Form Boe-401-Ez - Short Form - Sales And Use Tax Return
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1
2EZ
BOE-401-
(FRONT) REV. 33 (4-13)
STATE OF CALIFORNIA
BOARD OF EQUALIZATION
SHORT FORM - SALES and USE TAX RETURN
SHORT FORM - SALES and USE TAX RETURN
BOE USE ONLY
LOC
RA-TT
REG
DUE ON OR BEFORE
DUE ON OR BEFORE
RA-BTR
AACS
REF
YOUR ACCOUNT NO.
YOUR ACCOUNT NO.
[
]
FOID
EFF
Mail To:
BOARD OF EQUALIZATION
PO BOX 942879
SACRAMENTO CA 94279-7072
If the above information is incorrect or your business has changed, please call us at:
Please read the instructions on the back of this form before completing this EZ return. Important information on who can
use the EZ return form is located in the instructions on line 10. If you are unable to use this EZ return, the proper return
form can be requested from our Taxpayer Information Section at 1-800-400-7115.
You can eFile. Payment by credit cards are accepted. Please see instructions for further details.
PLEASE ROUND CENTS TO THE NEAREST WHOLE DOLLAR
$
$
1
.00
1 Total (gross) sales
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.00
2
2 Purchases subject to use tax
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.00
3
3 Total (add lines 1 and 2)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
50
4
.00
4 Sales to other retailers for resale
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
REC
51
NO
5
5
.00
5 Nontaxable sales of food products
5 Nontaxable sales of food products
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
52
6
.00
6 Nontaxable labor (repair and installation)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
53
3
7
.00
7 Sales to the United States Government
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
54
4
8
.00
8 Sales in interstate or foreign commerce
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
55
5
9
9 Sales tax (if any) included in line 1
.00
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
90
10 Other deductions (clearly explain)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10
.00
.00
.00
11 Total of exempt transactions (add lines 4 through 10)
11
. . . . . . . . . . . . . . . . . . . . . . . .
.00
12 Taxable transactions (subtract line 11 from line 3)
PM
12
. . . . . . . . . . . . . . . . . . . . . . . . . . .
.00
13 Total sales and use tax [multiply line 12 by
13
1st prepayment
2nd prepayment
14 Tax prepayments
.00
=
14
+
+
$
$
15 Remaining tax due (subtract line14 from line 13)
15
. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.00
16 Penalty
(Multiply line 15 by 10% (.10) if payment is made, or your tax return is filed,
16
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
after the due date shown above)
PENALTY
.00
17 Interest.
One month's interest is due on tax for each month or a fraction of
17
.00
a month that payment is delayed after the due date. The adjusted monthly
INTEREST
interest rate is
Interest Rate Calculator
.00
18 Total amount due and payable (add lines 15, 16 and 17)
18
$
. . . . . . . . . . . . . . . . . . . . .
RE
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.
YOUR SIGNATURE AND TITLE
TELEPHONE NUMBER
DATE
PAID PREPARER'S TELEPHONE NUMBER
PAID PREPARER'S NAME
PAID PREPARER'S
USE ONLY
Make a copy for your records.
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