BOE-393 REV. 3 (12-10)
STATE OF CALIFORNIA
SETTLEMENT PROPOSAL FOR:
BOARD OF EQUALIZATION
SALES AND USE TAX AND SPECIAL TAXES AND FEE CASES
Taxpayer/Feepayer:
Account No(s).:
I request that the tax or fee amount in question for the above account(s) established on
for the
(DATE OF NOTICE, BILLING OR REFUND CLAIM)
period(s)
through
be considered
(MONTH/DAY/YEAR)
(MONTH/DAY/YEAR)
for settlement as follows:
Proposed Settlement Amount $
I believe this settlement offer is reasonable because:
I understand that all settlement offers are subject to review and that only those considered reasonable by the
Board of Equalization’s (BOE) Settlement Section staff will be submitted to the BOE’s executive management
for approval.
FIRM NAME
Date:
**By
SIGNATURE
Address:
TITLE
DAYTIME TELEPHONE NUMBER
NOTE:
The settlement program does not currently apply to motor vehicle fuel license tax disputes or to insurance
tax d isputes. Also, with the exception of disputes pertaining to the Childhood Lead Poisoning Prevention Fee
and the O ccupational Lead Poisoning Prevention Fee, disputes involving the Hazardous Substances Tax Law
are administered by the Department of Toxic Substances Control. Please submit the Settlement Proposal to:
State Board of Equalization; Assistant Chief Counsel, Settlement & Taxpayer Services Division, MIC:87;
PO Box 942879; Sacramento, CA 94279-0087.
** The person signing this form, if not a corporate officer, partner or owner, certifies under penalty of perjury that he or she holds a power of
attorney to execute this document, as evidenced by the attached “Power of Attorney” form.
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