Form Boe-400-Fen - Application For Fuel Exemption Number Page 2

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BOE-400-FEN (BACK) REV. 1 (9-10)
INSTRUCTIONS
Section I – Ownership and Business Information – All Applicants:
(Items 1-9) You must provide the information requested for each type of owner. The purchasing
carrier (vessel name, if applicable and if known) should be entered. The date fuel is first delivered to
the vessel aircraft should also be entered.
Section II – Agent Information:
(Items 10-14) If an agent is applying for the Fuel Exemption on behalf of the owner, the agent must
submit a copy of the authorization at the time of application. All agent information is required.
Filing Instructions:
If returns are required, the BOE will send you information as stated.
Certification:
All applicants must sign this form. Authorized agents signing this form will be required to show
proper identification.
Send Your Application for Processing:
Send or take your application to the district office nearest you. Unless otherwise noted, all offices are
open from 8:00 a.m. to 5:00 p.m., Monday-Friday, Pacific time, except state holidays. If you have any
questions, please call our Taxpayer Information Section at 800-400-7115 (TDD/TTY: 800-735-2929).
If you are calling outside of the 48 contiguous states, please call 916-445-6362.

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