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Form BOE-324-OIC Fillable Privacy Notice: Information Provided to the Board of Equalization
(all forms fillable on Windows, Mac, Android tablets, and iPad using Adobe Reader XI)(look under Forms and Publications ) or order a copy (sections 43001 43651 Health and Safety Code (sections 50101 50162 Health and Safety Code 104555 104558) 105310) 2003 (Business and Professions Code sections 22970 22995 Government Code section 15618 5 25205 1 25205 23) 30001 30482 Health and Safety Code sections 41001 41176) 43001 43651 Health and Safety Code section 45001 45984 Public Resources Code sections 48000 48008) 5011 5014 5148) 58 A How to Inspect and Correct Your Records You 7251 7279 6 7285 7288 6) 916 322 7931 If you need more information you may 916 322 7931 or by writing to: 916 445 2918 You may also want to obtain publication administer the state laws listed below Agriculture; Forest Products Commission; Board of Alcoholic Beverage Control; Department of Child Alcoholic Beverage Tax (sections 32001 32557) Any agency authorized to enforce local tobacco attorneys police and sheriff departments Ballast Water Management Fee (Marine Invasive BOARD OF EQUALIZATION Board; State Lands Commission; Department of BOE 324 OIC (BACK) (3 06) BOE 324 OIC (FRONT) (3 06) California Tire Fee (sections 55001 55381 Public Can anyone else see my information? Can I review my records? Childhood Lead Poisoning Prevention Fee (sections Cigarette and Tobacco Products Licensing Act of Cigarette and Tobacco Products Tax (sections City attorneys and prosecutors; county district Code sections 1525 1560) Code sections are from the California Revenue and Taxation Code unless otherwise noted Commerce Commission Commission; Department of Toxic Substances companies authorized to represent local governments compromise request you must provide all of the contact our Disclosure Officer in Sacramento by calling control ordinances Control; State Water Resources Control Board Department of Health Services; California Highway Department; Energy Commission; Department of Departments of Agriculture Defense and Justice; Development; Integrated Waste Management Diesel Fuel Tax (sections 60001 60708) Electronic Waste Recycling Fee (sections 5500155381 Emergency Telephone Users Surcharge (sections Energy Resources Surcharge (sections 4000140216) enforcement purposes Federal Bureau of Investigation; General Accounting Fees (sections 46001 46751 Government Code Fish and Game; Department of Food and for an offer in compromise Forestry and Fire Protection; Franchise Tax Board; from our Information Center at 800 400 7115 Hazardous Substances Tax (sections 43001 43651 Health and Safety Code sections 25174 25174 11 Health and Safety Code sections 25214 1025214 10 2 If you fail to provide the requested information we will be in compromise To process your request for relief of Information Provided to the Board of Equalization information we request including your social security information? innocent spouse or whether you are eligible for an offer Integrated Waste Management Fee (sections International Fuel Tax Agreement (sections 94019433) liability as an innocent spouse or your offer in may download it from the Internet at www boe ca gov Motor Vehicle Fuel Tax including Aircraft Jet Fuel Motor Vehicles; California Public Utilities Natural Gas Surcharge (sections 55001 55381 number (used for identification purposes [see Title 42 Occupational Lead Poisoning Prevention Fee OFFER IN COMPROMISE SECTION Office; Bureau of Alcohol Tobacco and Firearms; Office; Internal Revenue Service; Interstate officials of the following agencies among officials: Air Resources Board; Department of Oil Spill Response Prevention and Administrative on reverse) We may also share certain information with others: Patrol; Department of Housing and Community Penal Code section 830 11) PO BOX 942879 privacy However we may share information regarding Privacy Notice Private Railroad Car Tax (sections 11201 11702) Public Resources Code sections 4246342485) Public Resources Code sections 71200 71271) Public Utilities Code sections 890 900) Publicly Owned Property (sections 1840 1841) records? regarding your account to anyone you designate relief of liability as an innocent spouse or your request Resources Code sections 42860 42895) responsible for maintaining your records SACRAMENTO CA 94279 0052 Sales and Use Tax (sections 6001 7176 72007226 sections 105190 105195) sections 25299 10 25299 51) sections 8670 40 8670 48) SETTLEMENT AND ADMINISTRATION DIVISION Species) (sections 44000 44008 55001 55381 State agencies outside of California for tax State Assessed Property (sections 721 868 48764880 STATE BOARD OF EQUALIZATION State Controller s Office; Employment Development STATE OF CALIFORNIA State of California government agencies and Support Services; Department of Consumer Affairs; Tax (sections 7301 8526) Tax on Insurers (sections 12001 13170) The manager of the Offer in Compromise Section is Timber Yield Tax (sections 38101 38908) U S Code section 405(c)2(C)(i)]) unable to determine the outcome of your request for Underground Storage Tank Maintenance Fee United States government agencies: U S Attorney s Use Fuel Tax (sections 8601 9355) Water Rights Fee (sections 55001 55381 Water We may disclose information to the proper We must collect information in order to We will use the information you provide to determine What happens if I don t provide the whether you are eligible for relief of liability as an Who is responsible for maintaining my With your written permission we can release information Yes Please contact the Offer in Compromise Section at You may contact the Offer in Compromise Section at your account with certain government agencies (see list Your records are covered by state laws that protect your