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Form BOE-242-A Fillable Distilled Spirits Imported into California
(all forms fillable on Windows, Mac, Android tablets, and iPad using Adobe Reader XI)(account numaber) (BOE use only) (date received) (date received) (date received) (date received) (date received) (description of alcoholic beverages number of packages) (description of alcoholic beverages number of packages) (description of alcoholic beverages number of packages) (description of alcoholic beverages number of packages) (description of alcoholic beverages number of packages) (description of alcoholic beverages wine gallons 100 proof or under) (description of alcoholic beverages wine gallons 100 proof or under) (description of alcoholic beverages wine gallons 100 proof or under) (description of alcoholic beverages wine gallons 100 proof or under) (description of alcoholic beverages wine gallons 100 proof or under) (description of alcoholic beverages wine gallons 100 proof or under) (description of alcoholic beverages wine gallons over 100 proof) (description of alcoholic beverages wine gallons over 100 proof) (description of alcoholic beverages wine gallons over 100 proof) (description of alcoholic beverages wine gallons over 100 proof) (description of alcoholic beverages wine gallons over 100 proof) (description of alcoholic beverages wine gallons over 100 proof) (for month of) (invoice no ) (invoice no ) (invoice no ) (invoice no ) (invoice no ) (name of common carrier) (name of common carrier) (name of common carrier) (name of common carrier) (name of common carrier) (name of shipper city and state or country) (name of shipper city and state or country) (name of shipper city and state or country) (name of shipper city and state or country) (name of shipper city and state or country) (page) (purchased from) (purchased from) (purchased from) (purchased from) (purchased from) (purchased from; invoice no ; date received; description of alcoholic beverages number of packages; description of alcoholic beverages wine gallons 100 proof or under; description of alcoholic beverages wine gallons over 100 proof) (purchased from; invoice no ; date received; description of alcoholic beverages number of packages; description of alcoholic beverages wine gallons 100 proof or under; description of alcoholic beverages wine gallons over 100 proof) (purchased from; invoice no ; date received; description of alcoholic beverages number of packages; description of alcoholic beverages wine gallons 100 proof or under; description of alcoholic beverages wine gallons over 100 proof) (text) (voyage no name of vessel r r car no or truck trailer no ) (voyage no name of vessel r r car no or truck trailer no ) (voyage no name of vessel r r car no or truck trailer no ) (voyage no name of vessel r r car no or truck trailer no ) (voyage no name of vessel r r car no or truck trailer no ) (waybill bill of lading or freight bill date) (waybill bill of lading or freight bill date) (waybill bill of lading or freight bill date) (waybill bill of lading or freight bill date) (waybill bill of lading or freight bill date) (waybill bill of lading or freight bill no ) (waybill bill of lading or freight bill no ) (waybill bill of lading or freight bill no ) (waybill bill of lading or freight bill no ) (waybill bill of lading or freight bill no ) (year) 100 ProoF 74 00 74 00 74 00 74 00 74 00 A B C D E F G H I J K L ACCoUnt nUMBEr before BILL OF LADING Board BoArD oF EQUALIZAtIon BoE 242 A (Front) rEV 8 (10 10) BOE 242 A 8 (10 10) bottom boxes BUSInESS ADDrESS (street city state and zip code) California California California called carrier CITY AND STATE CODE NO COLUMN Columns COMMON CARRIER complete contained country DESCRIPTION OF ALCOHOLIC BEVERAGES detail distilled DISTILLED SPIRITS IMPORTED INTO CALIFORNIA Do not write in this column duplicate enter Enter business address including zip code Enter date merchandise was received Enter entire account number Enter invoice number covering the shipment Enter name of common carrier originally transporting shipment Enter owner or company name Enter page number and number of pages in reporting month Enter reporting month and year Enter the name of the person of firm from whom the merchandise was purchased Enter the waybill bill of lading or freight bill date Enter the waybill bill of lading or freight bill number Enter total gallons of distilled spirits 100 proof or under contained in the shipment Enter total gallons of distilled spirits over 100 proof Enter total number of packages contained in the shipment (i e cs ctn bbl etc) entered entered entries Equalization Special Taxes and Fees P O Box 942879 Sacramento CA 94279 0088 every fifteenth files FILING REQUIREMENTS For Month oF INSTRUCTIONS INVOICE NO DATE mailed month motor NAME OF NAME OF SHIPPER NAME OF VESSEL no DAtE number number must be shown nUMBEr oF P ACK OR COUNTRY OR FREIGHT BILL or UnDEr original originated outside oVEr 100 ProoF Pages Please read the instructions on the reverse before preparing this report point PREPARATION OF THE REPORT Prepare PURCHASED R R CAR NO OR railroad received report report retain shipment shipment shipment shipments shipper showing shown spirits state StAtE oF CALIFornIA THE DISTILLED SPIRITS INTO CALIFORNIA The original of this report must be mailed to the State Board of Equalization Special Taxes and Fees P O Box 942879 Sacramento CA 94279 0088 the shipment was transported into California must be shown Total totals totals from previous page trailer truck TRUCK TRAILER NO vessel voyage VOYAGE NO water WAYBILL which which WInE GALLonS