BOE-501-TK REV. 9 (7-07)
STATE OF CALIFORNIA
BOARD OF EQUALIZATION
UNDERGROUND STORAGE TANK MAINTENANCE FEE RETURN DUE ON OR BEFORE
BOARD USE ONLY
RA-B/A RR-QS AUD FILE REG REF
YOUR ACCOUNT NO. EFF
BOARD OF EQUALIZATION FUEL TAXES DIVISION P O BOX 942879 SACRAMENTO CA 94279-6151
READ INSTRUCTIONS BEFORE PREPARING
FILING REQUIREMENTS Every owner of an underground storage tank shall file an underground storage tank maintenance fee return showing the total number of gallons of petroleum products placed into the owner's tanks during the period covered by the return. Do not report tank capacity. The return is due on or before the 25th day of the month following the end of the reporting period. A return must be filed even though you have no liability for the fee, for example, tanks that are empty or not in use. If you have sold or removed any of your tanks or have moved, please notify this office. If you are not the tank owner, please indicate the current owner's full name and address on an attachment and forward along with this return.
Credit Card Payments. You can use a Discover/Novus, MasterCard, VISA, or American Express credit card to pay your taxes. Other credit cards cannot be accepted. EFT accounts are not eligible for credit card payments. Credit card payments can be made by calling 800-272-9829 or through our website at www.boe.ca.gov. After authorizing your payment, check the box on your return indicating you have paid with a credit card. Be sure to sign and mail your return. 1. Total gallons of petroleum products placed in all tanks owned. 1.
Do not report tank capacity.
Rate of fee Total fee due (multiply line 1 by line 2)
2. 3. $
4. Penalty [multiply line 3 by 10% (0.10) if payment made or return filed after
the due date shown above]
INTEREST: One month's interest is due on tax for each month or fraction of a
month that payment is delayed after the due date. The adjusted monthly interest rate is
TOTAL AMOUNT DUE AND PAYABLE (add lines 3, 4, and 5)
IF PAID BY CREDIT CARD, CHECK HERE (Mandatory EFT accounts MUST pay by EFT). [ ] I hereby certify that this return, including any accompanying schedules and statements, has been examined by me and to the best of my knowledge and belief is a true, correct, and complete return.
YOUR SIGNATURE AND TITLE TELEPHONE NUMBER DATE
Make check or money order payable to State Board of Equalization. Always write your account number on your check or money order. Make a copy of this document for your records.