Form Boe-810-Ctf - Cigarette Tax Disbursement Schedule
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1
2STATE OF CALIFORNIA
BOE-810-CTF (FRONT) REV.1 (4-13)
BOARD OF EQUALIZATION
CIGARETTE TAX DISBURSEMENT SCHEDULE
(If additional space is needed, please photocopy the schedule before making entries.)
Page
of
(a) COMPANY NAME
(b) ACCOUNT NUMBER
(c) MONTH/YEAR
(d) SCHEDULE CODE
(e) TAX PAID? (Y/N) (7A ONLY)
(f) BUYER'S NAME
(g) BUYER'S ACCOUNT
(h) DESTINATION (DEST) STREET
(i) DEST CITY
(j) DEST STATE
(k) DEST ZIP
(l) DEST COUNTRY
* For detailed information regarding the use and preparation of these schedules, see form BOE-810-CTE, Instructions for Preparing Cigarette Tax Schedules, available on our website at
(1)
(2)
(3)
(4)
(5)
(6)
(7)
MODE
PRODUCT
UPC
UOM
DOCUMENT/
DOCUMENT/BOL
QUANTITY
CODE
BRAND/VARIANT NAME
(OPTIONAL)
BOL DATE
NUMBER
CLEAR
PRINT
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Parent category: Financial