Boe-400-Acts - Application For Licensed Cigarette Distributor To Register Cigarette Tax Stamp Purchaser Form Page 2
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2BOE-400-ACTS (BACK) REV. 2 (6-07)
INSTRUCTIONS
General Information
Overview
The Board of Equalization (Board) has implemented a new system for the sale and delivery of cigarette tax stamps. This new
system requires you to register persons authorized to order cigarette tax stamps for your account. We require you to complete
this form to ensure that only authorized individuals can make stamp purchases for your account.
who needs to apply
Licensed cigarette distributors must provide the requested information for each person authorized to make stamp purchases.
You must designate at least one person to purchase stamps for your account. You must submit a separate application for each
person that you authorize to make stamp purchases. If you have multiple accounts, separate applications must be submitted for
each account.
when to file application
You must file your application before stamps are ordered. The Board will not sell stamps to you unless you have completed this
application and received approval to purchase stamps under the new system.
where to file application
Send your completed application to:
State Board of Equalization
Excise Taxes Division, MIC:56
PO Box 942879
Sacramento, CA 94279-0056
If you have questions related to registration
Please call 800-400-7115.
Specific Instructions
Line 1
Check the appropriate boxes.
Line 2
Enter your Board of Equalization cigarette distributor account number.
Line 3
Enter the legal name of the cigarette distributor account.
Line 4
Enter the e-mail address of the cigarette distributor. If you provide an e-mail address on form BOE-400-ACTS, we
will e-mail you to confirm the cigarette tax stamp purchaser registration. If you do not provide an e-mail address,
we will send you a letter confirming the cigarette tax stamp purchaser registration.
Line 5
Enter the name of the person authorized to purchase cigarette tax stamps, and indicate if that person is registered
for another cigarette distributor account. If an authorized purchaser is registered for another account, indicate that
account number.
Line 6
Enter the telephone number for the person you are authorizing to purchase cigarette tax stamps.
Line 7
Enter the fax number for the person you are authorizing to purchase cigarette tax stamps.
Line 8
Enter the e-mail address for the person you are authorizing to purchase cigarette tax stamps.
Line 9
Enter a four numeric digit personal identification code on line 5. This information will be used for authentication
purposes to safeguard your account.
Line 10
Indicate if you intend to order cigarette tax stamps through the Internet.
Line 11
Enter the name of the person authorized to act and sign for your cigarette distributor account in legal matters.
Line 12
The form must be signed by the person listed on line 11. An original signature is required to complete this
application.
Line 13
The form must be signed by the authorized purchaser listed on line 5. An original signature is required to complete
this application.
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