Application Form For Manufacturer/importer Tobacco Products License Page 6
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7BOE-400-LT (S3B) REV. 2 (1-11)
CALIFORNIA CIGARETTE AND TOBACCO PRODUCTS LICENSING ACT OF 2003
APPLICATION FOR MANUFACTURER/IMPORTER TOBACCO PRODUCTS LICENSE
Is the information on my application available to the
Step 4: After We Review Your Application and
public? Your records are generally covered by state laws
Certification. After review of your application, you will be
that protect your privacy. However, some records are
issued a license for your business location, or be notified if
subject to public disclosure, such as the information printed
a license cannot be issued for any reason.
on your license, names of owners or partners, your business
Tips for Completing Your Application and Certification.
address and your license status. See also privacy notice
information.
Section I: Tobacco Products Manufacturer's/Importer's
License Fee Computation
What are my responsibilities as the holder of a
Manufacturer's/Importer's Tobacco Products License?
Enter amount from line 1, 2, or 3 on line 4 (TOTAL
Every Manufacturer or Importer of tobacco products holding
AMOUNT DUE AND PAYABLE).
a license is prohibited from selling tobacco products to a
Section II: Ownership Information
distributor, wholesaler, importer, or any other person who is
not licensed pursuant to the Act, or whose license has been
Items 1 through 4: Ownership Information
suspended or revoked. As a licensed manufacturer or
Check your type of ownership and corporations must enter
importer, you must (1) maintain accurate and complete
their corporation number and state of incorporation.
records relating to the sale of your tobacco products and (2)
Section III: Business Information
retain certain purchase records and (3) include specific
information
on
each
invoice
for
sale.
For
specific
Enter the address of your physical location here. Do not
requirements,
please
see
California
Business
and
enter a Post Office Box, mailing service, or an agent or
Professions Code Sections.
bookkeeper address.
Starting May 1, 2007, failure to maintain records and include
Section IV: Requirements to Submit and Update
certain information on invoices is punishable as a
Schedule of Tobacco Products Brand Family Names
misdemeanor, punished by a fine not to exceed five
Complete the attached BOE-400-LT1, Schedule of
thousand dollars ($5,000), or imprisonment not to exceed
Tobacco Products Brand Family Names. Make a copy of
one year in a county jail, or both the fine and imprisonment.
your completed schedule for your files, then mail the
original with your application and certification.
You must furnish all the requested information on the
application and certification. If you do not provide the
Section V: Certification
information required on the application and certification form,
Be sure Section V is completed by the owner, a
we may not be able to register you or issue your license. In
partner, a corporate officer, an LLC member or
addition, the law provides penalties for persons furnishing
manager with authority to complete and sign, or
fraudulent information. Any person who signs a statement
authorized agent. If the application is signed by an
pursuant to this application and certification that asserts the
authorized agent, a properly completed power of attorney
truth of any material matter that he or she knows to be false
form must be attached.
is guilty of a misdemeanor.
WILL I NEED TO APPLY FOR ANY OTHER PERMITS?
You must notify the BOE if you move, change ownership,
or sell your business. Your license is valid only for the type
You may need to obtain a seller's permit from the Sales
of entity and location specified on your application. You
and Use Tax Department or a distributor's license from
must notify the BOE of any change in ownership or location.
Special Taxes and Fees before we can issue your
You must also notify the BOE immediately, in writing, if you
Manufacturer/Importer
Tobacco
Products
license.
A
discontinue business in order to make arrangements to
separate license is required if you are a manufacturer or
surrender your license. A license issued to a manufacturer or
importer of cigarettes. For more information, you may call
importer is only valid with respect to the manufacturer or
the Taxpayer Information Section at 800-400-7115 (TTY:
importer designated on the license and may not be
711).
transferred or assigned to another manufacturer or importer.
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