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Get Ca Cdtfa-501-dg (formerly Boe-501-dg) 2012

YOUR ACCOUNT NO. EFF BOARD OF EQUALIZATION MOTOR CARRIER OFFICE PO BOX 942879 SACRAMENTO CA 94279-6157 READ INSTRUCTIONS BEFORE PREPARING REPORT WHOLE GALLONS ONLY REPORT OF DIESEL FUEL TRANSACTIONS 1. Total gallons of undyed diesel fuel purchased 1. 2. Total gallons of dyed diesel fuel purchased 2. 3. Total gallons of undyed diesel fuel sold 3. 4. Total gallons of dyed diesel fuel sold 4. GOVERNMENT ENTITY TAX RETURN OR CLAIM FOR REFUND 5. Total gallons of undyed diesel fuel.

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