00 00
(14 Tax prepayments; first prepayment; please round cents to the nearest whole dollar)
(14 Tax prepayments; second prepayment; please round cents to the nearest whole dollar)
(Board use only)
(button) CLEAR
(button) PRINT
(Date)
(Due on or before)
(FOID)
(Pacific time) except state holidays
(Paid preparer's name)
(Paid preparer's telephone number)
(Telephone number)
(text)
(text)
(text)
(text)
(text)
(Your account number)
[ FOID
1 Total (gross) sales
10; 90 for board use only
11 Total of exempt transactions (add lines 4 through 10)
111213
12 Taxable transactions (subtract line 11 from line 3)
13 Total sales and use tax [multiply line 12 by
16 Penalty (Multiply line 15 by 10% ( 10) if payment is made or your tax return is filed
17 Interest One month's interest is due on tax for each month or a fraction of
171816 4; 50 for board use only
2 Purchases subject to use tax
2nd prepayment$ =
3 Total (add lines 1 and 2)
4 Sales to other retailers for resale
5; 51 for board use only
6 Nontaxable labor (repair and installation)
6; 52 for board use only
7 Sales to the United States Government
7; 53 for board use only
8 Sales in interstate or foreign commerce
8; 54 for board use only
9 Sales tax (if any) included in line 1
9; 55 for board use only
a month that payment is delayed after the due date The adjusted monthly
a tax return may be submitted using the "Online Relief Requests" service
adjusted monthly interest rate is indicated on line 17 of your return To
after the due date shown above) PENALTY
after the due date shown at the top of the return you must pay a 10
agency or instrumentality of the United States wholly owned by either
aircraft
and regulations from our website at www boe ca gov or call our Taxpayer
available on our website at www boe ca gov under "eServices "
Bad Debts on Taxable Sales Returned Taxable Merchandise Cash
be exempt property must be shipped outside this state pursuant to
because you used a resale or other exemption certificate to make the
BOARD OF EQUALIZATION
BOE 401 EZ (BACK) REV 33 (4 13)
BOE 401 EZ (FRONT) REV 33 (4 13)STATE OF CALIFORNIA
BOE USE ONLYRA TT LOCREG
business (include all manner of sales)
business day will be considered timely If you will be filing your return late
business The purchase may have been made without payment of tax
by the BOE ) Enter the prepayment amounts in the proper boxes This
calculate the interest due multiply the amount on line 15 by the monthly
carbonated beverages hot prepared food products meals or food
collect California use tax; or you made a purchase from an unlicensed
constitute labor charges for installing or applying property or for
consumption in a place which is subject to an admission charge (see
correct form
Credit Card Payments You can use a Discover/Novus MasterCard VISA or American Express credit card to pay your taxes
credit is limited to the amount of tax prepaid and should not include
Discounts on Taxable Sales or Cost of Tax Paid Purchases Resold Prior
DUE ON OR BEFORE DUE ON OR BEFORE
eFile logo
eFiling You can eFile your return When you eFile you can pay by credit card paper check or electronic check (ACH Debit)
Equalization " Always write your account number on your check or money
explained For more information see publication 61 Sales and Use
fabricating or processing personal property for consumers (see
facilities operated by the retailer; (2) delivery by the retailer to a carrier
For more information go to www boe ca gov
for shipment to a consignee at such a point; or (3) delivery by the
form can be requested from our Taxpayer Information Section at 1 800 400 7115
from customers if those taxes were included in the amount shown on
General Questions:You may download copies of forms publications
I hereby certify that this return including any accompanying schedules and statements has been examined by
If the above information is incorrect or your business has changed please call us at:
incorporated federal instrumentalities not wholly owned by the United
InformationSectionat 1 800 400 7115 (TTY:711) Customerservicerepresentatives are available weekdays from 8:00 a m to 5:00 p m
INSTRUCTIONS STATE LOCAL AND DISTRICT SALES AND USE TAX RETURN (BOE 401 EZ)
INTEREST
interest rate isInterest Rate Calculator
interest rate shown on line 17 then multiply this total by the number of
involving shipments or deliveries from California to points outside this
land banks and federal home loan banks (see Regulation 1614)
line 1 (see Regulation 1700)
Line 1 Total (Gross) Sales Report all sales related to your California
Line 10 Other Deductions Enter the amount of all other deductions
Line 11 Total Exempt Transactions Add lines 4 through 10 and enter
Line 12 Taxable Transactions Subtract the amount on line 11 from
Line 13 Total Sales and Use Tax Multiply line 12 by the tax rate
Line 14 Tax Prepayments Complete this line only if you are required to
Line 15 Remaining Tax Subtract line 14 from line 13 and enter the
Line 16 Penalty If your tax payment is made or your tax return is filed
line 17
