BOE-345-SP (FRONT) REV. 6 (1-09)
NOTICE OF BOARD OF EQUALIZATION www.boe.ca.gov BUSINESS CHANGE (PSTD)
PROPERTY AND SPECIAL TAXES DEPARTMENT ACCOUNTS
If there has been a change in your business and you have not yet notified the section handling your account (see listing on reverse), complete this form and send it, either with your tax/fee return or separately, to the appropriate section. You may wish to retain proof of mailing these forms to us.
(Please print or type)
STATE OF CALIFORNIA
Type of Account (for example: "Diesel Fuel Tax," "Natural Gas Surcharge," or "Electronic Waste Recycling Fee"):
Has Your Business Been: Sold Discontinued Incorporated Partner Added or Dropped (show name below) Other (explain below) List Account Number(s): Date of Change: California Tire Fee Accounts Only No longer engaged in the business of selling tires List Account Number(s): Date of Change: Ownership Changes New Owner(s) Name: Yes No
Date of Change: Location/Site Change New Location (do not use a post office box) Date of Change: Mailing Address Change New Mailing Address (if different from business location): Date of Change:
SIGNATURE DATE
PRINT NAME
TITLE
EMAIL ADDRESS
DAYTIME TELEPHONE
FAX
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CLEAR
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PRINT
BOE-345-SP (BACK) REV. 6 (1-09)
PROPERTY AND SPECIAL TAXES DEPARTMENT
FUEL TAXES DIVISION, MIC:30 BOARD OF EQUALIZATION PO BOX 942879 SACRAMENTO CA 94279-0030 TELEPHONE 916-322-9669 · ChildhoodLeadPoisoningPreventionFee · DieselFuelTax · DieselInterstateUserTax · InternationalFuelTaxAgreement(IFTA) · MotorVehicleFuelTax · JetFuelTax · OilSpillResponsePreventionandAdministrativeFees · UndergroundStorageTankMaintenanceFee · UseFuelTax EXCISE TAXES DIVISION, MIC:56 BOARD OF EQUALIZATION PO BOX 942879 SACRAMENTO CA 94279-0056 TELEPHONE 800-400-7115 · AlcoholicBeverageTax · CigaretteandTobaccoProductsTax · CigaretteandTobaccoProductsLicenseFee · EmergencyTelephoneUsersSurcharge · EnergyResourcesSurcharge · InsuranceTax · NaturalGasSurcharge ENVIRONMENTAL FEES DIVISION, MIC:57 BOARD OF EQUALIZATION HAZARDOUS SUBSTANCES SECTION, MIC:57 PO BOX 942879 SACRAMENTO CA 94279-0057 TELEPHONE 916-323-9555 · ActivityFee · DisposalFee · EnvironmentalFee · FacilityFee · GeneratorFee · MarineInvasiveSpeciesFee(BallastWaterFee) · OccupationalLeadPoisoningPreventionFee · TransportableTreatmentUnitFee · WaterRightsFee
WASTE REDUCTION SECTION, MIC:88 PO BOX 942879 SACRAMENTO CA 94279-0088 TELEPHONE 916-341-6906 · CaliforniaTireFee · ElectronicWasteRecyclingFee · IntegratedWasteManagementFee (Solid Waste and Nonhazardous Wood Waste Facilities)