BOE-517-FF (BACK) REV. 5 (12-12)
Report all cable and video franchise payments on this form. If there are no payments to report, enter “none” in column B and return this form with your property
statement filing.
INSTRUCTIONS
Column A. Enter the county number in which the franchise fee payments are made.
Column B. Enter the county name in which the franchise fee payments are made.
Column C. Enter the total cable and video service franchise fee payments by county for calendar year 2012.
Column D. Enter the month and year that the contract began.
Column E. Enter the month and year that the contract ends.
Column F.
Enter the franchisee name for example, California Public Utility Commission (CPUC).
COUNTY
COUNTY
COUNTY
COUNTY
NUMBER
COUNTY NAME
NUMBER
COUNTY NAME
NUMBER
COUNTY NAME
NUMBER
COUNTY NAME
1
Alameda
16
Kings
31
Placer
46
Sierra
2
Alpine
17
Lake
32
Plumas
47
Siskiyou
3
Amador
18
Lassen
33
Riverside
48
Solano
4
Butte
19
Los Angles
34
Sacramento
49
Sonoma
5
Calaveras
20
Madera
35
San Benito
50
Stanislaus
6
Colusa
21
Marin
36
San Bernardino
51
Sutter
7
Contra Costa
22
Mariposa
37
San Diego
52
Tehama
8
Del Norte
23
Mendocino
38
San Francisco
53
Trinity
9
El Dorado
24
Merced
39
San Joaquin
54
Tulare
10
Fresno
25
Modoc
40
San Luis Obispo
55
Tuolumne
11
Glenn
26
Mono
41
San Mateo
56
Ventura
12
Humboldt
27
Monterey
42
Santa Barbara
57
Yolo
13
Imperial
28
Napa
43
Santa Clara
58
Yuba
14
Inyo
29
Nevada
44
Santa Cruz
15
Kern
30
Orange
45
Shasta