(EMAIL ADDRESS)
(Government Code section 11124)
(HEARING DATE)
(HEARING LOCATION)
(ORGANIZATION)
(SPEAKER S NAME)
(TAXPAYER S NAME (if not the speaker))
(text)
(text)
(text)
(TITLE)
ACCOUNT NUMBER
ADVOCATE
BOE 1373 (5 10)STATE OF CALIFORNIA
BOE USE ONLY
CHAIR
COMPANY
COPY PROVIDED TO:
DESCRIPTION OF ISSUES
EMAIL ADDRESS
HEARING LOCATION HEARING DATEI want to speak at the hearing
I DO NOTwant to speak at the hearing
If you wish to speak to the Board or have your issues submitted as part of the public record please clearly print yourname title company account number taxpayer s name (if you are representing someone else) a brief description of theissues you would like to discuss and contact information This appearance sheet will be used to introduce you to theBoard identify you in the record of this hearing and to send you information after this hearing Signing or completingthis form is voluntary You may speak at this meeting regardless ofwhether you sign or complete this form
MAILING ADDRESS(street city state zip code)
MINUTE TAKER
ORGANIZATION
Property
Sales and Use
SPEAKER
SPEAKER S NAME
Special:
TAXPAYER S NAME(if not the speaker)
TAXPAYERS BILL OF RIGHTS HEARING APPEARANCE SHEETBOARD OF EQUALIZATION
TELEPHONE NUMBER()
TITLE
TYPE OF TAX
