Form Boe-231-Pt - Fuel Tax Exemption Certificate For Diesel Fuel And Motor Vehicle Fuel Train Operators

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CALIFORNIA STATE BOARD OF EQUALIZATION
FUEL TAX EXEMPTION CERTIFICATE
FOR DIESEL FUEL AND MOTOR VEHICLE FUEL
TRAIN OPERATORS
SECTIONS 60106 AND 7403, REVENUE AND TAXATION CODE
If you need additional information, please contact the State Board of
CERTIFICATE NUMBER
Equalization, Special Taxes and Fees, P.O. Box 942879, Sacramento, CA
94279-0088. You may also visit the BOE website at or
call the Taxpayer Information Section at 800-400-7115 (TTY: 711); from
EFFECTIVE DATE
the main menu, select the option Special Taxes and Fees. Customer
service representatives are available weekdays from 8:00 a.m. to 5:00 p.m.
Pacific time, except state holidays.
SELLER NAME
ADDRESS (street, city, state, zip code)
SUPPLIER LICENSE NUMBER
FEDERAL EMPLOYER IDENTIFICATION NUMBER (FEIN)
I, the undersigned, certify that, to the best of my knowledge, the information I have provided
on this form is true and correct; that all diesel fuel and/or motor vehicle fuel purchased under
this certificate is for operation of a train powered by diesel fuel or motor vehicle fuel, as
defined in Revenue and Taxation Code sections 60042 and 7342, or for other tax-exempt use;
and that I am the purchaser or authorized to sign this certificate as an agent of the purchaser.
By signing this certificate I acknowledge my understanding that if any diesel fuel or motor
vehicle fuel purchased with this certificate is sold or otherwise used in a taxable manner, I am
required to report and pay the diesel fuel or motor vehicle fuel taxes on this fuel promptly at
the time of sale or use. I also understand that the law provides civil and criminal penalties for
fraudulent use of this certificate.
PURCHASER NAME (print full name)
TITLE
SIGNATURE
DATE
COMPANY NAME
EMAIL ADDRESS
BUSINESS ADDRESS (street, city, state, zip code)
TRAIN OPERATOR LICENSE NUMBER
FEDERAL EMPLOYER IDENTIFICATION NUMBER (FEIN)
PT MT 05-
BOE-231-PT REV. 1 (10-10)
CLEAR
PRINT

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