Form Boe-403-Clw - California Use Tax Worksheet
Download a blank fillable Form Boe-403-Clw - California Use Tax Worksheet in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form Boe-403-Clw - California Use Tax Worksheet with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2BOE-403-CLW (FRONT) REV. 4 (4-16)
STATE OF CALIFORNIA
CALIFORNIA USE TAX WORKSHEET
BOARD OF EQUALIZATION
Reference No:
Response due date:
Section I: Verify Ownership of Your Operating Business Entity:
OWNERSHIP NAME
DATE BUSINESS STARTED
BUSINESS TRADE NAME (DBA) (if any)
PHONE NUMBER
FAX NUMBER
CALIFORNIA BUSINESS ADDRESS (street, city, state, zip)
BUSINESS EMAIL/WEBSITE:
MAILING ADDRESS (street, city, state, zip)
CORPORATE, LLC, LLP, OR LP NUMBER (if applicable)
BOARD OF EQUALIZATION PERMIT/ACCOUNT NUMBER (if already registered)
FEDERAL IDENTIFICATION NUMBER (FEIN) (if applicable)
If you are no longer operating this business, please provide date of close out: Month
/ Day
/ Year
Section II: Identify Vendors Located Outside of California and Provide Total Purchases for Each Year:
After reviewing your records, if you have purchased equipment, machinery, computers, office furnishings, artwork, books,
promotional items, telephone equipment, office supplies, or other items from vendors located outside of California who did not
collect California sales or use tax, enter vendor information, description of items purchased, and the total purchases from each
vendor, by year in the columns below:
☐ Check here if you do not owe use tax for any of the years in question and skip to Section IV. If you incur a use tax
liability in the future, you must register, file, and pay.
Description of Items
Vendor(s) Name, Address, Phone
Purchased
20
20
20
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
(Round figures to whole dollars. Attach additional pages as needed.)
Total Purchases Subject
$
$
$
0
0
0
to Use Tax:
Interest and penalty is due on any tax paid after the due date. For more information, see the instructions on the back.
Section III: Register, File, and Pay: If you owe use tax, register online for a use tax account at Using the
figures above, electronically file and pay your use tax returns. Please enter your account number and the amount paid below.
NEW ACCOUNT NUMBER:
TOTAL AMOUNT PAID:
Section IV: Sign and Return with Documents: (See back. Keep a copy of this worksheet for your records.)
Under penalty of perjury, I certify that I have examined purchase records and, to the best of my knowledge, the above is true, correct, and
complete.
PRINTED NAME
TITLE
TELEPHONE NUMBER
SIGNATURE
DATE
ALTERNATE CONTACT (EMAIL/FAX NUMBER)
MAIL this form along with the documents to
:
California State Board of Equalization
In-State Service Group
P.O. Box 942879 (MIC:05)
Sacramento, CA 94279-0005
CLEAR
PRINT
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial