Form BOE-1071 Fillable Common Carrier's Report of Cigarette Deliveries

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Download Form BOE-1071

View all CA - California Sales, Use and Other Taxes

BOE 1071 (BACK) REV 4 (10 10) (BOE USE ONLY CODE NUMBER Column C Row 1 ) (BOE USE ONLY CODE NUMBER Column C Row 10 ) (BOE USE ONLY CODE NUMBER Column C Row 2 ) (BOE USE ONLY CODE NUMBER Column C Row 3 ) (BOE USE ONLY CODE NUMBER Column C Row 4 ) (BOE USE ONLY CODE NUMBER Column C Row 5 ) (BOE USE ONLY CODE NUMBER Column C Row 6 ) (BOE USE ONLY CODE NUMBER Column C Row 7 ) (BOE USE ONLY CODE NUMBER Column C Row 8 ) (BOE USE ONLY CODE NUMBER Column C Row 9 ) (certified correct) (CLEAR) CLEAR (for month of year) (IMPORTANT Read instructions on reverse side before completing report for month of) (mailing address) (name of carrier) (NAME OF CONSIGNEE AND CALIFORNIA CITY WHERE DELIVERY MADE Column B Row 1 ) (NAME OF CONSIGNEE AND CALIFORNIA CITY WHERE DELIVERY MADE Column B Row 10 ) (NAME OF CONSIGNEE AND CALIFORNIA CITY WHERE DELIVERY MADE Column B Row 2 ) (NAME OF CONSIGNEE AND CALIFORNIA CITY WHERE DELIVERY MADE Column B Row 3 ) (NAME OF CONSIGNEE AND CALIFORNIA CITY WHERE DELIVERY MADE Column B Row 4 ) (NAME OF CONSIGNEE AND CALIFORNIA CITY WHERE DELIVERY MADE Column B Row 5 ) (NAME OF CONSIGNEE AND CALIFORNIA CITY WHERE DELIVERY MADE Column B Row 6 ) (NAME OF CONSIGNEE AND CALIFORNIA CITY WHERE DELIVERY MADE Column B Row 7 ) (NAME OF CONSIGNEE AND CALIFORNIA CITY WHERE DELIVERY MADE Column B Row 8 ) (NAME OF CONSIGNEE AND CALIFORNIA CITY WHERE DELIVERY MADE Column B Row 9 ) (NAME OF SHIPPER ORIGIN (CITY AND STATE OR COUNTRY) Column A Row 1 ) (NAME OF SHIPPER ORIGIN (CITY AND STATE OR COUNTRY) Column A Row 10 ) (NAME OF SHIPPER ORIGIN (CITY AND STATE OR COUNTRY) Column A Row 2 ) (NAME OF SHIPPER ORIGIN (CITY AND STATE OR COUNTRY) Column A Row 3 ) (NAME OF SHIPPER ORIGIN (CITY AND STATE OR COUNTRY) Column A Row 4 ) (NAME OF SHIPPER ORIGIN (CITY AND STATE OR COUNTRY) Column A Row 5 ) (NAME OF SHIPPER ORIGIN (CITY AND STATE OR COUNTRY) Column A Row 6 ) (NAME OF SHIPPER ORIGIN (CITY AND STATE OR COUNTRY) Column A Row 7 ) (NAME OF SHIPPER ORIGIN (CITY AND STATE OR COUNTRY) Column A Row 8 ) (NAME OF SHIPPER ORIGIN (CITY AND STATE OR COUNTRY) Column A Row 9 ) (NUMBER OFCASES OR BALES Column G Row 1 ) (NUMBER OFCASES OR BALES Column G Row 10 ) (NUMBER OFCASES OR BALES Column G Row 2 ) (NUMBER OFCASES OR BALES Column G Row 3 ) (NUMBER OFCASES OR BALES Column G Row 4 ) (NUMBER OFCASES OR BALES Column G Row 5 ) (NUMBER OFCASES OR BALES Column G Row 6 ) (NUMBER OFCASES OR BALES Column G Row 7 ) (NUMBER OFCASES OR BALES Column G Row 8 ) (NUMBER OFCASES OR BALES Column G Row 9 ) (of Pages ) (page) (PRINT) PRINT (R R CAR NUMBEROR NAME OF VESSEL OR TT IF BY MOTOR CARRIER Column D Row 1 ) (R R CAR NUMBEROR NAME OF VESSEL OR TT IF BY MOTOR CARRIER Column D Row 10 ) (R R CAR NUMBEROR NAME OF VESSEL OR TT IF BY MOTOR CARRIER Column D Row 2 ) (R R CAR NUMBEROR NAME OF VESSEL OR TT IF BY MOTOR CARRIER Column D Row 3 ) (R R CAR NUMBEROR NAME OF VESSEL OR TT IF BY MOTOR CARRIER Column D Row 4 ) (R R CAR NUMBEROR NAME OF VESSEL OR TT IF BY MOTOR CARRIER Column D Row 5 ) (R R CAR NUMBEROR NAME OF VESSEL OR TT IF BY MOTOR CARRIER Column D Row 6 ) (R R CAR NUMBEROR NAME OF VESSEL OR TT IF BY MOTOR CARRIER Column D Row 7 ) (R R CAR NUMBEROR NAME OF VESSEL OR TT IF BY MOTOR CARRIER Column D Row 8 ) (R R CAR NUMBEROR NAME OF VESSEL OR TT IF BY MOTOR CARRIER Column D Row 9 ) (RAILROAD WAYBILL OR SHIP BILL OF LADING OR MOTOR CARRIER PRO NUMBER DATE Column E Row 1 ) (RAILROAD WAYBILL OR SHIP BILL OF LADING OR MOTOR CARRIER PRO NUMBER DATE Column E Row 10 ) (RAILROAD WAYBILL OR SHIP BILL OF LADING OR MOTOR CARRIER PRO NUMBER DATE Column E Row 2 ) (RAILROAD WAYBILL OR SHIP BILL OF LADING OR MOTOR CARRIER PRO NUMBER DATE Column E Row 3 ) (RAILROAD WAYBILL OR SHIP BILL OF LADING OR MOTOR CARRIER PRO NUMBER DATE Column E Row 4 ) (RAILROAD WAYBILL OR SHIP BILL OF LADING OR MOTOR CARRIER PRO