Business Information For Tax Checklist Sheet - Sample - 2013 Page 2
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1
2February 7, 2013
Response due date:
ENTITY NAME
Reference No: REFNUM
STATE BOARD OF EQUALIZATION
IN-STATE SERVICE GROUP/ ATTN: ISS REP NAME
3737 MAIN STREET SUITE 1000
RIVERSIDE, CALIFORNIA 92501-3395
The business has ALREADY PAID use tax
The business made purchases from outside of California and has accurately reported use tax.
The business reported and paid use tax to
Use tax was reported to BOE on
Franchise Tax Board (FTB).
permit/account number: __________________
Enclose the following:
There is no need to provide the required documents listed
C
opies of the FTB returns
.
below. Please sign the certification section below
Required Documents (see below)
The business OWES use tax
The business made purchases from outside of California without paying the use tax.
Enclose the following:
BOE-403-CLW, Use Tax Return Worksheets, reporting the amount of unpaid use tax
Payment in the amount of $ __________________
Required Documents (see below)
The business does NOT OWE use tax
The business did not make any purchases from outside of California without paying use tax.
Enclose the following:
BOE-403-CLW, Use Tax Return Worksheets, reporting zero use tax
Required Documents (see below)
REQUIRED DOCUMENTS
Please enclose copies of the following required documents for our review:
(Do not send originals as they will not be returned)
Summary pages (usually pages 1-8) of the most recent Federal Income Tax return including any schedules or
statements that pertain to the first eight pages of the return
Asset depreciation schedule / asset listing for the past year
Purchases journal / general ledger for the past year
Other purchases documents in lieu of purchases journal / ledger (please list): _________________________
The business was
DISCONTINUED on
________________
SOLD on
_______________________ .
DATE DISCONTINUED
DATE OF SALE
_______________________________________________ for $ __________________ .
Business was sold to:
BUYER’S NAME
CERTIFICATION
PRINT NAME OF PERSON RESPONDING TO LETTER
TITLE
DAYTIME TELEPHONE NUMBER
(
)
SIGNATURE
DATE
BUSINESS WEBSITE ADDRESS
EMAIL ADDRESS
Enclosures:
BOE-403-CLW, Use Tax Return Worksheets, with instructions
Publication 123-TG, California Businesses: How to Identify California Use Tax Due
efile now, find out how . . .
BOE-403-CL (BACK) REV. 3 (5-13)
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