Diesel Buyer Information by ajy78640

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									                           GENERAL INFORMATION
     General Data Entry
1. All gallon and dollar numbers must be entered as whole numbers. Do not use decimals. Round to the
     nearest gallon or dollar amount.
2.   Dates must be entered using a proper date format. Proper date formats are MMMM DD, YYYY (i.e.
     August 13, 2003) or MM/DD/YY (i.e. 08/13/03 or 8/13/3).
3.   BOE account numbers should be entered using only the 8 digit numeric portion of the account number.
     No letters or dashes should be included. An account number, like PS MT 04-999999, should be entered
     as 04999999.
4.   FEINs and SSNs should be entered using only the 9 digit numeric portion of the number. No dashes
     should be included. An FEIN, like 95-1234567, should be entered as 951234567 and a SSN, like 987-65-
     4321, should be entered as 987654321.
5.   No Activity Reports. When submitting a No Activity report, be sure to do the following: 1) Identify the
     file as a No Activity file on the Cover worksheet, 2) Make sure no transactions are reported on the
     Schedule worksheet, 3) Delete all but the first two rows on the Flat File worksheet, and 4) Click the
     "Create Flat File" button on the Instructions worksheet.
                                          Click here to return to "Cover" worksheet



     Cover Worksheet
1. Dates must be entered using a proper date format. Proper date formats are MMMM DD, YYYY (i.e.
     August 13, 2003) or MM/DD/YY (i.e. 08/13/03 or 8/13/3).
2.   BOE account numbers should be entered using only the 8 digit numeric portion of the account number.
     No letters or dashes should be included. An account number, like PS MT 04-999999, should be entered
     as 04999999.
3.   FEINs and SSNs should be entered using only the 9 digit numeric portion of the number. No dashes
     should be included. An FEIN, like 95-1234567, should be entered as 951234567 and a SSN, like 987-65-
     4321, should be entered as 987654321.
4.   All gallon and dollar numbers must be entered as whole numbers. Do not use decimals. Round to the
     nearest gallon or dollar amount.
5.   No Activity Reports. When submitting a No Activity report, be sure to identify the file as a No Activity
     file on the Cover worksheet.


     Schedule Worksheet
1. All summary schedules must be entered before any transaction schedules are entered.
2. If entries are added to or inserted into the Schedule worksheet, re-copy the rows in the Flat File
   worksheet to ensure that the data is captured.
3. Transactions do not need to be grouped by schedule number or be in numeric order. Summary schedules
   and ending inventory must be entered before transactions, however.
4. Dates must be entered using a proper date format. Proper date formats are MMMM DD, YYYY (i.e.
   August 13, 2003) or MM/DD/YY (i.e. 08/13/03 or 8/13/3).
5. All gallon and dollar numbers must be entered as whole numbers. Do not use decimals. Round to the
   nearest gallon or dollar amount.


                                                     1 of 50
                            GENERAL INFORMATION
6. BOE account numbers should be entered using only the 8 digit numeric portion of the account number.
   No letters or dashes should be included. An account number, like PS MT 04-999999, should be entered
   as 04999999.
7. FEINs and SSNs should be entered using only the 9 digit numeric portion of the number. No dashes
   should be included. An FEIN, like 95-1234567, should be entered as 951234567 and a SSN, like 987-65-
   4321, should be entered as 987654321.
8. No Activity Reports. When submitting a No Activity report, be sure to make sure no transactions are
   reported on the Schedule worksheet.


     Flat File Worksheet
1. If entries are added to or inserted into the Schedule worksheet, re-copy the rows in the Flat File
   worksheet to ensure that the data is captured.
2. No Activity Reports. When submitting a No Activity report, be sure to delete all but the first two rows
   on the Flat File worksheet.


     Security Settings
     If the "Save As" pop-up box does not appear when you click on the "Create Flat File" button, your
     security settings may be set too high to allow the associated program to function. To change the security
     setting, follow these steps:

1. Save the Excel workbook containing your tax information.
2. Close all open Excel workbooks.
3. Select 'Tools' from the menu. Then select 'Macro' followed by 'Security' from the drop down menus.

