Form Boe-241-A - Distilled Spirits Purchased Or Received From Other Licensees In California Page 2
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2BoE-241-A (BACK) rEV. 3 (10-10)
INSTRUCTIONS FOR COMPLETING
THE DISTILLED SPIRITS PURCHASED OR
RECEIVED FROM OTHER LICENSEES IN CALIFORNIA REPORT
FILING REQUIREMENTS
this report must be completed in accordance with the instructions below showing each and every purchase or
receipt of distilled spirits from another California taxpayer.
PREPARATION OF THE REPORT
Prepare report in duplicate, retain a copy for your files, and mail the original to the State Board of Equalization,
Special taxes and Fees, P. o. Box 942879, Sacramento, CA 94279-0088.
•
Enter entire account number.
•
Enter reporting month and year.
•
Enter page number and number of pages in reporting month.
•
Enter owner or company name.
•
Enter business address, including zip code.
COLUMN
A.
Enter the name of the California seller from whom the distilled spirits were purchased.
B.
Enter the name of the California city where the seller's business is located.
C.
Do not write in this column.
D.
Enter date the shipment was received.
E.
Enter purchase order number, release number or other reference number.
F.
Enter invoice date covering the shipment.
G. Enter invoice number covering the shipment.
H.
Enter total dollar amount of invoice.
I.
Enter total gallons of distilled spirits 100 proof or under per seller's invoice.
J.
Enter total gallons of distilled spirits over 100 proof per seller's invoice.
K.
total all entries made in Columns I and J and enter the totals in the boxes at the bottom of the report.
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