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Form BOE-501-A Fillable Schedule A - Fee Credit Adjustment Worksheet
(all forms fillable on Windows, Mac, Android tablets, and iPad using Adobe Reader XI)( 6 Enter number of CEDs 15 inches less than 35 inches ) (10 TOTAL RETURNED MERCHANDISE CREDIT (enter total from line 8C) C SUBTOTAL 00 ) (11 TOTAL FEE CREDIT ADJUSTMENT (add line 9C to 10C) and transfer this total to line 17 on the front of your return C SUBTOTAL 00 ) (4 TOTAL FEE PAID PURCHASES RESOLD CREDIT C SUBTOTAL 00) (8 TOTAL RETURNED MERCHANDISE CREDIT C SUBTOTAL 00 ) (B FEE AMOUNT x $10 00 C SUBTOTAL 00 ) (B FEE AMOUNT x $10 00 C SUBTOTAL 00) (B FEE AMOUNT x $6 00 C SUBTOTAL 00 ) (B FEE AMOUNT x $6 00 C SUBTOTAL 00) (B FEE AMOUNT x $8 00 C SUBTOTAL 00) (BOE 501 A REV 2 (1 13) STATE OF CALIFORNIA BOARD OF EQUALIZATION SCHEDULE A FEE CREDIT ADJUSMENT WORKSHEET (FOR FEES PAID BETWEEN JANUARY 1 2011 AND DECEMBER 31 2012) DUE ON OR BEFORE ) (BOE USE ONLY ) (CED SCREEN SIZE MEASURED DIAGONALLY 2 Enter number of CEDs 15 inches less than 35 inches ) (CED SCREEN SIZE MEASURED DIAGONALLY 3 Enter number of CEDs 35 inches or more ) (CED SCREEN SIZE MEASURED DIAGONALLY 7 Enter number of CEDs 35 inches or more ) (CLEAR) CLEAR (FEE PAID PURCHASES RESOLD CREDIT WORKSHEET CED SCREEN SIZE MEASURED DIAGONALLY 1 Enter number of CEDs more than 4 inches less than 15 inches ) (FOR FEES PAID BETWEEN JANUARY 1 2011 AND DECEMBER 31 2012) (Popup) (PRINT) PRINT (RETURNED MERCHANDISE CREDIT WORKSHEET CED SCREEN SIZE MEASURED DIAGONALLY 5 Enter number of CEDs more than 4 inches less than 15 inches ) (TOTAL FEE CREDIT ADJUSMENT WORKSHEET 9 TOTAL FEE PAID PURCHASES RESOLD CREDIT (enter total from line 4C) C SUBTOTAL 00 ) (YOUR ACCOUNT NO ) 1 Enter number of CEDs more than 4 inches less than 15 inches 10 TOTAL RETURNED MERCHANDISE CREDIT (enter total from line 8C) 2 Enter number of CEDs 15 inches less than 35 inches 3 Enter number of CEDs 35 inches or more 4 TOTAL FEE PAID PURCHASES RESOLD CREDIT 5 Enter number of CEDs more than 4 inches less than 15 inches 6 Enter number of CEDs 15 inches less than 35 inches 7 Enter number of CEDs 35 inches or more 8 TOTAL RETURNED MERCHANDISE CREDIT 9 TOTAL FEE PAID PURCHASES RESOLD CREDIT (enter total from line 4C) amount of fee paid purchases resold credit adjustment on line 4C to line 9C at the bottom of this page and 7C and enter the result in 8C Transfer the total amount of returned merchandise credit adjustment on line 8C to line 10C on the and enter the results in column C for each fee category Add the amounts in 1C 2C and 3C and enter the result in 4C Transfer the total at 1 800 400 7115 (TTY:711); from the main menu select the option Special Taxes and Fees BOARD OF EQUALIZATION BOE 501 A REV 2 (1 13) bottom of this page CED SCREEN SIZE MEASURED DIAGONALLY Complete this schedule to calculate adjustments for purchases you made at the previous fee rate Enter the number of fee paid CEDs that December 31 2012 Multiply column A by column B and enter the results in column C for each fee category Add the amounts in 5C 6C DUE ON OR BEFORE Enter the number of CEDs returned during this reporting period that you sold to your customers between January 1 2011 and FEE AMOUNT FEE PAID PURCHASES RESOLD ADJUSTMENT WORKSHEET INSTRUCTIONS FEE PAID PURCHASES RESOLD CREDIT WORKSHEET If you need additional information please contact the State Board of Equalization Special Taxes and Fees P O Box 942879 NOTE: This schedule is an attachment to be used when completing BOE 501 ER Electronic Waste Recycling Fee Return NUMBER Read instructions prior to completing the Fee Credit Adjustment Worksheet RETURNED MERCHANDISE CREDIT ADJUSTMENT WORKSHEET INSTRUCTIONS RETURNED MERCHANDISE CREDIT WORKSHEET Sacramento CA 94279 0088 You may also visit the BOE website at www boe ca gov or call the Taxpayer Information Section SCHEDULE A FEE CREDIT ADJUSTMENT WORKSHEET STATE OF CALIFORNIA SUBTOTAL SUBTOTAL the front of your return TOTAL FEE CREDIT ADJUSTMENT (add line 9C to 10C) and transfer this total to line 17 on TOTAL FEE CREDIT ADJUSTMENT WORKSHEET x $ 10 00 x $ 6 00 x $ 8 00 you purchased between January 1 2011 and December 31 2012 but resold during this reporting period Multiply column A by column B YOUR ACCOUNT NO