BOE-231 (FRONT) REV. 2 (8-97)
STATE OF CALIFORNIA
APPLICATION FOR SECTION 6377
BOARD OF EQUALIZATION
MANUFACTURER’S EXEMPTION CERTIFICATE
AND USE TAX DECLARATION
Please Type or Print Clearly
SECTION I — BUSINESS LOCATION/OWNERSHIP INFORMATION
BUSINESS NAME
SALES/USE TAX PERMIT NUMBER
(Street)
BUSINESS ADDRESS
PLEASE CHECK TYPE OF OWNERSHIP
Sole Owner
Husband/Wife co-ownership
Partnership
(City, State and ZIP Code)
Corporation
Other _______________________________________
MAILING ADDRESS (If Different from Business Address) (Street Address or P.O. Box)
(City, State and ZIP Code)
IF CORPORATION, ENTER FULL CORPORATE NAME
BUSINESS TELEPHONE NUMBER
FAX NUMBER
CORPORATE NUMBER/STATE OF INCORPORATION
(
)
(
)
SECTION II — CONSTRUCTION CONTRACTOR
Are you a construction contractor? (If NO, skip to Section III.)
YES
NO
Are you constructing a special purpose building? (If YES, enter address below.)
YES
NO
ADDRESS OF SPECIAL PURPOSE BUILDING
Are you purchasing tangible personal property as a manufacturer’s agent?
YES
NO
(If YES, enter the manufacturer’s sales/use tax permit number below.)
SALES/USE TAX PERMIT NUMBER OF THE MANUFACTURER
Attach a Copy of the Agency Authorization and Skip to Section IV
SECTION III — BUSINESS INFORMATION
DATE YOU FIRST BEGAN TRADE OR BUSINESS ACTIVITIES (purchased manufacturing equipment, etc.)
DATE BUSINESS WAS FIRST FORMED OR ORGANIZED
Have you previously been engaged in a trade or business in California?
YES
NO
(If YES, list the name and sales/use tax permit number of the previous business below.)
NAME AND SALES/USE TAX PERMIT NUMBER OF THE PREVIOUS BUSINESS
Enter the SIC (Standard Industrial Code) of your business:
List below the products that are/will be manufactured.
List below all manufacturing locations where the property being purchased will be used.
NAME OF MANUFACTURING LOCATION
(Street, City, State and ZIP Code)
NAME OF MANUFACTURING LOCATION
(Street, City, State and ZIP Code)
Attach Additional Sheets as Necessary
Continued on Reverse