4.   Change the security to 'low'.
5.   OK the change
6.   Open your Excel workbook and repeat Step 7 on the 'Instructions' worksheet.
7.   Once you have successfully created a Flat File, it is highly recommended that you change your security
     settings back to a higher level.
                                           Click here to return to "Instructions" worksheet



     Mode Codes
     B        Barge
     CE       Summary Information
     GS       Gas Station
     J        Truck
     PL       Pipeline
     R        Rail
     S        Ship (Ocean marine vessel)

     General Information

                                                         2 of 50
                       GENERAL INFORMATION
Ultimate Vendors are persons who sell undyed diesel fuel without tax to an ultimate purchaser for use on
a farm for farming purposes or for use in an exempt bus operation. As an ultimate vendor of diesel fuel
in California, you may use this form to file a claim for refund of tax you paid on undyed diesel fuel you
sold without the tax reimbursement to ultimate purchasers for use on a farm for farming purposes or for
use in an exempt bus operation. Your claim must cover a period of not less than one week and total at
least $200, or include those sales in your periodic report/claim for refund (Form BOE-770-DV).



Filing Requirements
If refund amount is less than $200, do not submit claim.
You may use this form to file a claim for refund of tax paid on undyed diesel fuel sold without tax
reimbursement to ultimate purchasers. Your claim must cover a period of not less than one week and
total at least $200. The period covered by your claim can include more than one weeks sales if necessary
to reach the $200 minimum. You must submit completed Schedules 13D and 13E with your claim.


You are required to file a periodic report (Form BOE-770-DV) with the State Board of Equalization,
listing your diesel fuel receipts and disbursements of dyed diesel fuel. If you prefer you may claim a
refund on that report instead of filing this weekly claim form. You must file the periodic report whether
or not you file separate weekly claims.

NOTE: Even if you qualify to file weekly claim forms, any exempt sales to ultimate purchasers for the
last week of the period must be claimed on the periodic report (Form BOE-770-DV).



Document Numbers
The document number used on Receipt and Disbursement schedules must be the same document number
provided on the bill of lading.




                                              3 of 50
Instructions For:
    DIESEL FUEL TAX CLAIM FOR REFUND - SALES TO ULTIMATE PURCHASERS

  1. Enter all schedule information for summary schedules and transaction schedules on the "Schedule"
     worksheet. Note: All summary schedules must be entered before any transaction schedules are
     entered. All gallon amounts must be entered as whole gallons. Do not use decimals. Round to
     the nearest whole gallon.

     For schedule descriptions and instructions on completing schedules:
     http://www.boe.ca.gov/sptaxprog/pdf/boe810fte.pdf
     For product codes:
     http://www.boe.ca.gov/sptaxprog/pdf/boe810fta.pdf
     For mode codes:
     Click here for a list of valid transportation mode codes


  2. Enter all information requested on the "Cover" worksheet. Note: All gallon and dollar amounts
     must be entered as whole numbers. Do not use decimals. Round to the nearest whole number.



  3. Copy row 7 on the "Flat File" worksheet and paste the copied row as many times as necessary to
     capture the schedule information entered on the "Schedule" worksheet.


  4. Clear the contents of any rows on the "Flat File" worksheet that display "Unused Row" in column
     A. Do so by selecting the "Unused Rows" and selecting "Edit, Clear, Contents" from the menu.
     Note: If you do not see any rows displaying "Unused Row", you may not have all of your
     transactions on the "Schedule" worksheet displayed on the "Flat File" worksheet. Confirm that
     you correctly completed Step 3.


  5. Review the "Flat File" worksheet for errors. Cells with errors will have "#N/A" in them. These
     errors must be corrected before creating a flat file. Uncorrected errors may cause the file to be
     rejected upon submission to the BOE. Note: Errors should be corrected on the "Cover"
     worksheet or the "Schedule" worksheet.


  6. Save the Excel workbook and the data input for this tax form for your records. Do so by selecting
     "File, Save As" from the menu and then identifying the file name and location.


  7. Create a Flat File by clicking on the button below. You will be required to identify a file name and
     location for your flat file. Note: If the program does not execute and display a 'Save As' pop-up
     box or opens the 'Microsoft Visual Basic' macro editor, your security setting may be set too high.

