BOE-401-A2 (S1) REV. 98 (1-06)
STATE OF CALIFORNIA
BOARD OF EQUALIZATION
STATE, LOCAL and DISTRICT SALES and USE TAX RETURN
BOARD USE ONLY
RA-TT
LOC
REG
RA-BTR
AACS
REF
IMPORTANT:
Your account number and reporting period are required.
Select one
EFF
NAME
Mail To:
BUSINESS ADDRESS
BOARD OF EQUALIZATION
PO BOX 942879
CITY
STATE
ZIP
SACRAMENTO CA 94279-7072
READ RETURN INSTRUCTIONS 05-1 BEFORE PREPARING THIS RETURN
1.
(gross)
1. TOTAL
SALES
$
.00
2.
2. PURCHASES SUBJECT TO USE TAX
.00
3.
(add lines 1 and 2)
3. TOTAL
.00
BACK PAGE
PLEASE COMPLETE LINES 4 THRU 10(f) ON THE
OF THIS RETURN.
11.
11. TOTAL NONTAXABLE TRANSACTIONS REPORTED
(enter total deductions from line 11
on the back page)
.00
12.
(subtract line 11 from line 3)
12. TRANSACTIONS SUBJECT TO STATE TAX
.00
12.(a) ENTER AMOUNT FROM TAX ADJUSTMENT
12.(a)
WORKSHEET LINE 12, COLUMN C
.00
OR
13.
STATE
(multiply line 12 by .06
enter line 13, Column D from the
13.
TAX 6%
<
Tax Adjustment Worksheet)
.00
14.(a)
(a)
[add amount in box 61 (back) and line
14.
TRANSACTIONS SUBJECT TO COUNTY TAX
12 above]
.00
14.(b)
COUNTY
(b)
[multiply line 14(a) by .0025]
TAX 1/4%
<
.00
15.
(see line 15 instructions)
15. ADJUSTMENTS FOR LOCAL TAX
.00
16.
[add or subtract line 15 to/from line 14(a)]
16. TRANSACTIONS SUBJECT TO LOCAL TAX
REC.
NO
.00
COMBINED STATE AND LOCAL
(multiply line 16 by .01)
17.
TAX 1%
17.
<
.00
DISTRICT
MUST
(from Schedule A, line A11)
18.
TAX
YOU
COMPLETE FORM BOE-531-A,
18.
SCHEDULE A IF YOU ARE ENGAGED IN BUSINESS IN A TRANSACTIONS AND USE TAX
<
DISTRICT
.00
19.
TOTAL STATE, COUNTY, LOCAL AND DISTRICT TAX
19.
[add lines 13, 14(b), 17, & 18]
.00
20. DEDUCT SALES OR USE TAX IMPOSED BY OTHER STATES AND PAID ON THE PURCHASE
20.
PRICE OF TANGIBLE PERSONAL PROPERTY. THE PURCHASE PRICE MUST BE INCLUDED
.00
IN LINE 2 ABOVE.
21.
NET TAX
(subtract line 20 from line 19)
21.
.00
PM
1st prepayment (Tax only)
2nd prepayment (Tax only)
22.
22. LESS-TAX PREPAYMENTS
.00
$
$
23.
(subtract line 22 from line 21)
23. REMAINING TAX
.00
24. PENALTY of 10%
(.10) is due if your tax payment is made, or your return is filed,
24.
after the due date shown above. (see line 24 instructions)
PENALTY
.00
25. INTEREST:
One months interest is due on tax for each month or fraction of a month
25.
that payment is delayed after the due date. The adjusted monthly interest rate is .0075
INTEREST
(9% divided by 12).
.00
RE
26.
TOTAL AMOUNT DUE AND PAYABLE
(add lines 23, 24, and 25)
26.
$
.00
IF YOU PAID BY CREDIT CARD AS DESCRIBED ON PAGE 1 OF THE INSTRUCTIONS, CHECK HERE [ ].
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
TELEPHONE NUMBER
DATE
(
)
PREPARERS TELEPHONE NUMBER
PAID PREPARERS NAME
PAID PREPARERS
USE ONLY
(
)
Make a copy for your records.
CONTINUE