NUMBER DATE Column E Row 5 ) (RAILROAD WAYBILL OR SHIP BILL OF LADING OR MOTOR CARRIER PRO NUMBER DATE Column E Row 6 ) (RAILROAD WAYBILL OR SHIP BILL OF LADING OR MOTOR CARRIER PRO NUMBER DATE Column E Row 7 ) (RAILROAD WAYBILL OR SHIP BILL OF LADING OR MOTOR CARRIER PRO NUMBER DATE Column E Row 8 ) (RAILROAD WAYBILL OR SHIP BILL OF LADING OR MOTOR CARRIER PRO NUMBER DATE Column E Row 9 ) (RAILROAD WAYBILL OR SHIP BILL OF LADING OR MOTOR CARRIER PRO NUMBER NUMBER Column F Row 1 ) (RAILROAD WAYBILL OR SHIP BILL OF LADING OR MOTOR CARRIER PRO NUMBER NUMBER Column F Row 10 ) (RAILROAD WAYBILL OR SHIP BILL OF LADING OR MOTOR CARRIER PRO NUMBER NUMBER Column F Row 2 ) (RAILROAD WAYBILL OR SHIP BILL OF LADING OR MOTOR CARRIER PRO NUMBER NUMBER Column F Row 3 ) (RAILROAD WAYBILL OR SHIP BILL OF LADING OR MOTOR CARRIER PRO NUMBER NUMBER Column F Row 4 ) (RAILROAD WAYBILL OR SHIP BILL OF LADING OR MOTOR CARRIER PRO NUMBER NUMBER Column F Row 5 ) (RAILROAD WAYBILL OR SHIP BILL OF LADING OR MOTOR CARRIER PRO NUMBER NUMBER Column F Row 6 ) (RAILROAD WAYBILL OR SHIP BILL OF LADING OR MOTOR CARRIER PRO NUMBER NUMBER Column F Row 7 ) (RAILROAD WAYBILL OR SHIP BILL OF LADING OR MOTOR CARRIER PRO NUMBER NUMBER Column F Row 8 ) (RAILROAD WAYBILL OR SHIP BILL OF LADING OR MOTOR CARRIER PRO NUMBER NUMBER Column F Row 9 ) (SIZE OF CASEOR BALE Column H Row 1 ) (SIZE OF CASEOR BALE Column H Row 10 ) (SIZE OF CASEOR BALE Column H Row 2 ) (SIZE OF CASEOR BALE Column H Row 3 ) (SIZE OF CASEOR BALE Column H Row 4 ) (SIZE OF CASEOR BALE Column H Row 5 ) (SIZE OF CASEOR BALE Column H Row 6 ) (SIZE OF CASEOR BALE Column H Row 7 ) (SIZE OF CASEOR BALE Column H Row 8 ) (SIZE OF CASEOR BALE Column H Row 9 ) (Title) 5:00 p m Pacific time except state holidays ANAME OF CONSIGNEE AND are made bales be shown before BOE 1071 (FRONT) REV 4 (10 10) calendar California California California CALIFORNIA CITY WHEREDELIVERY MADEBBOE USE ONLYCODE NUMBERCR R CAR NUMBEROR NAME OF VESSEL call the Taxpayer Information Section at 800 400 7115 (TTY: 711); from the main menu select the option carrier cases Certification: certified CERTIFIED CORRECT cigarette cigarettes city in which delivery was made CODE NUMBER (For BOE Use Only) COLUMN COMMON CARRIER S REPORT OF CIGARETTE DELIVERIES complete consignee contained correctness country covering deliveries delivery Do not write in this column during E & F Enter entered entered entered filed filing FOR MONTh OF freight If the shipment entered California by motor carrier the letters TT must be shown If you need additional information please contact the State Board of Equalization Special Taxes and Fees IMPORTANT Read instructions on reverse side before completing report initials INSTRUCTIONS FOR COMPILINGSTATE BOARD OF EqUALIZATION FORM BOE 1071 lading MAILING ADDRESS month month motor MOTOR CARRIER NAME OF SHIPPERORIGIN (CITY AND STATE OR COUNTRY) number number number number must be shown number) and date must be shown of Interstate or Foreign Shipments of Cigarettes Destined California Points or bale OR TT IF BYMOTOR CARRIERDRAILROAD WAYBILL ORSHIP BILL OF LADING OR P O Box 942879 Sacramento CA 94279 0088 You may also visit the BOE website at PagesNAME OF CARRIER preceding Prepare report in duplicate retain copy and mail original to: PRO NUMBERNUMBER OFCASES OR BALESGSIZE OF CASEOR BALEHDATEENUMBERF railroad report report report If a multiple page report is filed only 1 page of the report need be certified representative shipment shipment shipment shipment originated shipment was contained must be shown shipper Special Taxes and Fees Customer service representatives are available weekdays from 8:00 a m to state State Board of EqualizationSpecial Taxes and FeesPO Box 942879Sacramento California 94279 0088 STATE OF CALIFORNIABOARD OF EQUALIZATION steamship the vessel in which the shipment was transported into California must be shown thousands TITLE total voyage water waybill whether which www boe ca gov

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