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Form BOE-501-EC Fillable Consumer's Electrical Surcharge Return
(all forms fillable on Windows, Mac, Android tablets, and iPad using Adobe Reader XI)(1 Energy purchased without surcharge and used in California (in kilowatt hours)) (2 Rate of surcharge $) (3 Amount of surcharge (multiply line 1 by rate of surcharge) $) (4 PENALTY [multiply line 3 by 10% (0 10) if payment is made after due date shown above] $) (5 INTEREST $) (5 INTEREST: One month's interest is due on the surcharge for each month or fraction of a month that payment is delayed after the due date The adjusted monthly interest rate is ) (6 TOTAL AMOUNT DUE AND PAYABLE (add lines 3 4 and 5) $) (ADDRESS) (ADDRESS) (ADDRESS) (ADDRESS) (ADDRESS) (ADDRESS) (ADDRESS) (BOE USE ONLY) (CLEAR) CLEAR (DATE) (DUE ON OR BEFORE) (EMAIL ADDRESS) (PRINT NAME AND TITLE) (PRINT) PRINT (SOURCE FROM WHOM ELECTRICAL ENERGY WAS PURCHASED WITHOUT SURCHARGE Row 1 NAME ) (SOURCE FROM WHOM ELECTRICAL ENERGY WAS PURCHASED WITHOUT SURCHARGE Row 10 NAME ) (SOURCE FROM WHOM ELECTRICAL ENERGY WAS PURCHASED WITHOUT SURCHARGE Row 11 NAME ) (SOURCE FROM WHOM ELECTRICAL ENERGY WAS PURCHASED WITHOUT SURCHARGE Row 12 NAME ) (SOURCE FROM WHOM ELECTRICAL ENERGY WAS PURCHASED WITHOUT SURCHARGE Row 13 NAME ) (SOURCE FROM WHOM ELECTRICAL ENERGY WAS PURCHASED WITHOUT SURCHARGE Row 2 NAME ) (SOURCE FROM WHOM ELECTRICAL ENERGY WAS PURCHASED WITHOUT SURCHARGE Row 3 NAME ) (SOURCE FROM WHOM ELECTRICAL ENERGY WAS PURCHASED WITHOUT SURCHARGE Row 4 NAME ) (SOURCE FROM WHOM ELECTRICAL ENERGY WAS PURCHASED WITHOUT SURCHARGE Row 5 NAME ) (SOURCE FROM WHOM ELECTRICAL ENERGY WAS PURCHASED WITHOUT SURCHARGE Row 6 NAME ) (SOURCE FROM WHOM ELECTRICAL ENERGY WAS PURCHASED WITHOUT SURCHARGE Row 7 NAME ) (SOURCE FROM WHOM ELECTRICAL ENERGY WAS PURCHASED WITHOUT SURCHARGE Row 8 NAME ) (SOURCE FROM WHOM ELECTRICAL ENERGY WAS PURCHASED WITHOUT SURCHARGE Row 9 NAME ) (TELEPHONE (AREA CODE)) (TELEPHONE) (text) (text) (text) (text) (YOUR ACCOUNT NO ) [ FOID 1 800 400 7115 (TTY:711); from the main menu select the option Special Taxes and Fees 1 Energy purchased without surcharge and used in California (in kilowatt hours) 1 2 Rate of surcharge 2 3 Amount of surcharge (multiply line 1 by rate of surcharge) 3 4 Penalty [multiply line 3 by 10% (0 10) if payment is made after due date shown above] 4 5 INTEREST: One month's interest is due on the surcharge for each month or fraction of a month that payment 6 TOTAL AMOUNT DUE AND PAYABLE (add lines 3 4 and 5) 6 $ ADDRESS Always write your account number on your check or money order Make a copy of this document for your records amounts subject to the surcharge on line 1 of the return applicable to its consumers When a California consumer purchases electrical energy from a utility which is not subject to the BEFORE PREPARING BOARD OF EQUALIZATION BOE 501 EC (BACK) REV 7 (4 13) BOE 501 EC (FRONT) REV 7 (4 13) BOE USE ONLY collected and paid the surcharge to the state the consumer must report and pay the amount of the surcharge directly to the CONSUMER'S ELECTRICAL ENERGY SURCHARGE RETURN consumption in California without paying the surcharge DUE DATE FOR PAYMENT OF SURCHARGE DUE ON OR BEFORE Effective January 1 1978 purchases of energy from the United States or an agency of the United States Government electric utility in California making energy sales to consumers must collect and remit to the state the amount of surcharge ELECTRICAL ENERGY SUBJECT TO SURCHARGE EMAIL ADDRESS Energy Resources Surcharge Law (such as an out of state utility or the Bureau of Reclamation) or a utility which has not Enter the names and addresses of all electrical utilities and federal instrumentalities from which you purchased energy for examined by me and to the best of my knowledge and belief is a true correct and complete return Failure to file a return may result in additional cost to consumers who must report the surcharge directly to the state I hereby certify that this return including any accompanying schedules and statements has been If you need additional information please contact the State Board of Equalization Special Taxes and Fees P O Box 942879 INSTRUCTIONS CONSUMER'S ELECTRICAL ENERGY SURCHARGE RETURN INTEREST is delayed after the due date The adjusted monthly interest rate is Line 1 Enter the number of kilowatt hours of electrical energy purchased without surcharge and used in California Make check or money order payable to State Board of Equalization Payments: You can make your payment by paper check Online ACH Debit (ePay) or by credit card To use ePay go to our PENALTY PO BOX 942879 Quarterly returns must be filed and amounts due paid on or before the last day of the month following each calendar quarter RA B/A AUDREG READ INSTRUCTIONS RR QS FILEREF Sacramento CA 94279 0088 You may also visit the BOE website at www boe ca gov or call the Taxpayer Information Section at SACRAMENTO CA 94279 6083 SIGNATURE PRINT NAME AND TITLE SOURCE FROM WHOM ELECTRICAL ENERGY WAS PURCHASED WITHOUT SURCHARGE SOURCE OF ELECTRICAL ENERGY SPECIAL TAXES AND FEES STATE OF CALIFORNIA TELEPHONE that is used in California without paying the surcharge are subject to the surcharge The BOE may however require consumers to file returns for such other periods as the BOE may prescribe The California State Board of Equalization (BOE) administers the Energy Resources Surcharge Law The surcharge is imposed The surcharge rate for all billings for periods starting on or after September 1 1981 is $0 0002 per kilowatt hour Enter all upon the consumption in California of electrical energy purchased from an electric utility on and after January 1 1975 Every website at www boe ca gov click on the eServices tab and log in to make a payment To pay by credit card go to our website or call 1 855 292 8931 Mandatory EFT accounts must pay by EFT or ePay Be sure to sign and mail your return YOUR ACCOUNT NO