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Form BOE-106 Fillable Vehicle/Vessel Use Tax Clearance Request
(all forms fillable on Windows, Mac, Android tablets, and iPad using Adobe Reader XI)BOE 106 (BACK) REV 15 (8 10) (ADDRESS (street city state zip code)) (check the BOE website or call 800 400 7115 to locate an office nearest you) (CLEAR) CLEAR (DATE EMPLOYED IN CALIFORNIA) (DATE VEHICLE/VESSEL ENTERED CALIFORNIA) (DATE YOU APPLIED FOR CALIFORNIA REGISTRATION) (DATE YOU BECAME RESIDENT OF CALIFORNIA) (DATE) (email address) (FOR MOBILEHOMES ONLY: MODEL) (I hereby request a Certificate of Use Tax Clearance to allow completion of registration at DMV/HCD without payment of the California use tax for the following reason:) (LICENSE NO (s)/CF NO (s)/DECAL NO (s)) (LOCATION OF PURCHASE/TRANSFER) (MAKE OF) (MOBILEHOME MANUFACTURER) (NAME OF CLAIMANT) (NAME OF SELLER OR TRANSFEROR) (PRINT) PRINT (PURCHASE OR TRANSFER DATE) (PURCHASE PRICE) (SIZE) (telephone number with area code) (text) (VIN/HIN NO (s)/SERIAL NO (s)) (YEAR) *If the test period has already expired a decision of taxable exempt or denied/withdrawn must be made Additional supporting documentation (optional) ADDRESS (street city state zip code) APPROVED BY BOE 106 (FRONT) REV 15 (8 10)STATE OF CALIFORNIA BOE 111 AT letter provided to taxpayer BRIEF STATEMENT OF FACTS CERTIFICATE OF USE TAX CLEARANCE ISSUED: Clearance Issued (For registration only) Complete copy of BOE 106 packet to HQ CUTS CONCLUSION Copy of purchase agreement DATE EMPLOYED INCALIFORNIA DATE VEHICLE/VESSEL ENTEREDCALIFORNIA DATE YOU APPLIEDFOR CALIFORNIA DATE YOU BECAME RESIDENTOF CALIFORNIA Denied/Withdrawn (Additional documentation required all documents returned to taxpayer ) DISTRICT/UNIT EVIDENCE PRESENTED (attach copies) Exempt (Based on review of supporting documentation) FOR BOE USE ONLY Form BOE 111 B Vessel Form BOE 111 Vehicle/Mobilehome/Commercial Coach I hereby certify that the above statements to the best of my knowledge and belief are true and correct I hereby request a Certificate of Use Tax Clearance to allow completion of registration at DMV/HCD without payment of LICENSE NO (s)/CF NO (s)/DECAL NO (s) LOCATION OF PURCHASE/TRANSFER MAKE OF: MOBILEHOME MANUFACTURER MOBILEHOMESONLY: MODEL NAME OF CLAIMANTTELEPHONE NO EMAIL ADDRESS NAME OF SELLEROR TRANSFERORTELEPHONE NO EMAIL ADDRESS Out of state delivery statement Please refer to Board of Equalization (BOE) publication 52 Vehicles and Vessels How to Request a Use Tax Clearance for DMVRegistration available at www boe ca gov for information on the required documentation to submit with this request Take or mail all PREPARED BY PRESS NO PURCHASE OR TRANSFER DATE PURCHASE PRICE REGISTRATION request Requesting payment plan Copy of packet to Consumer Use Tax Section Include BOE 111 press number on payment plan Required For Test Period Not Yet Expired: required forms to a local http://www boe ca gov/info/phone htm Return and payment received Include BOE 111 press number on return SIGNATURE OF CLAIMANT SIGNED BY Tax paid to an out of state dealer Tax to be paid at DMV/HCD Taxable the California use tax for the following reason: VEHICLE/VESSEL USE TAX CLEARANCE REQUESTBOARD OF EQUALIZATION Vessel Vehicle VIN/HIN NO (s)/SERIAL NO (s) WAS VEHICLE/VESSEL PREVIOUSLY REGISTERED TO YOU OUTSIDETHE STATE OF CALIFORNIA? IFYES WHERE?