Form Boe-400-Mcr - Application For Certificate Of Registration - Use Tax Account Page 2
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2BOE-400-MCR (S2B) REV. 6 (11-99)
SECTION III: OUT-OF-STATE RECORDS INFORMATION
1. LOCATION
2. IN CARE OF
3. TELEPHONE
(
)
4. RECORDS MAINTAINED AT THIS LOCATION
SECTION IV: CALIFORNIA RECORDS INFORMATION
1. LOCATION
2. IN CARE OF
3. TELEPHONE
(
)
4. RECORDS MAINTAINED AT THIS LOCATION
5. OTHER BOARD ACCOUNT NUMBERS
6. PROJECTED ANNUAL GROSS SALES IN CALIFORNIA
7. PROJECTED ANNUAL TAXABLE SALES IN CALIFORNIA
$
$
8. ARE YOU ENGAGED IN BUSINESS IN A TRANSACTION DISTRICT? (see instructions for information regarding transaction districts)
Yes — If yes, you must also collect the district taxes when you ship or deliver property to purchasers within such a district, or
when you have participated in the sale through a representative located in the district.
No —
If no, you may be authorized to collect the district tax. If you desire to collect the district tax for the convenience of your
customers located in the districts, please complete the following by placing a check mark in the box.
I am not engaged in business in the district, but agree to collect the district taxes imposed.
SECTION V: CERTIFICATION
The statements contained herein are hereby certified to be correct to the best knowledge and belief of the undersigned
who is duly authorized to sign this application. (If spouse co-ownership both signatures must appear below.)
SIGNATURE
TITLE
NAME (typed or printed)
DATE
FOR BOARD USE ONLY
Furnished to Taxpayer
REPORTING BASIS
REGULATIONS
X
BOE-324-A
SECURITY REVIEW
REG. 1700
BOE-1009
BOE-400Y
BOE-598
$
REG. 1821
BY
PAMPHLETS
PAM. 73
APPROVED BY
REG. 1827
REMOTE INPUT DATE
PAM. 44A
BY
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