Form Boe-400-Lmi - Application And Certification For Manufacturer/importer Cigarette License Page 7
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8BOE-400-LMI (S4) REV. 2 (1-11)
STATE OF CALIFORNIA
CALIFORNIA CIGARETTE AND TOBACCO PRODUCTS LICENSING ACT OF 2003
BOARD OF EQUALIZATION
APPLICATION FOR MANUFACTURER/IMPORTER CIGARETTE LICENSE
Step
4: After We
Review
Your Application and
WHAT ARE MY RESPONSIBILITIES AS THE HOLDER OF
Certification.
A MANUFACTURER/IMPORTER CIGARETTE LICENSE?
After review of your application, you will be issued a license
Every Manufacturer or Importer of cigarettes holding a
for your business location, or be notified if a license cannot
license is prohibited from selling cigarettes to a distributor,
be issued for any reason.
wholesaler, importer, or any other person who is not licensed
pursuant to the Act, or whose license has been suspended
TIPS FOR COMPLETING YOUR APPLICATION AND
or revoked. As a licensed manufacturer or importer, you must
CERTIFICATION.
(1) maintain accurate and complete records relating to the
sale of your cigarettes and (2) retain certain purchase records
SECTION I: OWNERSHIP INFORMATION
and (3) include specific information on each invoice for sale.
Items 1 through 10: Ownership Information
For specific requirements, please see California Business
Check your type of ownership. Corporations must enter their
and Professions Code commencing with section 22979.
corporation number and state of incorporation.
Starting May 1, 2007, failure to maintain records and include
SECTION II: BUSINESS INFORMATION
certain information
on
invoices
is punishable as a
misdemeanor, by a fine not to exceed five thousand dollars
Enter the address of your physical location here. Do not
($5,000), or imprisonment not to exceed one year in a county
enter a Post Office Box, mailing service, or an agent or
jail, or both the fine and imprisonment.
bookkeeper address.
YOU MUST FURNISH ALL THE REQUESTED
SECTION III: REQUIREMENTS TO SUBMIT AND UPDATE
INFORMATION ON THE APPLICATION AND
SCHEDULE OF CIGARETTE BRAND FAMILY NAMES
CERTIFICATION.
Complete
the
attached
BOE-400-LMI2,
Schedule of
If you do not provide the information required on the
Cigarette Brand Family Names. Make a copy of your
application and certification form, we may not be able to
completed schedule for your files, then mail the original with
register you or issue your license. In addition, the law
your application and certification.
provides
penalties
for
persons
furnishing
fraudulent
SECTION IV: CERTIFICATION
information. Any person who signs a statement pursuant to
this application and certification that asserts the truth of any
Be sure Section IV is completed by the owner, a partner,
material matter that he or she knows to be false is guilty of a
a corporate officer, an LLC member or manager with
misdemeanor.
authority to complete and sign, or authorized agent. If the
application is signed by an authorized agent, a properly
YOU MUST NOTIFY THE BOE IF YOU MOVE, CHANGE
completed power of attorney form must be attached.
OWNERSHIP, OR SELL YOUR BUSINESS.
WILL I NEED TO APPLY FOR ANY OTHER PERMITS?
Your license is valid only for the type of entity and location
specified on your application. You must notify the BOE of
You may need to obtain a seller's permit from the Sales and
any change in ownership or location. You must also notify
Use Tax Department and/or a distributor's license from
the BOE immediately, in writing, if you discontinue business
Special Taxes and Fees before we can issue your
in order to make arrangements to surrender your license. A
Manufacturer/Importer Cigarette license. A separate license
license issued to a manufacturer or importer is only valid with
is required if you are a manufacturer or importer of tobacco
respect to the manufacturer or importer designated on the
products. For more information, you may call our Taxpayer
license and may not be transferred or assigned to another
Information Section at 800-400-7115 (TTY: 711).
manufacturer or importer.
IS THE INFORMATION ON MY APPLICATION AVAILABLE
TO THE PUBLIC?
Your records are generally covered by state laws that protect
your privacy. However, some records are subject to public
disclosure, such as the information printed on your license,
names of owners or partners, your business address, and
your license status. See also privacy notice information
enclosed.
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