(10 PENALTY (if filed after the due date see line 10 instructions) $)
(11 INTEREST $)
(11 INTEREST: One month's interest is due on tax for each month or fraction of a month that payment is delayed after the due date The adjusted monthly interest rate is For assistance see BOE website for Interest Calculator )
(12 TOTAL AMOUNT DUE AND PAYABLE OR REFUND CLAIMED (add lines 9 10 and 11) $)
(9 Amount of tax due or refund claimed (add columns A B C and D of line 8) $)
(B O E USE ONLY)
(CLEAR) CLEAR
(DATE)
(DUE ON OR BEFORE)
(EMAIL ADDRESS)
(Gallons)
(Gallons)
(PRINT NAME AND TITLE)
(PRINT) PRINT
(see Revenue and Taxation Code section 32151) Round to the nearest gallon Include any beer imported in bond whether held by you at your
(TELEPHONE (AREA CODE))
(TELEPHONE )
(text)
(text)
(text)
(TRANSACTIONS DURING REPORTING PERIOD 1 Imported into California must agree with forms(s) BOE 269 A submitted 1a Case beer BEER COLUMN A TOTAL BEER (Gallons))
(TRANSACTIONS DURING REPORTING PERIOD 1 Imported into California must agree with forms(s) BOE 269 A submitted 1b Keg beer BEER COLUMN A TOTAL BEER (Gallons))
(TRANSACTIONS DURING REPORTING PERIOD 1 Imported into California must agree with forms(s) BOE 269 A submitted 1c Total BEER COLUMN A TOTAL BEER (Gallons))
(TRANSACTIONS DURING REPORTING PERIOD 1 Imported into California must agree with forms(s) BOE 269 A submitted 1c Total WINE COLUMN B STILL WINE NOT OVER 14 PERCENT (Gallons))
(TRANSACTIONS DURING REPORTING PERIOD 1 Imported into California must agree with forms(s) BOE 269 A submitted 1c Total WINE COLUMN C STILL WINE OVER 14 BUT NOT OVER 24 PERCENT AND SPARKLING HARD CIDER (Gallons))
(TRANSACTIONS DURING REPORTING PERIOD 1 Imported into California must agree with forms(s) BOE 269 A submitted 1c Total WINE COLUMN D SPARKLING WINE (Gallons) )
(TRANSACTIONS DURING REPORTING PERIOD 2 Exported from California BEER COLUMN A TOTAL BEER (Gallons))
(TRANSACTIONS DURING REPORTING PERIOD 2 Exported from California WINE COLUMN C STILL WINE OVER 14 BUT NOT OVER 24 PERCENT AND SPARKLING HARD CIDER (Gallons) )
(TRANSACTIONS DURING REPORTING PERIOD 2 Exported from California WINE COLUMN D SPARKLING WINE (Gallons))
(TRANSACTIONS DURING REPORTING PERIOD 3 Spoiled beer or wine (attach approved authorization) 3 BEER COLUMN A TOTAL BEER (Gallons))
(TRANSACTIONS DURING REPORTING PERIOD 3 Spoiled beer or wine (attach approved authorization) WINE COLUMN C STILL WINE OVER 14 BUT NOT OVER 24 PERCENT AND SPARKLING HARD CIDER (Gallons) )
(TRANSACTIONS DURING REPORTING PERIOD 3 Spoiled beer or wine (attach approved authorization) WINE COLUMN D SPARKLING WINE (Gallons))
(TRANSACTIONS DURING REPORTING PERIOD 4 Other exemptions (attach documentation) 4 BEER COLUMN A TOTAL BEER (Gallons))
(TRANSACTIONS DURING REPORTING PERIOD 4 Other exemptions (attach documentation) WINE COLUMN C STILL WINE OVER 14 BUT NOT OVER 24 PERCENT AND SPARKLING HARD CIDER (Gallons) )
(TRANSACTIONS DURING REPORTING PERIOD 4 Other exemptions (attach documentation) WINE COLUMN D SPARKLING WINE (Gallons))
(TRANSACTIONS DURING REPORTING PERIOD 5 Total exemptions (add lines 2 through 4 for columns A through D) BEER COLUMN A TOTAL BEER (Gallons))
(TRANSACTIONS DURING REPORTING PERIOD 5 Total exemptions (add lines 2 through 4 for columns A through D) WINE COLUMN C STILL WINE OVER 14 BUT NOT OVER 24 PERCENT AND SPARKLING HARD CIDER (Gallons))
(TRANSACTIONS DURING REPORTING PERIOD 5 Total exemptions (add lines 2 through 4 for columns A through D) WINE COLUMN D SPARKLING WINE (Gallons))
(TRANSACTIONS DURING REPORTING PERIOD 6 Taxable transactions on which tax applies or a refund is due (subtract line 5 from line 1c for columns A through D) BEER COLUMN A TOTAL BEER (Gallons))
(TRANSACTIONS DURING REPORTING PERIOD 6 Taxable transactions on which tax applies or a refund is due (subtract line 5 from line 1c for columns A through D) WINE COLUMN C STILL WINE OVER 14 BUT NOT OVER 24 PERCENT AND SPARKLING HARD CIDER (Gallons) )
(TRANSACTIONS DURING REPORTING PERIOD 6 Taxable transactions on which tax applies or a refund is due (subtract line 5 from line 1c for columns A through D) WINE COLUMN D SPARKLING WINE (Gallons))
(TRANSACTIONS DURING REPORTING PERIOD 7 Rate of tax per wine gallon BEER COLUMN A TOTAL BEER (Gallons) $)
(TRANSACTIONS DURING REPORTING PERIOD 7 Rate of tax per wine gallon WINE COLUMN C STILL WINE OVER 14 BUT NOT OVER 24 PERCENT AND SPARKLING HARD CIDER (Gallons) )
