The vehicle or trailer was moved outside California within
30
75 days of delivery (check one). Date moved:
Seller and Deliverer of Vehicle or Trailer:
I hereby certify that the vehicle or trailer described above was purchased from
(name of dealer or mfr. / remfr.)
located at
, and was delivered by
(dealer or mfr. / remfr.’s address - street, city, state, zip code)
, located at
(name of California dealer or mfr. / remfr.)
(California dealer or mfr. / remfr.’s address - street, city, state, zip code)
Leasing and Registration Information:
The vehicle or trailer described above
is
is not being leased. If being leased, name and address of lessee:
Vehicle or trailer is licensed or registered in
(state where registered)
(If a trailer is registered in California, provide owner’s or lessee’s USDOT number or FMC number)
Purchaser Information:
The purchaser is a
corporation
limited liability company
partnership
sole proprietor, which
is
is not a resident
of California. The vehicle was purchased for use outside California (section 6388) or the trailer was purchased for use exclusively
outside California or exclusively in interstate and foreign commerce, or both (section 6388.5). If the trailer or vehicle is registered
outside California, a copy of the purchaser’s or lessor’s out-of-state registration, or license and registration, will be provided
within 60 days from the date of this affidavit. If the trailer is registered in California under the PTI program, a copy of the
purchaser’s or lessee’s USDOT number, FMC number, or current SSRS filing is attached.
I understand that if I do not meet the requisite exemption provisions detailed on the back of this form, I am required by the California
Sales and Use Tax Law to report and pay tax, and interest and penalties (if appropriate), directly to the California State Board of
Equalization, the tax to be measured by the purchase price of the above listed vehicle or trailer even though I have furnished an
affidavit of exemption to the manufacturer, remanufacturer, or dealer.
PURCHASER’S NAME
SIGNATURE OF PURCHASER OR PURCHASER’S AGENT
TITLE
PRINT NAME OF SIGNATOR
PHONE NUMBER
DATE
(
)
For exemption requirements and instructions on completing this affidavit, please see back of form.
CLEAR
PRINT

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