Form Boe-10 - Vehicle/vessel Use Tax Clearance Request

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BOE-106 (FRONT) REV. 15 (8-10)
STATE OF CALIFORNIA
VEHICLE/VESSEL USE TAX CLEARANCE REQUEST
BOARD OF EQUALIZATION
NAME OF CLAIMANT
TELEPHONE NO.
EMAIL ADDRESS
ADDRESS (street, city, state, zip code)
NAME OF SELLER OR TRANSFEROR
TELEPHONE NO.
EMAIL ADDRESS
ADDRESS (street, city, state, zip code)
MAKE OF:
YEAR
Vehicle
Vessel
DATE YOU APPLIED FOR CALIFORNIA
LICENSE NO.(s)/CF NO.(s)/DECAL NO.(s)
VIN/HIN NO.(s)/SERIAL NO.(s)
PURCHASE OR TRANSFER DATE
REGISTRATION
LOCATION OF PURCHASE/TRANSFER
DATE VEHICLE/VESSEL ENTERED CALIFORNIA DATE YOU BECAME RESIDENT OF CALIFORNIA DATE EMPLOYED IN CALIFORNIA
WAS VEHICLE/VESSEL PREVIOUSLY REGISTERED TO YOU OUTSIDE THE STATE OF CALIFORNIA? IF YES, WHERE?
MODEL
YEAR
MOBILEHOME MANUFACTURER
PURCHASE PRICE
SIZE
FOR
MOBILEHOMES
ONLY:
I hereby request a Certificate of Use Tax Clearance to allow completion of registration at DMV/HCD without payment of
the California use tax for the following reason:
I hereby certify that the above statements, to the best of my knowledge and belief, are true and correct.
SIGNATURE OF CLAIMANT
DATE
Please refer to Board of Equalization (BOE)
publication
52, Vehicles and Vessels, How to Request a Use Tax Clearance for DMV
Registration, available at , for information on the required documentation to submit with this request. Take or mail all
required forms to a local
BOE field office
(check the BOE website, or call 800-400-7115 to locate an office nearest you).
CLEAR
PRINT

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