Form Boe-231 - Manufacturer'S Exemption Certificate And Use Tax Declaration Form
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2BOE-231 (FRONT) REV. 3 (4-99)
STATE OF CALIFORNIA
APPLICATION FOR SECTION 6377
BOARD OF EQUALIZATION
MANUFACTURER’S EXEMPTION CERTIFICATE AND USE TAX DECLARATION
Please type or print. Attach additional sheets as needed. See reverse for instructions.
SECTION I: OWNERSHIP INFORMATION
1. OWNER
2. DBA
3. CA SALES/USE TAX PERMIT NO.
4. SIC CODE
5. BUSINESS LOCATION (street, city, state and zip code)
6. BUSINESS TELEPHONE NUMBER
(
)
7. MAILING ADDRESS (street, city, state and zip code)
8. NAME AND CAPACITY OF REPRESENTATIVE
TELEPHONE NUMBER
FAX NUMBER
(
)
(
)
9. TYPE OF OWNERSHIP
10. DATE FORMED OR ORGANIZED 11. FEIN
12. CORPORATE NUMBER
SECTION II: PARTNERS/STOCKHOLDERS/MANAGER/MEMBERS
(This section applies only to a partnership, corporation or LLC.)
13. NAME
14. SOCIAL SECURITY NO.
15. % OF OWNERSHIP
Have any of the persons or entities listed in Section II been engaged in another manufacturing business in California, as a sole proprietor, partner, stockholder,
or member?
Yes
No If yes, attach a separate sheet and list the name of that business, sales/use tax permit, and same information as required in Section II.
SECTION III: BUSINESS ACTIVITIES
16. MANUFACTURING LOCATIONS (name, street, city and state)
17. MANUFACTURING OPERATIONS AND FINISHED PRODUCTS
18. DATE YOU FIRST CONDUCTED OR WILL CONDUCT A BUSINESS
ACTIVITY RELATED TO MANUFACTURING IN CALIFORNIA
19. ACTIVITIES BETWEEN THE DATES IN BOX 10 AND BOX 18
20.DATE OF FIRST PURCHASE OF MANUFACTURING
21. DATE OF INCEPTION OF FIRST LEASE OF
22. DATE YOU FIRST BEGAN OR WILL BEGIN PRODUCTION
EQUIPMENT IN CALIFORNIA
MANUFACTURING EQUIPMENT IN CALIFORNIA
IN CALIFORNIA
23. ARE YOU CURRENTLY ENGAGED IN A BUSINESS OTHER THAN MANUFACTURING?
Yes
No If yes, describe such business activities
24. Have you previously been engaged in a trade or business in California?
Yes
No If yes, complete Box 25 through 27.
25. NAME
26. CA SALES/USE TAX PERMIT NO. 27. TYPE OF BUSINESS AND SIC CODE
SECTION IV: PURCHASE OF EXISTING BUSINESS
(Complete this section only if you have purchased or will purchase an existing business in state).
28. NAME AND CALIFORNIA SALES/USE TAX PERMIT NUMBER OF SELLER
29. TOTAL PURCHASE PRICE
30. PURCHASE DATE
STOCK PURCHASE ONLY
$
31. Are you engaged in a business, inside or outside California, other than this acquisition?
Yes
No If yes, complete box 32 through 35 for each business.
32. NAME AND LOCATION OF OTHER BUSINESS
33. TYPE OF BUSINESS
34. FAIR MARKET VALUE OF TOTAL ASSETS 35. VALUATION DATE
$
SECTION V: CHANGE IN LEGAL FORM
(Complete this section only if the business entity in this application is a result of a change in legal form).
36. NAME AND CALIFORNIA SALES/USE TAX PERMIT NUMBER OF PREVIOUS ENTITY
37. OWNERS OF THE PREVIOUS ENTITY
NAME
% OF OWNERSHIP
38. DATE LEGAL FORM WAS CHANGED
39. TYPE OF OWNERSHIP OF PREVIOUS ENTITY
The statements above are hereby certified to be correct to the best knowledge and belief of the undersigned, who is duly
The statements above are hereby certified to be correct to the best knowledge and belief of the undersigned, who is duly
authorized to sign this application. (If not a sole proprietor, partner, corporate officer or manage/member of LLC, please
authorized to sign this application. (If not a sole proprietor, partner, corporate officer or manager/member of LLC, please
complete and attach BOE-392, Power of Attorney.)
complete and attach BOE-392, Power of Attorney.)
40. PRINT NAME
41. CAPACITY
42. SIGNATURE
43. DATE
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