                                          Click here for instructions on changing the security setting




                                          Create Flat File
 Schedule   Product                          Carrier                         Point of                                       Buyer/Seller   Document Date    Document
   Code       Code          Carrier Name      FEIN      Mode        Origin        Destination        Buyer/Seller Name         FEIN        (MM/DD/YY)        Number      Net Gallons     Gross Gallons
13D         167                                        GS                                       Livestock R Us             339988776             8/8/2007       480963             169
13D         167       A1 Trucking          930503109   J       CA               CA              Farmer & Sons              554561789             8/6/2007       484779             419
13E         167       A1 Trucking          930503109   J       CA               CA              D Transportation Company   663215321             8/1/2007       481030           5,176
13E         167       A1 Trucking          930503109   J       CA               CA              D Transportation Company   663215321             8/3/2007       482784           1,710
13E         167       MT Trucking          960654321   J       CA               CA              Regional Transit           998855522             8/3/2007       483281           2,033
Billed Gallons
            169
            419
          5,176
          1,710
          2,033
Schedule Product                  Carrier                   Point of                               Buyer/Seller   Document Date   Document
  Code    Code     Carrier Name    FEIN     Mode   Origin        Destination   Buyer/Seller Name      FEIN        (MM/DD/YY)       Number    Net Gallons   Gross Gallons
Billed Gallons
Schedule Product                  Carrier                   Point of                               Buyer/Seller   Document Date   Document
  Code    Code     Carrier Name    FEIN     Mode   Origin        Destination   Buyer/Seller Name      FEIN        (MM/DD/YY)       Number    Net Gallons   Gross Gallons
Billed Gallons
Schedule Product                  Carrier                   Point of                               Buyer/Seller   Document Date   Document
  Code    Code     Carrier Name    FEIN     Mode   Origin        Destination   Buyer/Seller Name      FEIN        (MM/DD/YY)       Number    Net Gallons   Gross Gallons
Billed Gallons
Schedule Product                  Carrier                   Point of                               Buyer/Seller   Document Date   Document
  Code    Code     Carrier Name    FEIN     Mode   Origin        Destination   Buyer/Seller Name      FEIN        (MM/DD/YY)       Number    Net Gallons   Gross Gallons
Billed Gallons
Schedule Product                  Carrier                   Point of                               Buyer/Seller   Document Date   Document
  Code    Code     Carrier Name    FEIN     Mode   Origin        Destination   Buyer/Seller Name      FEIN        (MM/DD/YY)       Number    Net Gallons   Gross Gallons
Billed Gallons
Schedule Product                  Carrier                   Point of                               Buyer/Seller   Document Date   Document
  Code    Code     Carrier Name    FEIN     Mode   Origin        Destination   Buyer/Seller Name      FEIN        (MM/DD/YY)       Number    Net Gallons   Gross Gallons
Billed Gallons
Schedule Product                  Carrier                   Point of                               Buyer/Seller   Document Date   Document
  Code    Code     Carrier Name    FEIN     Mode   Origin        Destination   Buyer/Seller Name      FEIN        (MM/DD/YY)       Number    Net Gallons   Gross Gallons
Billed Gallons
Schedule Product                  Carrier                   Point of                               Buyer/Seller   Document Date   Document
  Code    Code     Carrier Name    FEIN     Mode   Origin        Destination   Buyer/Seller Name      FEIN        (MM/DD/YY)       Number    Net Gallons   Gross Gallons
Billed Gallons
Schedule Product                  Carrier                   Point of                               Buyer/Seller   Document Date   Document
  Code    Code     Carrier Name    FEIN     Mode   Origin        Destination   Buyer/Seller Name      FEIN        (MM/DD/YY)       Number    Net Gallons   Gross Gallons
Billed Gallons
Schedule Product                  Carrier                   Point of                               Buyer/Seller   Document Date   Document
  Code    Code     Carrier Name    FEIN     Mode   Origin        Destination   Buyer/Seller Name      FEIN        (MM/DD/YY)       Number    Net Gallons   Gross Gallons
Billed Gallons
Schedule Product                  Carrier                   Point of                               Buyer/Seller   Document Date   Document
  Code    Code     Carrier Name    FEIN     Mode   Origin        Destination   Buyer/Seller Name      FEIN        (MM/DD/YY)       Number    Net Gallons   Gross Gallons
Billed Gallons
Schedule Product                  Carrier                   Point of                               Buyer/Seller   Document Date   Document
  Code    Code     Carrier Name    FEIN     Mode   Origin        Destination   Buyer/Seller Name      FEIN        (MM/DD/YY)       Number    Net Gallons   Gross Gallons
Billed Gallons
Schedule Product                  Carrier                   Point of                               Buyer/Seller   Document Date   Document
  Code    Code     Carrier Name    FEIN     Mode   Origin        Destination   Buyer/Seller Name      FEIN        (MM/DD/YY)       Number    Net Gallons   Gross Gallons
Billed Gallons
Schedule Product                  Carrier                   Point of                               Buyer/Seller   Document Date   Document
  Code    Code     Carrier Name    FEIN     Mode   Origin        Destination   Buyer/Seller Name      FEIN        (MM/DD/YY)       Number    Net Gallons   Gross Gallons
Billed Gallons
Schedule Product                  Carrier                   Point of                               Buyer/Seller   Document Date   Document
  Code    Code     Carrier Name    FEIN     Mode   Origin        Destination   Buyer/Seller Name      FEIN        (MM/DD/YY)       Number    Net Gallons   Gross Gallons
Billed Gallons
Schedule Product                  Carrier                   Point of                               Buyer/Seller   Document Date   Document
  Code    Code     Carrier Name    FEIN     Mode   Origin        Destination   Buyer/Seller Name      FEIN        (MM/DD/YY)       Number    Net Gallons   Gross Gallons
Billed Gallons
Schedule Product                  Carrier                   Point of                               Buyer/Seller   Document Date   Document
  Code    Code     Carrier Name    FEIN     Mode   Origin        Destination   Buyer/Seller Name      FEIN        (MM/DD/YY)       Number    Net Gallons   Gross Gallons
Billed Gallons
Schedule Product                  Carrier                   Point of                               Buyer/Seller   Document Date   Document
  Code    Code     Carrier Name    FEIN     Mode   Origin        Destination   Buyer/Seller Name      FEIN        (MM/DD/YY)       Number    Net Gallons   Gross Gallons
Billed Gallons
             DIESEL FUEL TAX CLAIM FOR REFUND - SALES TO ULTIMATE PURCHASERS

