Form Boe-244-B - Claim For Excise Tax Exemption On Distilled Spirits Exported Or Sold To Common Carriers And Armed Forces Instrumentalities

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BoE-244-B (Front) rEV. 4 (10-10)
StAtE oF CALIFornIA
CLAIM FOR EXCISE TAX EXEMPTION ON DISTILLED SPIRITS
BoArD oF EQUALIZAtIon
EXPORTED OR SOLD TO COMMON CARRIERS AND ARMED FORCES INSTRUMENTALITIES
Please read the instructions on the reverse before preparing this report.
ACCoUnt nUMBEr
For Month oF
Year
Page
of
Pages
(street, city, state and zip code)
nAME
BUSInESS ADDrESS
SHIPPED TO (CONSIGNEE)
INVOICE
WINE GALLONS
BILL OF LADING
OR FREIGHT BILL
NAME OF CARRIER
StAtE or
100 ProoF
oVEr
DAtE
no.
nAME
CItY
NO.
CoUntrY
AnD UnDEr
100 ProoF
A
B
C
D
E
F
G
H
I
totals from previous page
1
2
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TOTALS
The original of this report must be mailed to the State Board of Equalization, Special Taxes and Fees, P.O. Box 942879, Sacramento, CA 94279-0088.
CLEAR
PRINT

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