Form Boe-770-Du - Diesel Fuel Claim For Refund On Nontaxable Uses Page 3

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BOE-770-DU (S2F) REV. 7 (9-12)
STATE OF CALIFORNIA
BOARD OF EQUALIZATION
REFUND COMPUTATION WORKSHEET
Use this worksheet to assist you with completing your claim and to calculate the refund due.
Do not send this worksheet with your claim.
(A)
(B)
TAX-PAID CREDITS
FROM
DIESEL FUEL AT
DIESEL FUEL
(Total Gallons)
SCHEDULE
CURRENT RATE
AT PRIOR RATE
1. Tax-paid fuel used in an exempt manner not reportable on another
13J
credit schedule (enter totals from column 11 on Schedule 13J)
2. Tax-paid fuel used in vessels (enter totals from column 11 on
13J5
Schedule 13J5)
3. Tax-paid fuel used in construction equipment exempt from
vehicle registration operated within a construction project (enter
13J6
totals from column 11 on Schedule 13J6)
4. Tax-paid fuel used off-highway and not reported on Schedule
13J7
13J6 (enter totals from column 11 on Schedule 13J7)
5. Tax-paid fuel used in operation of power take-off equipment
13J8
(PTO) (enter totals from column 11 on Schedule 13J8)
6. Tax-paid fuel used in vehicles operated on highways under the
jurisdiction of the U.S. Department of Agriculture (enter totals
13J9
from column 11 on Schedule 13J9)
7. TOTAL TAX-PAID GALLONS CLAIMED FOR REFUND (add lines
1 through 6 for each column) Enter this amount in columns A and
B on line 1 on the front of the claim.
Note:
Do not include any fuel you have already reported on any other claim for refund. Duplication of fuel claimed will result in a
delay in the processing of your claim for refund.
You must complete Schedules 1A and 2A, as applicable to your purchases, in support of your claim.
Any schedules required in support of this claim (Schedules 1A, 2A, 12A through 12C, and 13J through 13J9) must be
submitted with the claim.
All supporting documents used to complete this claim must be submitted with the claim.
CLEAR
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