Form Boe-401-A2 (S1f) - State, Local, And District Sales And Use Tax Return
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11STATE OF CALIFORNIA
BOE-401-A2 (S1F) REV. 108 (7-14)
BOARD OF EQUALIZATION
STATE, LOCAL, and DISTRICT SALES and USE TAX RETURN
BOE USE ONLY
RA-TT
LOC
REG
PERIOD
YEAR
DUE ON OR BEFORE
FOR
RA-BTR
REF
AACS
IMPORTANT:
SELLER'S PERMIT ACCOUNT NUMBER (i.e., SRY XXX-XXXXXX)
Select one
Your account number and reporting period
EFF
are required.
NAME
Mail To:
BOARD OF EQUALIZATION
BUSINESS ADDRESS
PO BOX 942879
SACRAMENTO CA 94279-7072
CITY
STATE
ZIP
ELECTRONIC FILING INFORMATION AND RETURN INSTRUCTIONS (BOE-401-INST)
BOE
ARE AVAILABLE AT OR BY CALLING 1-800-400-7115.
USE
$
1 TOTAL (gross) SALES
1
.00
2 PURCHASES SUBJECT TO USE TAX
2
.00
3 TOTAL (add lines 1 and 2)
.00
IF YOU HAVE DEDUCTIONS, FILL OUT LINES 4-11 ON PAGES 2 AND 3 OF THIS RETURN.
IF NO DEDUCTIONS, ENTER "0" ON LINE 11 AND PROCEED TO LINE 12.
.00
11 TOTAL NONTAXABLE TRANSACTIONS REPORTED (enter total deductions from line 11 on page 3)
11
12 TRANSACTIONS SUBJECT TO STATE TAX (subtract line 11 from line 3)
.00
12
.00
13 a STATE TAX 6.25% (multiply line 12 by .0625)
.00
13 b TAX RECOVERY ADJUSTMENT (enter tax recovery adjustment from box 13b, Section B on page 2)
13 b
14 a TRANSACTIONS SUBJECT TO COUNTY TAX (add amount in box 61 [Section C, page 2], box 73 [Section D,
.00
page 3] and line 12 above)
.00
b COUNTY TAX 1/4% (multiply line 14a by .0025)
.00
15
15 LOCAL TAX ADJUSTMENTS FOR AIRCRAFT COMMON CARRIERS
LOCAL TAX ADJUSTMENTS FOR AIRCRAFT COMMON CARRIERS ONLY
ONLY (see line 15 instructions)
(see line 15 instructions)
15
REC.
NO
.00
16 TRANSACTIONS SUBJECT TO LOCAL TAX (add or subtract line 15 to/from line 14a)
17 COMBINED STATE AND LOCAL TAX 1% (multiply line 16 by .01) (additional schedules may
.00
apply - see line 17 instructions)
18 DISTRICT TAX (from Schedule A1 or A2, TOTAL DISTRICT TAX)
YOU MUST COMPLETE BOE-531-A1,
.00
18
Schedule A1 or BOE-531-A2, Schedule A2, if you are engaged in business in a transactions and use tax district.
.00
19 TOTAL STATE, COUNTY, LOCAL, AND DISTRICT TAX (add lines 13a, 13b, 14b, 17, and 18)
19
20 SALES OR USE TAX PAID TO OTHER STATES (Enter the amount of tax paid for merchandise purchased
20
.00
out of state for use in California. The purchase price must be included in line 2 above.)
.00
21 NET TAX (subtract line 20 from line 19)
PM
Total
1st prepayment (Tax only)
2nd prepayment (Tax only)
+
=
.00
22 LESS TAX PREPAYMENTS
LESS TAX PREPAYMENTS
Prepayment 22
$
$
23 REMAINING TAX (subtract line 22 from line 21)
.00
24 PENALTY of 10%
(.10) is due if your tax payment is made, or your return is filed,
PENALTY
24
.00
after the due date shown above (see line 24 instructions).
25 INTEREST:
One month's interest is due on tax for each month or fraction of a month that payment
25
INTEREST
.00
is delayed after the due date. The adjusted monthly interest rate is
Interest Rate Calculator
RE
26 TOTAL AMOUNT DUE AND PAYABLE (add lines 23, 24, and 25)
26
$
.00
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
(
)
PRINT NAME AND TITLE
EMAIL ADDRESS
PAID PREPARER'S NAME
PREPARER'S TELEPHONE NUMBER
PAID PREPARER'S
(
)
USE ONLY
Make a copy for your records.
page 1
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