Certificate of Exempt Bus Operation Form


BOE-231-DB (FRONT) REV. 2 (4-05) STATE OF CALIFORNIA CERTIFICATE OF EXEMPT BUS OPERATION BOARD OF EQUALIZATION To support ultimate vendor’s claim for a credit, payment, or refund of Diesel Fuel Tax, Revenue and Taxation Code section 60502 for fuel sold to an exempt bus operation, Revenue and Taxation Code section 60039

SELLER’S NAME


SELLER’S ADDRESS (street, city, state, zip code)


SELLER’S FEDERAL EMPLOYER IDENTIFICATION NUMBER (FEIN)


SELLER’S BOARD OF EQUALIZATION DIESEL FUEL TAX NUMBER


The undersigned buyer hereby certifies the following under penalty of perjury. Buyer is not a charter party carrier of passengers (see definition of charter party carrier on back of form). Buyer will use the undyed diesel fuel in the capacity of an exempt bus operation as:
THIS CERTIFICATE APPLIES TO THE FOLLOWING (check applicable box and complete as necessary):
BUYER EXEMPT BUS OPERATOR LICENSE NUMBER
EFFECTIVE DATE EXPIRATION DATE (not more than one year after effective date)
Invoice or delivery ticket number


Number of gallons
percent of all purchases to be used in an exempt bus operation.

EFFECTIVE DATE
EXPIRATION DATE (not more than one year after effective date)

Note: Buyer must provide a new certificate to the seller one year from the effective date, or if any information in this certificate changes. If Buyer uses the diesel fuel to which this certificate relates for a purpose other than stated in the certificate, Buyer will be liable for state excise tax. California Diesel Fuel Tax is payable immediately upon use to the State of California, Board of Equalization, PO Box 942879, Sacramento, CA 94279-0030. Buyer understands that the fraudulent use of this certificate may subject Buyer and all parties making such fraudulent use of this certificate to a fine or imprisonment, or both, together with the cost of prosecution. BUYER TYPE OF BUSINESS (check one)
(please specify):


LIST PARTNERS (if partnership)


NAME OF BUYER/BUSINESS OWNER (print or type)


BUYER/OWNER FEIN


DBA


BUYER/OWNER SSN (husband/wife co-ownership, registered domestic partnership or partnerships–list SSN for each partner)


CORPORATION OR LLC ID (list number from Secretary of State)


PHYSICAL ADDRESS OF BUYER/BUSINESS (street, city, state, zip code)


MAILING ADDRESS OF BUYER/BUSINESS (if different from physical address)


BULK DELIVERY ADDRESS (if different from physical address)


TELEPHONE NUMBER OF BUYER/BUSINESS


FAX NUMBER


LIST ALL CURRENT PERMITS OR CERTIFICATES BY TYPE AND NUMBER ISSUED TO BUYER BY THE PUBLIC UTILITIES COMMISSION:


CERTIFICATION To the best of my knowledge all of the information on this certificate is accurate, and is signed under penalty of perjury. If signed by other than the Buyer, I certify that I have authority to bind the Buyer.

DATE


PRINT NAME AND TITLE OF PERSON SIGNING


For purposes of the exemption from diesel fuel tax under Revenue and Taxation Code section 60039, charter party carrier of passengers means every person engaged in the transportation of persons by motor vehicle for compensation, whether in common or contract carriage over any public highway in this state except the activities listed in Public Utilities Code section 5353, which include: • Transportation service rendered wholly within the corporate limits of a single city or city and county and licensed or regulated by ordinance* • Transportation of school pupils conducted by or under contract with the governing board of any school district • Common carrier transportation services between fixed termini or over a regular route which are subject to authorization as a passenger stage corporation** • Transportation services afforded for farm employees moving to and from farms in specified circumstances • Transportation service rendered by a publicly owned transit system • Passenger vehicles carrying passengers on a noncommercial enterprise basis • Taxicab transportation service • Carpools or vanpools for transportation to and from work • Medical transportation vehicles • Specified transportation services within the Lake Tahoe Basin • Specified rental car shuttle services • Specified hotel shuttle services • Specified hot air balloon ride shuttle services • Specified transportation to youth camp *A company that provides transportation service within the corporate limits of a single city or city and county under contract, as opposed to common carriage, is a charter party carrier of passengers under section 60039 and does not qualify as an exempt bus operator. **A publicly owned transit system that provides transportation services under contract, as opposed to common carriage, is a charter party carrier of passengers under section 60039 and does not qualify as an exempt bus operator.

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Signature Certificate
Document name: Certificate of Exempt Bus Operation Form
lock iconUnique Document ID: 17084899bd6acb3bb7282a4f3cc4a15ec265c589
Timestamp Audit
July 22, 2019 9:26 am PDTCertificate of Exempt Bus Operation Form Uploaded by RV Jensen Admin - credit@rvjensen.com IP 206.169.107.66
July 26, 2019 2:02 pm PDTEdie Ferguson - eferguson@bctconsulting.com added by BCT Admin - bctdevelopers3@gmail.com as a CC'd Recipient Ip: 192.168.24.67
July 29, 2019 7:07 am PDTEdie Ferguson - eferguson@bctconsulting.com added by BCT Admin - bctdevelopers3@gmail.com as a CC'd Recipient Ip: 192.168.13.66
July 30, 2019 1:38 pm PDTEddie Montoya - emontoya@bctconsulting.com added by BCT Admin - bctdevelopers3@gmail.com as a CC'd Recipient Ip: 192.168.5.131
November 6, 2019 5:20 am PDTEddie Montoya - emontoya@bctconsulting.com added by BCT Admin - bctdevelopers3@gmail.com as a CC'd Recipient Ip: 192.168.19.3
November 6, 2019 5:34 am PDTEddie Montoya - emontoya@bctconsulting.com added by BCT Admin - bctdevelopers3@gmail.com as a CC'd Recipient Ip: 192.168.24.67
June 23, 2020 9:31 am PDTCredit Dept - credit@rvjensen.com added by RV Jensen Admin - credit@rvjensen.com as a CC'd Recipient Ip: 206.169.107.66