Form Boe-401-Ds - State, Local, And District Consumer Use Tax Return - California Board Of Equalization

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BOE-401-DS (S1) REV. 3 (11-11)
STATE OF CALIFORNIA
BOARD OF EQUALIZATION
STATE, LOCAL, and DISTRICT CONSUMER USE TAX RETURN
BOE USE ONLY
CALENDAR YEAR IN WHICH PURCHASES WERE MADE:
RA-TT
LOC
REG
DUE ON OR BEFORE JANUARY 31 OF THE FOLLOWING YEAR
RA-BTR
AACS
REF
EFF
NAME
Mail To:
BOARD OF EQUALIZATION
ADDRESS
PO BOX 942879
SACRAMENTO CA 94279-7071
CITY
STATE
ZIP
ADDRESS WHERE PROPERTY USED (
same as above)
TAXPAYER IDENTIFICATION NUMBER (for example, SSN, SEIN, FEIN, CDL)
PLEASE READ THE INSTRUCTIONS ON PAGE S2 BEFORE PREPARING THIS RETURN
1 ENTER THE TOTAL PURCHASE PRICE OF TANGIBLE PERSONAL PROPERTY SUBJECT
TO CALIFORNIA USE TAX WHICH HAS NOT BEEN PAID TO THE RETAILER
$
.00
(Do not include purchases of vehicles, vessels, aircraft, mobilehomes, cigarette or tobacco
products, or lease payments.)
REC.
2 ENTER THE APPLICABLE USE TAX RATE
%
NO
Click here for tax rates
3 USE TAX SUBTOTAL (multiply line 1 by line 2)
.00
PM
4 SALES OR USE TAX PAID TO OTHER STATES (Enter the amount of tax paid for
merchandise purchased out of state for use in California. The purchase price must be included
.00
on line 1 above.)
5 NET TAX DUE (subtract line 4 from line 3)
.00
RE
6 PENALTY of 10% is due if your tax payment is made or your return is filed after the due date
shown above. [multiply line 5 by (0.10)]
.00
7 INTEREST:
One month’s interest is due on tax for each month or fraction of a month that payment is
.00
delayed after the due date. To calculate interest, use the
Interest Rate Calculator
8 TOTAL AMOUNT DUE AND PAYABLE (add lines 5, 6, and 7)
$
.00
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.
SIGNATURE
TELEPHONE NUMBER
DATE
(
)
PRINT NAME AND TITLE
EMAIL ADDRESS
S8
PAID PREPARER’S NAME
PAID PREPARER’S TELEPHONE NUMBER
PAID PREPARER’S
(
)
USE ONLY
Make a copy for your records.
CLEAR
PRINT

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