(TRANSACTIONS DURING REPORTING PERIOD 7 Rate of tax per wine gallon WINE COLUMN D SPARKLING WINE (Gallons))
(TRANSACTIONS DURING REPORTING PERIOD 8 Subtotal for columns A through D of tax on these gallons (multiply ilne 6 by line 7) WINE COLUMN C STILL WINE OVER 14 BUT NOT OVER 24 PERCENT AND SPARKLING HARD CIDER (Gallons) )
(TRANSACTIONS DURING REPORTING PERIOD 8 Subtotal for columns A through D of tax on these gallons (multiply ilne 6 by line 7) WINE COLUMN D SPARKLING WINE (Gallons))
(TRANSACTIONS DURING REPORTING PERIOD 8 Subtotal for columns A through D of tax on these gallons (multiply line 6 by line 7) BEER COLUMN A TOTAL BEER (Gallons) $)
(TRANSACTONS DURING REPORTING PERIOD 2 Exported from California WINE COLUMN B STILL WINE NOT OVER 14 PERCENT (Gallons) )
(TRANSACTONS DURING REPORTING PERIOD 3 Spoiled beer or wine (attach approved authorization) WINE COLUMN B STILL WINE NOT OVER 14 PERCENT (Gallons) )
(TRANSACTONS DURING REPORTING PERIOD 4 Other exemptions (attach documentation) WINE COLUMN B STILL WINE NOT OVER 14 PERCENT (Gallons) )
(TRANSACTONS DURING REPORTING PERIOD 5 Total exemptions (add lines 2 through 4 for columns A through D) WINE COLUMN B STILL WINE NOT OVER 14 PERCENT (Gallons) )
(TRANSACTONS DURING REPORTING PERIOD 6 Taxable transactions on which tax applies or a refund is due (subtract line 5 from line 1c for columns A through D) COLUMN B STILL WINE NOT OVER 14 PERCENT (Gallons) )
(TRANSACTONS DURING REPORTING PERIOD 7 Rate of tax per wine gallon WINE COLUMN B STILL WINE NOT OVER 14 PERCENT (Gallons))
(TRANSACTONS DURING REPORTING PERIOD 8 Subtotal for columns A through D of tax on these gallons (multiply line 6 by line 7) WINE COLUMN B STILL WINE NOT OVER 14 PERCENT (Gallons))
(TTY:711); from the main menu select the option Special Taxes and Fees
(YOUR ACCOUNT NO )
[ FOID
1 Imported into California must agree with form(s)
10 Penalty (if filed after the due date see line 10 instructions) PENALTY $
11 INTEREST: One month's interest is due on tax for each month or fraction of a month that payment
12 TOTAL AMOUNT DUE AND PAYABLE OR REFUND CLAIMED (add lines 9 10 and 11) $
1a Case beer
1b Keg beer
1c Total
2 Exported from California
3 Spoiled beer or wine (attach approved authorization)
32001 et seq ) which includes the state excise taxes imposed upon the importation and sale of beer and wine The tax rates for this law as
4 Other exemptions (attach documentation)
5 Total exemptions (add lines 2 through 4 for columns
6 Taxable transactions on which tax applies or a
7 Rate of tax per wine gallon $
8 Subtotal for columns A through D of tax on
9 Amount of tax due or refund claimed (add columns A B C and D of line 8) $
a Saturday Sunday or state holiday returns postmarked or received by the next business day will be considered timely
A through D)
Always write your account number on your check or money order Make a copy of this document for your records
amount of refund claimed from line 9 as a negative number
amount)
BEER AND WINE IMPORTER TAX RETURN
beer manufacturer or beer and wine importer
BEER WINE
BEFORE PREPARING
BOARD OF EQUALIZATION
BOE 269 A Beer and Wine Imported into California Remittance for the amount due must be submitted by the due date of the return A
BOE 269 A submitted
BOE 501 BW (S1B) REV 15 (4 13)
BUT NOT OVER 24
California wine grower or beer and wine importer
CIDER
columns B through D enter the total gallons of wine imported by you into the state by multiplying liters by 0 264172 (see Alcoholic Beverage
documentation explaining why the transactions are exempt from tax
due and payable until the date of payment The penalty for the late filing of this return is $50 00 The penalties imposed shall be limited to
DUE ON OR BEFORE
duplicate of the return should be retained on the licensed premises for verification by BOE auditors
either $50 00 or 10 percent (0 10) of the amount of tax due whichever is greater The BOE is authorized by law for good cause to extend the
EMAIL ADDRESS
Every licensed beer and wine importer is required by Revenue and Taxation Code section 32251 to file a tax return of all beer and wine
examined by me and to the best of my knowledge and belief is a true correct and complete return
filed each reporting period regardless of whether any tax is due The return must be complete and supported by supplemental report
FILING REQUIREMENTS
