Form Boe-32 - Diesel Fuel Tax Claim For Refund Questionnaire Page 3

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BOE-32 (S2) (7-09)
STATE OF CALIFORNIA
BOARD OF EQUALIZATION
11. Are you an IFTA carrier?
Yes
No If yes, please record your IFTA account number here.
and IFTA jurisdiction
Include with your claim(s) for refund the following information relating to your operations only if gallons being
claimed are of diesel fuel used in non-IFTA vehicles operated off-highway or of fuel used in power take-off
equipment or refrigerated units:
a.
Total California purchases of diesel fuel. Identify IFTA fuel, non-IFTA fuel, and reefer fuel.
b.
Total California miles driven for entire fleet. Separately state IFTA and non-IFTA miles.
c.
Miles per gallon (mpg) of entire diesel fleet. Separately state IFTA mpg and non-IFTA mpg.
In addition, please provide a copy of your IFTA 101, IFTA Quarterly Fuel Use Tax Schedule.
12. Business/Company Information:
TYPE OF ENTITY (individual,partnership, corporation, limited partnership, etc.)
OWNER NAME (list names of general partners and partnership name if applicable)
OWNER’S SOCIAL SECURITY NUMBER (SSN)/FEDERAL EMPLOYER IDENTIFICATION NUMBER (FEIN)
NAME AND TITLE OF PERSON PREPARING THIS FORM (please print)
SIGNATURE OF PERSON PREPARING THIS FORM
DATE
TELEPHONE NUMBER
FAX NUMBER
NAME AND TITLE OF CONTACT PERSON (if different from preparer)
TELEPHONE NUMBER (if different from preparer)
CLEAR
PRINT

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