Line 17 Interest If your payment is made after the due date shown at
Line 18 Total Amount Due and Payable Add lines 15 16 and 17 Enter
Line 2 Purchases Subject to Use Tax Enter the purchase price of
line 3 and enter the remainder on line 12
Line 3 Total Enter total of lines 1 and 2
Line 4 Sales to Other Retailers for Resale Enter sales to other
Line 5 Nontaxable Sales of Food Products Enter all sales of food
Line 6 Nontaxable Labor Enter sales included in line 1 that
Line 7 Sales to the United States Government Enter sales to: (1)
Line 8 Sales in Interstate or Foreign Commerce Enter sales
Line 9 Sales Tax Enter sales tax reimbursement or use tax collected
made by calling 1 855 292 8931 or through our website at www boe ca gov Be sure to sign and mail your return
Mail To:
Make a copy for your records
make tax prepayments (Businesses with average monthly taxable
Make your check or money order payable to the "State Board of
me and to the best of my knowledge and belief is a true correct and complete return
merchandise equipment or other tangible personal property which
months or fraction of a month payment is delayed Enter the amount on
Nontaxable sales of food products
Nontaxable sales of food products Nontaxable sales of food products
not listed on lines 4 through 9 Each deduction must be clearly
Note: If you are claiming a deduction for sales of food products by thepurchase ratiomethod you must maintain a complete analysis oftaxable and nontaxable purchases
Note:Do not use this form if you have tax recovery deductions such as
of the return to be considered timely If the due date falls on a Saturday
or fraction of a month that payment is delayed after the due date The
order Mail your return and payment in the envelope provided making
Other credit cards cannot be accepted EFT accounts are not eligible for credit card payments Credit card payments can be
Other deductions (clearly explain)
PAID PREPARER'S
PAID PREPARER'S NAME PAID PREPARER'S TELEPHONE NUMBER
Partial State Tax Exemption If you have such transactions to report you
penalty charges reported with your prepayments Add the first
percent penalty Multiply line 15 by 10 and enter the result on line 16
Please read the instructions on the back of this form before completing this EZ return Important information on who can
PLEASE ROUND CENTS TO THE NEAREST WHOLE DOLLAR
PO BOX 942879
prepayment and the second prepayment Enter the total on line 14
printed for your business location Enter the result on line 13
products for human consumption Do not enter sales of alcoholic or
purchase; you purchased from an out of state retailer who did not
RA BTR AACS REFEFF
Regulation 1546)
Regulation 1668)
Regulations 1602 and 1603 Vending machine operators should refer
Remaining tax due (subtract line14 from line 13)
repairs or reconditioning of tangible personal property to refit it for the
result on line 15
retailer such as a person making an occasional sale of a vessel or an
retailer to a customs broker or forwarding agent for shipment outside
Returns and payments must be postmarked or received by the due date
SACRAMENTO CA 94279 7072
SALES and USE TAX RETURN SALES and USE TAX RETURN
sellers from whom you have taken valid resale certificates (see
served by you for consumption at your facilities or food sold for
SHORT FORM
SHORT FORM SHORT FORM SALES and USE TAX RETURN
should contact your local Board of Equalization (BOE) office for the
Sign and Mail Your Return
state that are exempt from tax as interstate or foreign commerce To
States such as federal reserve banks federal credit unions federal
States; (3) the American Red Cross its chapters and branches; (4)
such as Treasury Interior Agriculture Defense; (2) any incorporated
Sunday or state holiday returns postmarked or received by the next
sure the BOE's address shows through the window
Tax prepayments 1st prepayment
Tax: Exemptions and Exclusions
the contract of sale and delivered by the retailer by means of: (1)
the top of your return you will owe one month's interest for each month
the total amount of exempt transactions on line 11
the total on line 18
the United States or by a corporation wholly owned by the United
the United States or its unincorporated agencies and instrumentalities
this state (see Regulation 1620)
to Regulation 1574)
to Use Also this form should not be used if you have sales eligible for a
Total amount due and payable (add lines 15 16 and 17)
transactions of $17 000 or more must make prepayments once notified
use for which it was originally produced Do not include charges for
USE ONLY
use the EZ return form is located in the instructions on line 10 If you are unable to use this EZ return the proper return
You can eFile Payment by credit cards are accepted Please see instructions for further details
you may qualify for an extension A request for an extension of time to file
you purchased without paying California sales or use tax and which
you used for purposes other than resale in the regular course of
YOUR ACCOUNT NO
YOUR ACCOUNT NO YOUR ACCOUNT NO
YOUR SIGNATURE AND TITLE TELEPHONE NUMBER DATE