Free BOE-135-A - California

BOE-135-A REV. 7 (8-02)

STATE OF CALIFORNIA

DECLARATION OF TIMELY MAILING

BOARD OF EQUALIZATION

INSTRUCTIONS: Please complete the entire form and return it to the Board of Equalization (Board) office that provided the form to you. Otherwise, you may mail the completed form to your local Board office listed in the telephone directory under State Government, or as listed on our website at www.boe.ca.gov. Upon receipt of the completed form, the Board will review it and you will be notified by mail of the decision.
ACCOUNT NUMBER

NAME OF TAXPAYER/FEEPAYER

REPORTING BASIS

I, __________________________________________________________________________________________________ , state that on or about
_____________

o'clock on the _____________________________ day of ___________________________________________________________ .
day month and year

time

I placed in the United States mail at a post office, mail box or other like facility located at
___________________________________________________________________________________________________________________________________

,

a postage prepaid sealed envelope addressed to the State Board of Equalization, which contained a prepayment tax return fee return for the period ended ________________________________________________________________________________________________________ , together with a check or money order in the amount of $ ______________________________________________________ for liability under the account number shown above.

CERTIFICATION I certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
SIGNATURE DATE

CLEAR

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