Form Boe-401-A2 (S1) - State, Local And District Sales And Use Tax Return
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1
2BOE401A2 (S1) REV. 96 (1004)
STATE OF CALIFORNIA
BOARD OF EQUALIZATION
STATE, LOCAL and DISTRICT SALES and USE TAX RETURN
BOARD USE ONLY
RATT
LOC
REG
PERIOD
YEAR
DUE ON OR BEFORE
FOR
RABTR
AACS
REF
IMPORTANT:
SELLER'S PERMIT ACCOUNT NUMBER (i.e., SRY XXXXXXXXX)
Select one
Your account number and reporting period are required.
EFF
NAME
Mail To:
BUSINESS ADDRESS
BOARD OF EQUALIZATION
PO BOX 942879
CITY
STATE
ZIP
SACRAMENTO CA 942797072
READ RETURN INSTRUCTIONS 051 BEFORE PREPARING THIS RETURN
1. TOTAL (gross) SALES
$
1.
.00
2. PURCHASES SUBJECT TO USE TAX
.00
2.
3. TOTAL (add lines 1 and 2)
.00
3.
PLEASE COMPLETE LINES 4 THRU 10(f) ON THE BACK PAGE OF THIS RETURN.
11. TOTAL NONTAXABLE TRANSACTIONS REPORTED (Enter total deductions from line 11
11.
.00
on the back page)
12. TRANSACTIONS SUBJECT TO STATE TAX (subtract line 11 from line 3)
.00
12.
12.(a) ENTER AMOUNT FROM TAX ADJUSTMENT
12.(a)
.00
WORKSHEET LINE 12, COLUMN C
<
13. STATE TAX 6% (multiply line 12 by .06 OR enter line 13,
13.
.00
Column D from the Tax Adjustment Worksheet)
14. (a) TRANSACTIONS SUBJECT TO COUNTY TAX [add amount in box 61 (back)
14.(a)
.00
and line 12 above]
<
(b) COUNTY TAX 1/4% [multiply line 14(a) by .0025]
14.(b)
.00
15. ADJUSTMENTS FOR LOCAL TAX (see line 15 instructions)
15.
.00
14(a)]
16. TRANSACTIONS SUBJECT TO LOCAL TAX [add or subtract line 15 to/from line
REC.
16.
.00
NO
17. COMBINED STATE AND LOCAL TAX 1% (multiply line 16 by .01)
<
17.
.00
18. DISTRICT TAX (from Schedule A, line A11) YOU MUST COMPLETE FORM BOE531A,
<
SCHEDULE A IF YOU ARE ENGAGED IN BUSINESS IN A TRANSACTIONS AND USE TAX
18.
.00
DISTRICT
19. TOTAL STATE, COUNTY, LOCAL AND DISTRICT TAX [add lines 13, 14(b), 17, & 18]
19.
.00
20. DEDUCT SALES OR USE TAX IMPOSED BY OTHER STATES AND PAID ON THE PURCHASE
.00
20.
PRICE OF TANGIBLE PERSONAL PROPERTY. THE PURCHASE PRICE MUST BE
INCLUDED IN LINE 2 ABOVE.
.00
21.
21. NET TAX (subtract line 20 from line 19)
PM
1st prepayment (Tax only)
2nd prepayment (Tax only)
.00
22.
22. LESSTAX PREPAYMENTS
$
$
23. REMAINING TAX (subtract line 22 from line 21)
.00
23.
24. PENALTY of 10%
(.10) is due if your tax payment is made, or your return is filed,
after the due date shown above. (see line 24 instructions)
.00
PENALTY
24.
25. INTEREST:
One month's interest is due on tax for each month or fraction of a month
that payment is delayed after the due date. The adjusted monthly interest rate is .00583
.00
INTEREST
25.
(7% divided by 12).
RE
26. TOTAL AMOUNT DUE AND PAYABLE (add lines 23, 24, and 25)
.00
$
26.
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
I/F
(
)
PAID PREPARER'S NAME
PREPARER'S TELEPHONE NUMBER
PAID PREPARER'S
USE ONLY
(
)
Make a copy for your records.
CONTINUE
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