Filing Period:
Period Beginning Date (Format of entry must be "May 1, 2003" or "5/1/03")                                                                 08/01/07
Period Ending Date (Format of entry must be "May 31, 2003" or "5/31/03")                                                                  08/31/07
Account Information:
BOE Account Number (Enter 8 numeric digits of account number "57250000", "04060000", "05056000", etc.)                                   57996633
Taxpayer's ID Qualifier (Enter "24" if providing FEIN or "34" if SSN)                                                                           24
Taxpayer's FEIN or SSN                                                                                                                  443571595
Name (Enter legal name on BOE application)                                                                                         3D Fuel Vending
DBA
DBA (If Needed)
Address Line 1 (Enter street address)                                                                                                23 Main Street
Address Line 2 (Use if needed)
City                                                                                                                                      Anytown
State (Use abbreviation "CA", "NV", etc.)                                                                                                      CA
ZIP                                                                                                                                         95822
ZIP +4 (Use if needed)
Return Information:                                                                                                                                   BOE Use Only:
No Activity To Report (Enter 1 if no activity. Else, leave blank)                                                                                     Line Item
                                         Click here for complete 'No Activity' instructions.
1. Tax-paid fuel sold for use on farms (enter from Schedule 13D)                                                                               588    L00017
2. Tax-paid fuel sold to exempt bus operators (enter from Schedule 13E)                                                                      8,919    L00018
3. Total whole gallons of tax-paid undyed diesel fuel to be refunded (add lines 1 and 2)                                                     9,507    L00021
4. Tax rate                                                                                                                                   0.18
5. Amount of refund (multiply line 3 by line 4)                                                                                              1,711    L00022
E-Filing Information:
Authorization Code (Provided by BOE when TPA accepted)                                                                               KFJ8365HDN
Password (Security Code) (Provided by Information Provider on TPA)                                                                   485JGHUE93
Sender's FEIN (May be same as taxpayer)                                                                                                443571595
Test/Production (T or P to identify test or production filing. Must be capitalized.)                                                           T
Transaction Set Purpose Code ("00" = Original, "05" = Replace, "15" = Resubmission             NOTE: Must have permission to use
other than "00")                                                                                                                                00
Transaction Type Code (Blank if Original, "6R" = Resubmission, "6S" = Supplemental, "CO" = Corrected)
Filer's Unique # For This Filing (Must change for each submission, even if same tax form) [4 Characters Minimum and 9
Characters Maximum]                                                                                                                     777555333
Contact Information:
General Contact Name                                                                                                                    John Smith
General Contact Area Code (Use numbers only: "916" not "(916)")                                                                               916
General Contact Phone Number (Use numbers only: "2223333" not "222-3333")                                                                 3222155
General Contact Extension (Use numbers only)                                                                                                   987
General Contact Fax Area Code (Use numbers only: "916" not "(916)")
General Contact Fax Phone Number (Use numbers only: "2223333" not "222-3333")
General Contact Fax Extension (Use numbers only)
General Contact Email Address                                                                                                           js@3d.com
eFiling Contact Name                                                                                                                     Ben Smith
eFiling Contact Area Code (Use numbers only: "916" not "(916)")                                                                               916
eFiling Contact Phone Number (Use numbers only: "2223333" not "222-3333")                                                                 3222155
eFiling Contact Extension (Use numbers only)                                                                                                  789
eFiling Contact Fax Area Code (Use numbers only: "916" not "(916)")
eFiling Contact Fax Phone Number (Use numbers only: "2223333" not "222-3333")
eFiling Contact Fax Extension (Use numbers only)
eFiling Contact Email Address                                                                                                          bs@3d.com
BOE Use Only:
Report Type                                                                                                                                  DVW
File Type                                                                                                                                     FLT
Version                                                                                                                                        2.0
BOE DUNS #                                                                                                                              617856943
BOE Use Only:
           UOM   Qualifier

