Form BOE-345-SP Fillable Notice of Business Change (PSTD)
(all forms fillable on Windows, Mac, Android tablets, and iPad using Adobe Reader XI)

Activity Fee Alcoholic Beverage Tax California Tire Fee Childhood Lead Poisoning Prevention Fee Cigarette and Tobacco Products License Fee Cigarette and Tobacco Products Tax Diesel Fuel Tax Diesel Interstate User Tax Disposal Fee Electronic Waste Recycling Fee Emergency Telephone Users Surcharge Energy Resources Surcharge Environmental Fee Facility Fee Generator Fee Insurance Tax Integrated Waste Management Fee International Fuel Tax Agreement (IFTA) Jet Fuel Tax Marine Invasive Species Fee (Ballast Water Fee) Motor Vehicle Fuel Tax Natural Gas Surcharge Occupational Lead Poisoning Prevention Fee Oil Spill Response Prevention and Administrative Fees Transportable Treatment Unit Fee Underground Storage Tank Maintenance Fee Use Fuel Tax Water Rights Fee (click here to clear form ) CLEAR (click here to print form ) PRINT (date ) (date of change ) (date of change ) (date of change ) (day time telephone area code first ) (email address ) (fax area code ) (fax number ) (list account number ) (list account numbers ) (location and site change new location do not use a post office box ) (mailing address change new mailing address if different from business location ) (new owners name ) (phone number ) (Please print or type) (print name ) (PSTD) (see listing on reverse) complete this form and send it (Solid Waste and Nonhazardous Wood Waste Facilities) (title ) (Type of Account For example Diesel Fuel Tax Natural Gas Surcharge or Electronic Waste Recycling Fee ) 800 400 7115 (TDD/TTY: 800 735 2929) BOE 345 SP (BACK) REV 7 (10 10) BOE 345 SP (FRONT) REV 7 (10 10) STATE OF CALIFORNIA BUSINESS CHANGE www boe ca gov California Tire Fee Accounts Only Date of Change: Date of Change: Date of Change: DAYTIME TELEPHONE FAX DEPARTMENT ACCOUNTS Discontinued either with your tax/fee return or separately to the Board of Equalization (BOE) You may wish to retain proof of mailing EXCISE TAXES FUEL TAXES Gas Surcharge or Electronic Waste Recycling Fee ): Has Your Business Been: HAzARDOUS SUBSTANCES If there has been a change in your business and you have Incorporated List Account Number(s): Location/Site Change Mailing Address Change New Location (do not use a post office box) New Mailing Address (if different from business location): New Owner(s) Name: No longer engaged in the business of selling tires not yet notified the section handling your account NOTICE OF BOARD OF EQUALIZATION Other (explain below) Ownership Changes Partner Added or Dropped (show name below) PO BOX 942879 PRINT NAME PROPERTY AND SPECIAL TAXES SACRAMENTO CA 94279 0088 SIGNATURE DATE Special Taxes and Fees STATE BOARD OF EqUALIzATION these forms to us TITLE EMAIL ADDRESS Type of Account (for example: Diesel Fuel Tax Natural WASTE REDUCTION