Form Boe-517-Pc - Property Statement - Intercounty - Pipelines - Common Carrier Pipelines

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BOE-517-PC (S1F) REV. 33 (12-12)
STATE OF CALIFORNIA
PROPERTY STATEMENT—INTERCOUNTY
BOARD OF EQUALIZATION
PIPELINES—COMMON CARRIER PIPELINES
2013
DECLARATION OF COSTS AND OTHER RELATED PROPERTY INFORMATION
AS OF 12:01 A.M., JANUARY 1, 2013
This statement must be completed, signed, and filed with the State-Assessed Properties Division, Board of Equalization,
P.O. Box 942879, Sacramento, California 94279-0061, by March 1, 2013. Omit cents; round to the nearest dollar.
OFFICIAL REQUEST
NAME, STREET, CITY, STATE and ZIP CODE
This request is made in accordance with section 826 of the Revenue and
Taxation Code. This property statement must be completed according
to the instructions and filed with the Board of Equalization (BOE) on
or before March 1, 2013. If you do not file this statement, you may
be subject to the penalty provided in section 830 of the Revenue and
Taxation Code. Attached schedules are considered to be part of the
statement. THIS STATEMENT IS SUBJECT TO AUDIT.
SBE NO.
MAKE NECESSARY CORRECTIONS TO ADDRESS LABEL
Indicate if above is a change of name and/or address.
SUBMITTED
DATE TO BE
THIS STATEMENT SHALL CONSIST OF:
N/A
HEREWITH
SUBMITTED
(1)
Dollar-Age Detail Report:
a. Fixed Equipment—BOE-533-PF
b. Continuous Pipeline—BOE-533-P
c. Pipeline Mileage Report—BOE-575-P
(2)
BOE-517-PC Schedules:
a. Comparative Balance Sheet
b. Plant and Equipment
c. Revenues and Expenses & Rental Expense
d. Stmts. of Income and Retained Earnings
h. Construction Work In Progress
i. Pipeline Statistics
j. Rate Base
(3)
Schedule of Intangible Information—BOE-529-I
(4)
Other information as requested:
a. Annual Report to Federal Agencies
b. Annual Report to State Agencies
c. Form 10K
d. Shareholders Report—3 copies
e. Supplemental Information
NAME AND ADDRESS OF PERSON TO WHOM CORRESPONDENCE REGARDING AUDIT SHOULD BE ADDRESSED:
NAME
MAILING ADDRESS (street, city, state, and zip code)
TELEPHONE NUMBER
EMAIL ADDRESS
(
)
LOCATION OF ACCOUNTING RECORDS:
NAME OF AUTHORIZED REPRESENTATIVE (if applicable) (BOE-892, Statement of Authorization, must be filed annually)
ADDRESS (street, city, state, and zip code)
DAYTIME TELEPHONE NUMBER
EMAIL ADDRESS
(
)
CERTIFICATION
I certify (or declare) under penalty of perjury under the laws of the State of California that I have examined this Property Statement, including accompanying schedules
and statements, and to the best of my knowledge and belief it is true, correct, and complete and covers all property required to be reported which is owned, claimed,
possessed, controlled, or managed by the person named in the statement at 12:01 a.m. on January 1, 2013. If prepared by a person other than the taxpayer, this
declaration is based on all information of which preparer has knowledge.
FOR OFFICIAL USE ONLY
FULL LEGAL NAME IF INCORPORATED
SIGNATURE OF OWNER, PARTNER, OFFICER, OR AUTHORIZED AGENT
DATE
2013
PRINTED NAME OF SIGNATORY
TITLE
SIGNATURE AND ADDRESS OF PREPARER OTHER THAN TAXPAYER
DATE
2013
INFORMATION PROVIDED ON A PROPERTY STATEMENT MAY BE SHARED WITH OTHER STATE BOARD OF EQUALIZATION DEPARTMENTS
CONTINUE

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