BOE-501-BW (S1F) REV. 15 (4-13)
STATE OF CALIFORNIA
BOARD OF EQUALIZATION
BEER AND WINE IMPORTER TAX RETURN
BOE USE ONLY
RA-B/A
AUD
REG
DUE ON OR BEFORE
RR-QS
FILE
REF
YOUR ACCOUNT NO.
[
]
FOID
EFF
BOARD OF EQUALIZATION
SPECIAL
TAXES
AND
FEES
P O BOX 942879
SACRAMENTO CA 94279-6079
READ INSTRUCTIONS
BEFORE PREPARING
BEER
WINE
A
B
C
D
TOTAL BEER
STILL WINE NOT
STILL WINE OVER 14
SPARKLING
TRANSACTIONS DURING REPORTING PERIOD
OVER 14
BUT NOT OVER 24
WINE
PERCENT
PERCENT AND
SPARKLING HARD
CIDER
(Gallons)
(Gallons)
(Gallons)
(Gallons)
1. Imported into California, must agree with form(s)
BOE-269-A submitted
1a.
1a. Case beer
1b. Keg beer
1b.
1c. Total
1c.
2. Exported from California
2.
3. Spoiled beer or wine
3.
(attach approved authorization)
4. Other exemptions
4.
(attach documentation)
5. Total exemptions
5.
(add lines 2 through 4 for columns
A through D)
6. Taxable transactions on which tax applies or a
6.
refund is due
(subtract line 5 from line 1c for columns
A through D)
7. Rate of tax per wine gallon
7.
$
$
$
$
8. Subtotal for columns A through D of tax on
8.
$
$
$
$
these gallons
(multiply line 6 by line 7)
9. Amount of tax due or refund claimed
9.
$
(add columns A, B, C, and D of line 8)
10. Penalty
10.
$
(if filed after the due date, see line 10 instructions)
PENALTY
11.
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
11.
$
INTEREST
For assistance, see BOE website for
Interest
Calculator.
12. TOTAL AMOUNT DUE AND PAYABLE OR REFUND CLAIMED
12.
$
(add lines 9, 10, and 11)
EMAIL ADDRESS
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
PRINT NAME AND TITLE
TELEPHONE
DATE
(
)
Make check or money order payable to State Board of Equalization.
Always write your account number on your check or money order. Make a copy of this document for your records.
CLEAR
PRINT