Form BOE-231-DB Fillable Certificate of Exempt Bus Operation

(all forms fillable on Windows, Mac, Android tablets, and iPad using Adobe Reader XI)

Download Form BOE-231-DB

View all CA - California Sales, Use and Other Taxes

(: ck1) Unchecked (: ck2) Unchecked (: ck3) Unchecked (: ck4) Unchecked (: ck5) Unchecked (: ck6) Unchecked (: Yes1) Unchecked (: Yes2) Unchecked (: Yes3) Unchecked (: Yes4) Unchecked (: Yes5) Unchecked (checkbox) Unchecked (checkbox) Unchecked (checkbox) Unchecked (CLEAR) CLEAR (PRINT) PRINT (see definition of charter party carrier on back of form) Buyer will use the undyed diesel fuel in the capacity of an exempt bus (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) **A publicly owned transit system that provides transportation services under contract as opposed to common carriage is a charter party *A company that provides transportation service within the corporate limits of a single city or city and county under contract as opposed to A common carrier of passengers operating exclusively on any line or lines within the limits of a single city between fixed termini A passenger stage corporation licensed by the Public Utilities Commission when the motor vehicles of the passenger stage A private entity providing transportation services for the transportation of people under contract with a public agency authorized A school district community college district or county superintendent of schools owning leasing or operating buses for the A transit district transit authority or city owning and operating a local transit system itself or through a wholly owned nonprofit authorization as a passenger stage corporation** AUTHORIZED SIGNATURE BOE 231 DB (BACK) REV 2 (4 05) BOE 231 DB (FRONT) REV 2 (4 05) STATE OF CALIFORNIA BULK DELIVERY ADDRESS (if different from physical address) BUYER EXEMPT BUS OPERATOR LICENSE NUMBER BUYER TYPE OF BUSINESS (check one) Buyer understands that the fraudulent use of this certificate may subject Buyer and all parties making such fraudulent BUYER/OWNER FEIN BUYER/OWNER SSN (husband/wife co ownership registered domestic partnership or partnerships list SSN for each partner) Carpools or vanpools for transportation to and from work carrier of passengers under section 60039 and does not qualify as an exempt bus operator CERTIFICATE OF EXEMPT BUS OPERATION BOARD OF EQUALIZATION CERTIFICATION changes common carriage is a charter party carrier of passengers under section 60039 and does not qualify as an exempt bus operator Common carrier transportation services between fixed termini or over a regular route which are subject to community college district or county superintendent of schools under contract corporation corporation are exclusively operated in urban or suburban areas or between cities in close proximity for the transportation of CORPORATION OR LLC ID (list number from Secretary of State) EFFECTIVE DATE Equalization PO Box 942879 Sacramento CA 94279 0030 EXPIRATION DATE (not more than one year after effective date) FAX NUMBER For purposes of the exemption from diesel fuel tax under Revenue and Taxation Code section 60039 charter party carrier of Husband/wife Co owners If Buyer uses the diesel fuel to which this certificate relates for a purpose other than stated in the certificate Buyer will be If signed by other than the Buyer I certify that I have authority to bind the Buyer include: liable for state excise tax California Diesel Fuel Tax is payable immediately upon use to the State of California Board of Limited Liability Company limited to field trips and athletic contests; or a private entity providing such transportation services to a school district limits of a single city and who is not a passenger stage corporation subject to the jurisdiction of the Public Utilities Commission LIST ALL CURRENT PERMITS OR CERTIFICATES BY TYPE AND NUMBER ISSUED TO BUYER BY THE PUBLIC UTILITIES COMMISSION: LIST PARTNERS (if partnership) MAILING ADDRESS OF BUYER/BUSINESS (if different from physical address) Medical transportation vehicles NAME OF BUYER/BUSINESS OWNER (print or type) NEW CERTIFICATE RENEWAL CERTIFICATE Note: Buyer must provide a new certificate to the seller one year from the effective date or if any information in this certificate Number of gallons operation as: or contract carriage over any public highway in this state except the activities listed in Public Utilities Code section 5353 which or over a regular route 98 percent of whose operations as measured by total route mileage operated are exclusively within the Other (please specify): Partnership Passenger vehicles carrying passengers on a noncommercial enterprise basis passengers means every person engaged in the transportation of persons by motor vehicle for compensation whether in common percent of all purchases to be used in an exempt bus operation persons for hire compensation or profit where one way route mileage does not exceed 50 miles PHYSICAL ADDRESS OF BUYER/BUSINESS (street city state zip code) PRINT NAME AND TITLE OF PERSON SIGNING purpose of transporting pupils to and from school and for other school or college activities involving pupils including but not Registered Domestic Partnership regulated by ordinance* section 60502 for fuel sold to an exempt bus operation Revenue and Taxation Code section 60039 SELLER S ADDRESS (street city state zip code) SELLER S FEDERAL EMPLOYER IDENTIFICATION NUMBER (FEIN) SELLER S BOARD OF EQUALIZATION DIESEL FUEL TAX NUMBER SELLER S NAME Sole Owner Specified hot air balloon ride shuttle services Specified hotel shuttle services Specified rental car shuttle services Specified transportation services within the Lake Tahoe Basin Specified transportation to youth camp Taxicab transportation service TELEPHONE NUMBER OF BUYER/BUSINESS The undersigned buyer hereby certifies the following under penalty of perjury Buyer is not a charter party carrier of passengers THIS CERTIFICATE APPLIES TO THE FOLLOWING (check applicable box and complete as necessary): This is a certificate covering all purchases to be used in an exempt bus operation This is a certificate for This is a single purchase certificate: Invoice or delivery ticket number to provide public transportation services To support ultimate vendor s claim for a credit payment or refund of Diesel Fuel Tax Revenue and Taxation Code To the best of my knowledge all of the information on this certificate is accurate and is signed under penalty of perjury Transportation of school pupils conducted by or under contract with the governing board of any school district Transportation service rendered by a publicly owned transit system Transportation service rendered wholly within the corporate limits of a single city or city and county and licensed or Transportation services afforded for farm employees moving to and from farms in specified circumstances use of this certificate to a fine or imprisonment or both together with the cost of prosecution

Main Navigation