Application Form For Manufacturer/importer Tobacco Products License
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7BOE-400-LT (S1) REV. 2 (1-11)
STATE OF CALIFORNIA
BOARD OF EQUALIZATION
APPLICATION FOR MANUFACTURER/IMPORTER
BOE USE ONLY
RA-B/A
AUD
REG
TOBACCO PRODUCTS LICENSE
FILE
RR-QS
REF
EFF
YOUR ACCOUNT NO.
[
]
FOID
BOARD OF EQUALIZATION
SPECIAL TAXES AND FEES
PO BOX 942879
SACRAMENTO CA 94279-0088
READ INSTRUCTIONS
BEFORE PREPARING
CALIFORNIA CIGARETTE AND TOBACCO PRODUCTS LICENSING ACT OF 2003
GENERAL INFORMATION
The Board of Equalization (BOE) is responsible for administering the California Cigarette and Tobacco Products Licensing
Act of 2003 (the Act) under Division 8.6 (commencing with section 22970 of the California Business and Professions Code).
Assembly Bill 1749 (Statutes 2006, chapter 501) requires every manufacturer or importer of tobacco products to be
licensed under the Act. Under the Act, every manufacturer or importer of chewing tobacco, snuff or other tobacco
products must annually obtain and maintain a license to engage in the sale of tobacco products.
FILING REQUIREMENTS
You must complete and return this application to the BOE in order to obtain a manufacturer/importer tobacco products
license. The application consists of page (S1) Section I: Tobacco Products Manufacturers and Importers License Fee
Computation, and page (S2F) which includes Section II: Ownership Information; Section III: Business Information;
Section IV: Requirements to Submit and Update BOE-400-LTI, Schedule of Tobacco Products Brand Family Names;
and Section V: Certification. Your application will not be processed if it is incomplete or not signed under Section I and
Section V. The application must be accompanied by a remittance payable to the State Board of Equalization for the
amount of license fee due.
PAYMENTS
You can make your payment by paper check, Online ACH Debit (ePay), or by credit card. To use ePay, go to our website
at , click on the eServices tab and log in to make a payment. To pay by credit card, go to our website or
call 800-272-9829. Mandatory EFT accounts must pay by EFT or ePay. Be sure to sign and mail your application.
SECTION I: TOBACCO PRODUCTS MANUFACTURER/IMPORTER LICENSE FEE COMPUTATION
1. Manufacturer and/or Importer of only chewing tobacco or snuff ($10,000 fee)
1.
2. Manufacturer and/or Importer of only tobacco products other than chewing tobacco
2.
or snuff ($2,000 fee)
3.
3. Manufacturer and/or Importer of both chewing tobacco or snuff and other tobacco
products ($10,000 fee)
4. TOTAL AMOUNT DUE AND PAYABLE (enter amount from line 1, 2, or 3)
4.
Business type: (please check all that apply)
Manufacturer
Importer
Tobacco Products Distributor
I hereby certify that this application, including any accompanying schedules and statements, has been
examined by me and to the best of my knowledge and belief is a true, correct, and complete application.
YOUR SIGNATURE AND TITLE
EMAIL ADDRESS
TELEPHONE NUMBER
DATE
Make check or money order payable to the State Board of Equalization.
Always write your account number on your check or money order. Make a copy of this document and any accompanying schedules for your records.
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