Form Boe-571-J - Annual Racehorse Tax Return

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BOE-571-J (S1) REV. 6 (8-06)
Read the instructions before
ANNUAL RACEHORSE TAX RETURN
completing this form
Make necessary corrections to the printed name and mailing address.
To The Tax Collector of Sacramento County
Type of Ownership:
Proprietorship
Partnership
Syndicate
Corporation
Other
Name, address, and phone number (including area code) of authorized person to contact for an audit:
(
)
Zip Code
Phone No.
Street address, city , st ate,
and zip code where the books and records are located:
Local Phone Number __(____)___________________________________________
LIST ALL RACEHORSES OWNED AS OF 12:01 a.m. JANUARY 1, 2013, AND DOMICILED IN THIS COUNTY
A
B
C
D
E
F
G
H
I
NAME OF RACEHORSE
REGISTRATION
AGE
CLASSI-
BREED
DATE
DOMICILE
EARNINGS DURING PREVIOUS
ANNUAL
FOR
NO.
FICATION
ACQUIRED
CALENDAR YEAR
TAX DUE
COUNTY
(Include Stallions,
SCHOOL
Broodmares, Y earlings,
(see
USE
DISTRICT OR
ADDRESS
and Horses in Training)
Schedule
ONLY
TAX RATE
AMOUNT
SOURCE
A)
AREA NO.
$
DECLARATION BY ASSESSEE
Are you filing an Annual Racehorse Tax Return for this period in any other
California county?
Note: The following declaration must be completed and signed.
If you do not do so, it may result in penalties.
Yes
No
If yes, what counties?
I declare under penalty of perjury under the laws of the State of California that I have examined this
return, including accompanying schedules, statements or other attachments, and to the best of my
If more lines are needed, attach a separate schedule. If you do not owe racehorse tax in
knowledge and belief it is true, correct and complete and includes all racehorses and racehorse data
this county, so indicate on the form, sign it, and return it to the tax collector .
required to be reported which is owned, claimed, possessed, controlled, or managed by the person
named as the assessee in this return at 12:01 a.m. on January 1, 2013.
Taxes Due
(1) Note: RACEHORSE TAXES ARE DUE AND PAYABLE
$
AT 12:01 a.m. JANUAR Y 1, 2013 ...............................................................
(2) If the tax is paid after 5 p.m. on February 15, add 6 percent of
SIGNATURE OF ASSESSEE OR AUTHORIZED AGENT*
DATE
$
the taxes due, as shown on line (1) ...............................................................
(3) An additional 1 percent per month penalty accrues on any
Penalties
NAME OF ASSESSEE OR AUTHORIZED AGENT* (typed or printed)
TITLE
unpaid tax shown on line (1) on March 1 and the first day of
Added
$
each month thereafter ....................................................................................
NAME OF LEGAL ENTITY (other than DBA) (typed or printed)
FEDERAL EMPLOYER ID NO.
(4) If the return is filed after 5 p.m. on February 15, add 10 percent
$
of the taxes due shown on line (1) .................................................................
PREPARER’S NAME AND ADDRESS (typed or printed) TELEPHONE NO.
TITLE
(
)
.......................................................................................................................
TOTAL TAXES AND PENALTIES DUE
$
* Agent: See page S2B for Declaration by Assessor instructions.
THIS STATEMENT SUBJECT TO AUDIT

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