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Form BOE-400-D Fillable Request for Additional IFTA Decals
(all forms fillable on Windows, Mac, Android tablets, and iPad using Adobe Reader XI)(1 Enter the number of qualified vehicles requiring decals) (3 Total decal fee enclosed (multiply line 1 by line 2)$) (BASE STATE VEHICLE REGISTRATION) (BASE STATE VEHICLE REGISTRATION) (BASE STATE VEHICLE REGISTRATION) (BOE USE ONLY ) (CLEAR) CLEAR (DATE) (EMAIL ADDRESS) (FOR YEAR) (IFTA ACCOUNT NUMBER) (PRINT NAME AND TITLE) (PRINT) CLEAR (REGISTERED OWNER IF DIFFERENT THAN IFTA ACCOUNT) (REGISTERED OWNER IF DIFFERENT THAN IFTA ACCOUNT) (REGISTERED OWNER IF DIFFERENT THAN IFTA ACCOUNT) (Row 1 MAKE AND YEAR) (Row 2 MAKE AND YEAR) (Row 3 MAKE AND YEAR) (Row 4 MAKE AND YEAR) (Row 5 MAKE AND YEAR) (TELEPHONE (AREA CODE)) (TELEPHONE) (text) (text) (TYPE OF FUEL USED) (TYPE OF FUEL USED) (TYPE OF FUEL USED) (VIN/LICENSE NUMBER) (VIN/LICENSE NUMBER) (VIN/LICENSE NUMBER) (YOUR ACCOUNT NO ) [ FOID ] 1 Enter the number of qualified vehicles requiring decals 2 Fee per set of decals $ 2 00 3 Total decal fee enclosed (multiply line 1 by line 2)$ 800 400 7115 (TTY: 711); from the main menu select the option Special Taxes and Fees Always write your account number on your check or money order Make a copy of this document for your records BASE STATE VEHICLE be in good standing BEFORE PREPARING BOARD OF EQUALIZATION BOE 400 D REV 4 (3 11) EMAIL ADDRESS fleet; attach a separate sheet if needed ) FOR YEAR If you need additional information please contact the State Board of Equalization Motor Carrier Office P O Box 942879 IFTA ACCOUNT NUMBER Mail To: MAKE AND YEAR Make check or money order payable to the State Board of Equalization Remittance must be in U S funds MOTOR CARRIER OFFICE PO BOX 942879 PRINT NAME AND TITLE READ INSTRUCTIONS REGISTERED OWNER IFDIFFERENT THAN IFTA ACCOUNT REGISTRATION REQUEST FOR ADDITIONAL IFTA DECALS SACRAMENTO CA 94279 6180 SECTION I: Decal and Fee Computation (this section must be completed) SECTION II: Vehicle Information (List complete information for each qualified motor vehicle that you wish to add to your IFTA SIGNATURE STATE BOARD OF EQUALIZATION STATE OF CALIFORNIA TELEPHONE TYPE OFFUEL USED VIN/LICENSE NUMBER www boe ca govSacramento CA 94279 0065 You may also visit the BOE website at or call the Taxpayer Information Section at You may use this form to order decals for qualified motor vehicles that you wish to add to your IFTA fleet You must have a current IFTA license issued by the California State Board of Equalization and your account must YOUR ACCOUNT NO