         GA      Billed
         GA      Billed
         GA      Billed


         USD     Tax
FLT   2.0        617856943   777555333
FE    57996633   24          443571595   20070831   20070801   00   DVW                                  KFJ8365HDN 485JGHUE93   443571595
FG    57996633   24          443571595   20070831   20070801   00   DVW   L00017   GA    Billed    588
FG    57996633   24          443571595   20070831   20070801   00   DVW   L00018   GA    Billed   8919
FG    57996633   24          443571595   20070831   20070801   00   DVW   L00021   GA    Billed   9507
FG    57996633   24          443571595   20070831   20070801   00   DVW   L00022   USD   Tax      1711
FS    57996633   24          443571595   20070831   20070801   00   DVW   13D      167
FS    57996633   24          443571595   20070831   20070801   00   DVW   13D      167
FS    57996633   24          443571595   20070831   20070801   00   DVW   13E      167
FS    57996633   24          443571595   20070831   20070801   00   DVW   13E      167
FS    57996633   24          443571595   20070831   20070801   00   DVW   13E      167
T            443571595   777555333   TP   3D Fuel Vending   23 Main Street   Anytown     CA    95822         CN          John Smith   916        3222155




            0 GS                                                             339988776         480963
                                                                                         20070808       GA         169   GA                 GA
930503109     J          CA               CA                                 554561789   20070806
                                                                                               484779   GA         419   GA                 GA
930503109     J          CA               CA                                 663215321   20070801
                                                                                               481030   GA        5176   GA                 GA
930503109     J          CA               CA                                 663215321   20070803
                                                                                               482784   GA        1710   GA                 GA
960654321     J          CA               CA                                 998855522   20070803
                                                                                               483281   GA        2033   GA                 GA
987                js@3d.com   EA Ben Smith        916 3222155    789         bs@3d.com




 169   777555333                                 0 Livestock R Us
 419   777555333                   A1 Trucking     Farmer & Sons
5176   777555333                   A1 Trucking     D Transportation Company
1710   777555333                   A1 Trucking     D Transportation Company
2033   777555333                   MT Trucking     Regional Transit
Schedule Variable Table                                      Cover Variable Table
            Record      Item         Seller(S)/Buyer(B)      Report    Provider
 Schedule    Type     Indicator Position Holder(P)/None(N)    Type       Type              Description
5           FS                  B                            CCR      L9          Vessel/Pipeline Operator
7           FS                  B                            DBR      TP          Exempt Bus Operator
8           FS                  B                            DZC      TP          Nontaxable & Export Claim
10AB        FS                  B                            SDR      TP          Supplier
10C         FS                  B                            TOR      L9          Terminal Operator
10I         FS                  B                            DUC      TP          User Claim Refund
10Y         FS                  B                            DVM      TP          Vendor Monthly
10Z         FS                  B                            DVW      TP          Vendor Weekly
13A         FS                  B
13B         FS                  B                            Taxpayer ID Variable
13C         FS                  B                              ID     Description
13D         FS                  B                                24   FEIN
13E         FS                  B                                34   SSN
13G         FS                  B                                49   BOE Account Number
14D         FS                  N
14E         FS                  N
15A         FS                  N
15B         FS                  P
15C         FI       I          N
1A          FS                  S
2A          FS                  S
2X          FS                  S
3A          FS                  S
3B          FS                  S
3X          FS                  S
5A          FS                  B
5S          FS                  B
5V          FS                  B
5W          FS                  B
6F          FS                  B
6X          FS                  B
7D          FS                  B
7F          FS                  B
EI          FI       I          N
PD          FS                  N
S02A        FI       S          N
S03A        FI       S          N
S04         FI       S          N
S05I        FI       S          N
TD          FS                  P
TR          FS                  N

								
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