Form BOE-244-B Fillable Claim for Excise Tax Exemption on Distilled Spirits Exported or Sold to Common Carriersand Armed Forces Instrumentalities
(all forms fillable on Windows, Mac, Android tablets, and iPad using Adobe Reader XI)

(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