BOE-32 (S1F) (7-09)
STATE OF CALIFORNIA
DIESEL FUEL TAX
BOARD OF EQUALIZATION
CLAIM FOR REFUND QUESTIONNAIRE
ACCOUNT NUMBER:
DU MT 57-
BUSINESS NAME
1.
Type of business? Please provide a brief description of what you do (for example, electrical contractor performing
underground cable work).
Do not list job sites. List only the permanent
2.
How many business locations are involved in the claim?
locations where you normally conduct business, including equipment yards. List the address of each
location.
3.
Description of Nontaxable Use. Please be specific (for example, loaders and scraper used off-highway and PTO
on winch truck). Please indicate if refrigerated units have separate fuel tanks.
Do you have any on-highway use of diesel? * YES
** NO
* If YES, please indicate the frequency and duration of on-highway usage.
** If NO, please indicate (if appropriate) how off-highway equipment is transported
Please attach a list of all of your equipment and vehicles using the format below.
4.
Equipment/Vehicle Description
On-hwy/Off-hwy
Type of Fuel Used*
* gasoline, diesel, LPG, electric, etc.
5.
Describe how your off-highway equipment and vehicles are fueled (for example, bulk, cardlock, service station,
fuel wagon, or tanks attached to vehicles). If more than one means of fueling is used, please describe use of
each.
6.
Do you purchase dyed diesel?
Yes
No
If yes, please explain how the dyed fuel is used and how you
account for it.