Form Boe-501-Cw - Cigarette Wholesalers Return Page 2

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BOE-501-CW (BACK) REV. 6 (3-11)
PART 2 - PURCHASES OF CIGARETTES
INVOICE
CARTONS OF
PURCHASED FROM
DATE
CITY
NUMBER
CIGARETTES
(NAME)
TOTAL (enter on Part 1, line 2)
If you need additional information, please contact the State Board of Equalization, Special Taxes and Fees, P.O. Box 942879,
Sacramento, CA 94279-0088. You may also visit the BOE website at or call the Taxpayer Information Section at
800-400-7115 (TTY: 711); from the main menu, select the option Special Taxes and Fees.
CLEAR
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