Form Boe-400-Mcr - Application For Certificate Of Registration Use Tax Account - 2002 Page 2
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2BOE-400-MCR (BACK) REV. 8 (4-02)
SECTION III: BOOKS AND RECORDS
34. PHYSICAL ADDRESS WHERE BOOKS AND RECORDS, SUITABLE FOR AUDIT PURPOSES ARE MAINTAINED
35. NAME, ADDRESS AND TELEPHONE NUMBER OF PERSON MAINTAINING YOUR RECORDS
36. OTHER BOARD ACCOUNT NUMBERS
37. PROJECTED MONTHLY GROSS SALES IN CALIFORNIA (estimate if unknown)
38. PROJECTED MONTHLY TAXABLE SALES IN CALIFORNIA (estimate if unknown)
39.
CALIFORNIA LOCATION(S)
FUNCTION
TELEPHONE
DO YOU HAVE INVENTORY ARE SALES NEGOTIATED FROM
(Address)
(Warehouse, Service, etc.)
NUMBER
IN CALIFORNIA?
CALIFORNIA LOCATION(S)
Yes
No
Yes
No
40. CHECK ANY OF THE FOLLOWING ACTIVITIES PERFORMED IN CALIFORNIA BY YOUR COMPANY OR BY AN INDEPENDENT COMPANY ON YOUR BEHALF:
Installation
Soliciting Orders
Training
On-site customer assistance
Delivery in your own vehicle
41. INDICATE WHICH OF THE FOLLOWING INDIVIDUALS PROVIDE THE ABOVE-REFERENCED ACTIVITIES
Salesperson
Solicitor
Manufacturer’s Agent
Independent Contractor
Installer
Canvasser
42. PLEASE LIST NAME, ADDRESS, AND TELEPHONE NUMBER OF ANY OF THE INDIVIDUALS CHECKED IN 40 AND 41 ABOVE
43. DO YOU ATTEND TRADE SHOWS IN CALIFORNIA?
Yes
No If yes, number of event days per year
Amount of sales per year $
44. LIST OF MAJOR CALIFORNIA CUSTOMERS [names and complete addresses] (attach additional sheets if necessary)
CERTIFICATION
All owners and members must sign below.
I am duly authorized to sign the application and certify that the statements made are correct to the best of my knowledge and belief. I also
represent and acknowledge that the applicant will be engaged in or conduct businesses as a seller of tangible personal property.
NAME (typed or printed)
SIGNATURE
DATE
✍
NAME (typed or printed)
SIGNATURE
DATE
✍
NAME (typed or printed)
SIGNATURE
DATE
✍
NAME (typed or printed)
SIGNATURE
DATE
✍
FOR BOARD USE ONLY
Furnished to Taxpayer
REPORTING BASIS
FORMS
PUBLICATIONS
BOE-8
BOE-400-Y
PUB 73
PUB DE 44
SECURITY REVIEW
BOE-162
BOE-519
BOE-598 $
BOE-467
BOE-1009
BY
BOE-1241-D
APPROVED BY
RETURNS
REGULATIONS
REMOTE INPUT DATE
REG. 1668
REG. 1698
BY
REG. 1700
Certificate Issued Date
CLEAR
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