Form Boe-512-Ad - Request For Additional Annual Flat Rate Decals Page 3
Download a blank fillable Form Boe-512-Ad - Request For Additional Annual Flat Rate Decals in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form Boe-512-Ad - Request For Additional Annual Flat Rate Decals with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2
3BOE-512-AD (S2B) REV. 4 (4-13)
INSTRUCTIONS FOR SUPPLEMENTAL VEHICLE LIST
Payments: You can make your payment by paper check, Online ACH Debit (ePay) or by credit card. To use ePay, go to our
website at , click on the eServices tab and log in to make a payment. To pay by credit card, go to our
website or call 1-855-292-8931. Mandatory EFT accounts must pay by EFT or ePay. Be sure to sign and mail your return.
Please complete the Supplemental Vehicle List as shown in the example below. You may print or type the required information.
FEE SCHEDULE EXAMPLE
A
B
C
D
E
F
BOE USE ONLY
MAKE
YEAR
LICENSE NUMBER
UNLADEN
TYPE OF
FEE
(Decal Number)
WEIGHT
FUEL
--
Plymouth
64
SAM123
LPG
$
21.00
Chevrolet
72
Z73700
8220
CNG
$
70.00
Ford
78
00737A
6072
LPG
$
42.00
Winnebago
--
LNG
89
2SAM123
$
21.00
$
154.00
TOTAL FEES ENCLOSED
Indicate the make of vehicle for which you are applying for an Annual Flat Rate Decal.
Column A.
Indicate the year of the vehicle for which you are applying for an Annual Flat Rate Decal.
Column B.
Indicate the license number of the vehicle for which you are applying for the Annual Flat Rate Decal.
Column C.
Does not apply to vehicles with automobile license plates. Fees for all vehicles with commercial plates and
Column D.
subject to weight fees are determined by the unladen weight of the vehicle, which must agree with the
unladen weight shown on the vehicle registration card or ownership certificate.
Use initials for fuel type: Liquefied Petroleum Gas - LPG
Column E.
Liquid Natural Gas
- LNG
Compressed Natural Gas - CNG
The fee schedule is based upon unladen weight of vehicles which are subject to weight fees. To calculate
Column F.
the fee due on each additional vehicle, please complete the following formula:
Reduce the fee by one-twelfth (1/12) for each month which has passed since the starting month
of the 12-month period and enter the result in column F.
Total the vehicles by type. Transfer the total number of vehicles to line 1 on the front of the request. Enter the total
amount of fees enclosed on line 2 on the front of the request.
FEE SCHEDULE
FEE
TYPES OF VEHICLES AND FEES SCHEDULE
VEHICLES WITH AUTOMOBILE LICENSE PLATES
$
36.00
Passenger vehicles and other vehicles with automobile plates
VEHICLES WITH COMMERCIAL PLATES (UNLADEN WEIGHT)
36.00
4,000 lbs. or less
$
72.00
More than 4,000 lbs. but less than 8,001 lbs.
$
More than 8,000 lbs. but less than 12,001 lbs.
120.00
$
168.00
More than 12,000 lbs.
$
If you need additional information, please contact the State Board of Equalization, Motor Carrier Office, P.O. Box 942879,
Sacramento, CA 94279-0065. You may also visit the BOE website at or call the Taxpayer Information Section at
1-800-400-7115 (TTY:711); from the main menu, select the option Special Taxes and Fees.
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial