Form Boe-32 - Diesel Fuel Tax Claim For Refund Questionnaire Page 2
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3BOE-32 (S1B) (7-09)
7.
Do you sell or otherwise provide clear diesel to other users?
Yes
No If yes, please attach a summary
of the number of gallons sold or provided, customers’ names and dates of sale with your claims for refund.
8.
If you have bulk storage, please provide the following information:
Above ground tanks?
Yes
No
Number of Tanks
Capacity per tank (gallons)
Type of Fuel Stored
Underground tanks?
Yes
No
Number of Tanks
Capacity per tank (gallons)
Type of Fuel Stored
If underground tanks:
Tank account number - TK MT 44-
Who is the owner of the tanks?
Site address of underground tanks:
How did you arrive at the gallons you are claiming as being used in a nontaxable manner? Please attach a
9.
detailed description for each nontaxable use claimed on the Diesel Fuel Claim for Refund on Nontaxable Uses.
a.
Actual: Based on data from a log or card key coded for each specific type of equipment claimed on actual
basis. Please provide representative sample (monthly/quarterly) as it relates to the claim. If the sample is not
for the entire claim period, you will need to break down your nontaxable gallons claimed to correspond with
the sample.
b.
Percentage: How did you calculate the percent used? Also, please provide a copy of text documents, if
applicable, and a description of how the test was performed. When was the test performed? How is the
percentage being applied (for example, total purchases, usage, usage of only specific equipment)?
c.
Other: Explain in detail. (Attach worksheets or schedules if necessary.)
10. List all diesel fuel accounts and all other licenses and permits issued for your company by the Board of
Equalization.
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