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