Form Boe-810-Ftg - Receipt Schedule

Download a blank fillable Form Boe-810-Ftg - Receipt Schedule in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Form Boe-810-Ftg - Receipt Schedule with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

STATE OF CALIFORNIA

BOE-810-FTG REV. 2 (4-13)

BOARD OF EQUALIZATION

RECEIPT SCHEDULE

(If additional space is needed, please photocopy the schedule before making entries.)

Page

(a) COMPANY NAME

(b) ACCOUNT NUMBER

(d) PRODUCT CODE

(e) MONTH/YEAR

* For detailed information regarding the use and preparation of these schedules, see form BOE-810-FTE, Instructions for Preparing Motor Fuels Schedules, available on our website at For a list of product

codes, see form BOE-810-FTB, Product Code Table, available on our website at

(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)