Form Boe-231-Db - Certificate Of Exempt Bus Operation Page 2

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BOE-231-DB (BACK) REV. 2 (4-05)
BUYER TYPE OF BUSINESS (check one)
Sole Owner
Husband/wife Co-owners
Registered Domestic Partnership
Partnership
Corporation
Limited Liability Company
Other (please specify) :
LIST PARTNERS (if partnership)
NAME OF BUYER/BUSINESS OWNER (print or type)
BUYER/OWNER FEIN
DBA
BUYER/OWNER SSN (husband/wife co-ownership, registered domestic partnership or partnerships–list SSN for each partner)
CORPORATION OR LLC ID (list number from Secretary of State)
PHYSICAL ADDRESS OF BUYER/BUSINESS (street, city, state, zip code)
MAILING ADDRESS OF BUYER/BUSINESS (if different from physical address)
BULK DELIVERY ADDRESS (if different from physical address)
TELEPHONE NUMBER OF BUYER/BUSINESS
FAX NUMBER
(
)
(
)
LIST ALL CURRENT PERMITS OR CERTIFICATES BY TYPE AND NUMBER ISSUED TO BUYER BY THE PUBLIC UTILITIES COMMISSION:
CERTIFICATION
To the best of my knowledge all of the information on this certificate is accurate, and is signed under penalty of perjury.
If signed by other than the Buyer, I certify that I have authority to bind the Buyer.
AUTHORIZED SIGNATURE
DATE
✍
PRINT NAME AND TITLE OF PERSON SIGNING
For purposes of the exemption from diesel fuel tax under Revenue and Taxation Code section 60039, charter party carrier of
passengers means every person engaged in the transportation of persons by motor vehicle for compensation, whether in common
or contract carriage over any public highway in this state except the activities listed in Public Utilities Code section 5353, which
include:
• Transportation service rendered wholly within the corporate limits of a single city or city and county and licensed or
regulated by ordinance*
• Transportation of school pupils conducted by or under contract with the governing board of any school district
• Common carrier transportation services between fixed termini or over a regular route which are subject to
authorization as a passenger stage corporation**
• Transportation services afforded for farm employees moving to and from farms in specified circumstances
• Transportation service rendered by a publicly owned transit system
• Passenger vehicles carrying passengers on a noncommercial enterprise basis
• Taxicab transportation service
• Carpools or vanpools for transportation to and from work
• Medical transportation vehicles
• Specified transportation services within the Lake Tahoe Basin
• Specified rental car shuttle services
• Specified hotel shuttle services
• Specified hot air balloon ride shuttle services
• Specified transportation to youth camp
*A company that provides transportation service within the corporate limits of a single city or city and county under contract, as opposed to
common carriage, is a charter party carrier of passengers under section 60039 and does not qualify as an exempt bus operator.
**A publicly owned transit system that provides transportation services under contract, as opposed to common carriage, is a charter party
carrier of passengers under section 60039 and does not qualify as an exempt bus operator.
CLEAR
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