Form Boe-501-Bm - Beer Manufacturer Tax Return
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1
2BOE-501-BM (FRONT) REV. 10 (7-07)
STATE OF CALIFORNIA
BOARD OF EQUALIZATION
BEER MANUFACTURER TAX RETURN
BOARD USE ONLY
RA-B/A
AUD
REG
DUE ON OR BEFORE
RR-QS
REF
FILE
YOUR ACCOUNT NO.
[
]
FOID
EFF
BOARD OF EQUALIZATION
EXCISE TAXES DIVISION
PO BOX 942879
SACRAMENTO CA 94279-6077
READ INSTRUCTIONS
BEFORE PREPARING
NOTE: To convert barrels to gallons, multiply number of barrels by 31. Round the resulting figures to the nearest gallon.
TRANSACTIONS DURING REPORTING PERIOD
BARRELS
GALLONS
1. Removed tax-paid (keg beer) (per ATF form 5130.9)
1.
2.
2. Removed tax-paid (case beer) (per ATF form 5130.9)
3.
3. Removed for use at tavern on brewery premises (per ATF form 5130.9)
4. Removed for export (per ATF form 5130.9)
4.
5.
5. Total removals (add lines 1, 2, 3, and 4)
6.
6. Imported into California (attach BOE-269-A)
7.
7.
8. Total (add lines 5, 6, and 7)
8.
9.
9. Imported in or bulk transfers to U.S. Internal Revenue bond
10.
10.
Exported or sold for export (per ATF form 5130.9)
11.
Returned to bond
11.
12. Federal tax-paid beer destroyed under the supervision of a Board representative
12.
(attach approved authorization)
13. Other exemptions (attach documentation)
13.
14.
Total tax exempt transactions (add lines 9 through 13)
14.
Total taxable sales (subtract line 14 from line 8)
15.
15.
Rate of tax per gallon
16.
16.
$
Total amount of tax due and payable (multiply line 15 by line 16)
17.
17.
$
18. Penalty (if filed after the due date, see instructions on back)
PENALTY
18.
$
19.
INTEREST: One month's interest is due on tax for each month or fraction of a month that payment
INTEREST
19.
$
is delayed after the due date. The adjusted monthly interest rate is
20. TOTAL AMOUNT DUE AND PAYABLE (add lines 17, 18, and 19)
20.
$
IF PAID BY CREDIT CARD, CHECK HERE (Mandatory EFT accounts MUST pay by EFT). [
]
I hereby certify that this return, 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 return.
YOUR SIGNATURE AND TITLE
DATE
TELEPHONE NUMBER
Make check or money order payable to State Board of Equalization.
Always write your account number on your check or money order. Make a copy of this document for your records.
CLEAR
PRINT
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