(account number)
(bill of lading or freight bill number)
(bill of lading or freight bill number)
(bill of lading or freight bill number)
(bill of lading or freight bill number)
(bill of lading or freight bill number)
(bill of lading or freight bill number)
(bill of lading or freight bill number)
(bill of lading or freight bill number)
(bill of lading or freight bill number)
(bill of lading or freight bill number)
(business address (street city state and zip code))
(city)
(city)
(city)
(city)
(city)
(city)
(city)
(city)
(city)
(city)
(CLEAR) CLEAR
(for month of)
(invoice date)
(invoice date)
(invoice date)
(invoice date)
(invoice date)
(invoice date)
(invoice date)
(invoice date)
(invoice date)
(invoice date)
(invoice number)
(invoice number)
(invoice number)
(invoice number)
(invoice number)
(invoice number)
(invoice number)
(invoice number)
(invoice number)
(invoice number)
(name of carrier)
(name of carrier)
(name of carrier)
(name of carrier)
(name of carrier)
(name of carrier)
(name of carrier)
(name of carrier)
(name of carrier)
(name of carrier)
(name)
(name)
(name)
(name)
(name)
(name)
(name)
(name)
(name)
(name)
(name)
(page)
(PRINT) PRINT
(state or country)
(state or country)
(state or country)
(state or country)
(state or country)
(state or country)
(state or country)
(state or country)
(state or country)
(state or country)
(wine gallons 100 proof and under)
(wine gallons 100 proof and under)
(wine gallons 100 proof and under)
(wine gallons 100 proof and under)
(wine gallons 100 proof and under)
(wine gallons 100 proof and under)
(wine gallons 100 proof and under)
(wine gallons 100 proof and under)
(wine gallons 100 proof and under)
(wine gallons 100 proof and under)
(wine gallons 100 proof and under)
(wine gallons over 100 proof)
(wine gallons over 100 proof)
(wine gallons over 100 proof)
(wine gallons over 100 proof)
(wine gallons over 100 proof)
(wine gallons over 100 proof)
(wine gallons over 100 proof)
(wine gallons over 100 proof)
(wine gallons over 100 proof)
(wine gallons over 100 proof)
(wine gallons over 100 proof)
(year)
100 ProoF
A B C D E F G H I
accordance
ACCoUnt nUMBEr For Month oF
actually
AnD UnDEr
Armed forces
below
BILL OF LADING
Board
BoE 244 B (Front) rEV 4 (10 10) StAtE oF CALIFornIA
BOE 244 B 4 (10 10)
bottled
bottom
boxes
California
carriers
CLAIM
CLAIM FOR EXCISE TAX EXEMPTION ON DISTILLED SPIRITS BoArD oF EQUALIZAtIon
COLUMN
Columns
common
completed
CoUntrY DAtE no
distilled
duplicate
engaged
enter
Enter business address including zip code
Enter entire account number
Enter invoice date covering the shipment
Enter invoice number covering the shipment
Enter owner or company name
Enter page number and number of pages in reporting month
Enter reporting month and year
Enter the bill of lading or freight bill number
Enter the name of carrier transporting the shipment out of California
Enter the name of the city where the shipment is being delivered
Enter the name of the consignee of the shipment
Enter the name of the state or country where shipment is being delivered
Enter total gallons of distilled spirits 100 proof or under contained in the shipment
Enter total gallons of distilled spirits over 100 proof contained in the shipment
entries
Equalization Special Taxes and Fees P O Box 942879 Sacramento CA 94279 0088
EXCISE
EXEMPTION
export
exported
EXPORTED
EXPORTED OR SOLD TO COMMON CARRIERS AND ARMED FORCES INSTRUMENTALITIES
files
FILING
foreign
instructions
INSTRUCTIONS THE
instrumentalities
interstate
INVOICE WINE GALLONS
nAME BUSInESS ADDrESS (street city state and zip code)
nAME CItY
NAME OF CARRIER
OR FREIGHT BILL
original
packaged
passenger
Please read the instructions on the reverse before preparing this report
PREPARATION
Prepare
report
report
REPORT
REQUIREMENTS
retain
service
SHIPPED TO (CONSIGNEE)
showing
spirits
State
StAtE or
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
Total
totals
totals from previous page t
Year Page of Pages