Form Boe-243-B - Claim For Distilled Spirits Excise Tax Exemption On Sale Or Delivery To Other Licensees In California Page 2

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BOE-243-B (BACK) REV. 4 (10-10)
INSTRUCTIONS FOR COMPLETING
THE CLAIM FOR DISTILLED SPIRITS EXCISE TAX EXEMPTION ON
SALE OR DELIVERY TO OTHER LICENSEES IN CALIFORNIA REPORT
FILING REQUIREMENTS
This report must be completed in accordance with the instructions below showing each and every sale
or delivery of distilled spirits to 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 purchaser to whom the distilled spirits were sold.
B.
Enter the name of the California city where delivered.
C.
Do not write in this column.
D.
Enter date the distilled spirits were shipped.
E.
Enter purchase order number, release number or other referenced number.
F.
Enter invoice date covering the shipment.
G.
Enter invoice number covering the shipment.
H.
Enter total dollar amount of the invoice.
I.
Enter total gallons of distilled spirits 100 proof or under which were sold.
J.
Enter total gallons of distilled spirits over 100 proof which were sold.
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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