Form Boe-403-B - Registration Information For Out-Of-State Account

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BOE-403-B FRONT REV. 3 (11-92)
STATE OF CALIFORNIA
REGISTRATION INFORMATION FOR OUT-OF-STATE ACCOUNT
BOARD OF EQUALIZATION
ACCOUNT NO. ___________________________
DATE ___________________________________
1.
OWNER ________________________________________________________________________________________________
2.
STATE OF INCORPORATION, IF APPLICABLE _________________________________ FEIN NO: ______________________
3.
PARENT CORPORATION, IF ANY _______________________________________ STATE OF INCORPORATION __________
4.
Names and addresses of related companies doing business in California:
5.
Out-of-State Location of Records ____________________________________________________________________________
CHECK 1 BOX ONLY:
Out-of-State Records maintained at our facility.
Out-of-State Records maintained at independent accountant’s office, not at our own facility.
Accountant’s Name __________________________________________ Telephone No. (
) __________________________
Accountant’s Address _____________________________________________________________________________________
6.
ANNUAL SALES IN CALIFORNIA
Gross Sales ___________________________________________ Taxable Sales _____________________________________
FUNCTION
TELEPHONE
INVENTORY
SALES NEGOTIATED
7.
CALIFORNIA LOCATIONS (Address)
(Warehouse, Service, etc.)
NUMBER
FROM LOCATION
Yes
No
Yes
No
(A) ____________________________________________________________________________________________________
Yes
No
Yes
No
(B) ____________________________________________________________________________________________________
Yes
No
Yes
No
(C) ____________________________________________________________________________________________________
8.
INDEPENDENT SALES REPRESENTATIVES IN CALIFORNIA: Name and Address (Complete List)
TELEPHONE NUMBER
(
)
(A) __________________________________________________________________________
_______________________
(
)
(B) __________________________________________________________________________
_______________________
(
)
(C) __________________________________________________________________________
_______________________
9.
LIST OF PRINCIPAL CALIFORNIA CUSTOMERS (Names & Complete Addresses; Attach Additional Sheets if Necessary):
(A) ____________________________________________________________________________________________________
(B) ____________________________________________________________________________________________________
(C) ____________________________________________________________________________________________________
(D) ____________________________________________________________________________________________________
10. PRINCIPAL SUPPLIERS (Names & Addresses)
(See Reverse)

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