BOE-400-D REV. 4 (3-11)
STATE OF CALIFORNIA
BOARD OF EQUALIZATION
REQUEST FOR ADDITIONAL IFTA DECALS
BOE USE ONLY
RA-B/A
AUD
REG
FOR YEAR
RR-QS
FILE
REF
YOUR ACCOUNT NO.
[
]
FOID
EFF
Mail To:
STATE BOARD OF EQUALIZATION
MOTOR CARRIER OFFICE
PO BOX 942879
SACRAMENTO CA 94279-6180
READ INSTRUCTIONS
BEFORE PREPARING
IFTA ACCOUNT NUMBER
You may use this form to order decals for qualified motor vehicles that you wish to add to your IFTA fleet.
You must have a current IFTA license issued by the California State Board of Equalization and your account must
be in good standing.
SECTION I: Decal and Fee Computation (this section must be completed)
1. Enter the number of qualified vehicles requiring decals
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1.
2. Fee per set of decals
$ 2.00
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2.
$
3. Total decal fee enclosed (multiply line 1 by line 2)
3.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
SECTION II: Vehicle Information (List complete information for each qualified motor vehicle that you wish to add to your IFTA
fleet; attach a separate sheet if needed.)
BASE STATE VEHICLE
TYPE OF
REGISTERED OWNER IF
MAKE AND YEAR
VIN/LICENSE NUMBER
DIFFERENT THAN IFTA ACCOUNT
REGISTRATION
FUEL USED
Make check or money order payable to the State Board of Equalization. Remittance must be in U.S. funds.
Always write your account number on your check or money order. Make a copy of this document for your records.
SIGNATURE
EMAIL ADDRESS
PRINT NAME AND TITLE
TELEPHONE
DATE
(
)
If you need additional information, please contact the State Board of Equalization, Motor Carrier Office, P.O. Box 942879,
Sacramento, CA 94279-0065. You may also visit the BOE website at
or call the Taxpayer Information Section at
800-400-7115 (TTY: 711); from the main menu, select the option Special Taxes and Fees.
CLEAR
PRINT