For assistance see BOE website for Interest Calculator
for small quantities of beer or wine destroyed upon written approval by the BOE as described in Regulation 2552 An approved authorization
GENERAL
here You may use the Interest Calculator (go to www boe ca gov/interest/) on the BOE website for help calculating the interest due
I hereby certify that this return including any accompanying schedules and statements has been
If you need additional information please contact the State Board of Equalization Special Taxes and Fees P O Box 942879 Sacramento
imported by 128 Round to the nearest gallon Include any beer imported in bond whether held by you at your licensed premises or held for
imported for the reporting period on or before the 15th day of each month following the close of the reporting period A return must be
INSTRUCTIONS BEER AND WINE IMPORTER TAX RETURN
INTEREST $
is delayed after the due date The adjusted monthly interest rate is
licensed premises or held for you on your account at the premises of a licensed warehouse Imports reported on this form must agree with the
Line 10 Penalty If you pay the tax due on line 9 or file your return after the due date shown on the front of this return you owe a penalty of
Line 11 Interest If you pay your tax on line 9 after the due date shown on the front of this return you will owe interest The interest rate on
Line 12 Total amount due and payable or refund claimed Add lines 9 10 and 11 and enter total on line 12 If claiming a refund enter the
Line 1a Case beer imported into California Enter the total gallons of case beer imported by you into the state by dividing total ounces
Line 1b Keg beer imported into California Enter the total gallons of keg beer imported by you into the state by multiplying barrels by 31
Line 1c Total gallons of beer and/or wine imported into California For column A add lines 1a and 1b and enter the result on line 1c For
Line 2 Exported from California Enter the total gallons of beer and/or imported wine which was exported outside of California during the
Line 3 Spoiled beer or wine Enter the total gallons of spoiled beer or wine destroyed under the supervision of a representative of the BOE or
Line 4 Other exemptions Enter the total gallons of beer and/or wine exempt from tax not claimed on lines 2 or 3 You must attach supporting
Line 5 Total exemptions Enter total gallons of exempt transactions by adding lines 2 through 4 and entering the total on line 5
Line 6 Taxable transactions Enter the taxable gallons by subtracting line 5 from line 1c for columns A through D (this may be a negative
Line 7 These are the rates of tax per wine gallon
Line 8 Subtotal of tax For columns A through D multiply line 6 by the rates of tax shown on line 7 for each column and enter the result
Line 9 Amount of tax due or refund claimed Enter the total tax due or refund claimed by adding columns A B C and D of line 8 and enter
Make check or money order payable to State Board of Equalization
Mandatory EFT accounts must pay by EFT or ePay Be sure to sign and mail your return
on line 8
OVER 14
P O BOX 942879
Payments: You can make your payment by paper check Online ACH Debit (ePay) or by credit card To use ePay go to our website at
PENALTY FOR LATE FILING
penalty for late payment of tax is 10 percent (0 10) of the amount of tax due together with interest on the tax from the date on which the tax is
PERCENT
PERCENT AND
premises for verification by BOE auditors for all transactions included in the claim
PREPARATION OF RETURN
PREPARATION OF RETURN (continued)
PRINT NAME AND TITLE
rate shown then multiply the result by the number of months including any fraction of a month that has elapsed since the due date and enter
READ INSTRUCTIONS
refund is due (subtract line 5 from line 1c for columns
reported on BOE 269 A Do not include beer purchased from another California licensee such as a California beer manufacturer or beer and
reporting period Do not include wine purchased in California Documents supporting the claim for exemption must be retained on the licensed
Returns and payments must be postmarked or received on or before the due date of the return to be considered timely If the due date falls on
Sacramento
SACRAMENTO CA 94279 6079
Section 32252 of the Alcoholic Beverage Tax Law imposes a penalty for the late filing of this return regardless of whether any tax is due The
SIGNATURE
SPARKLING
SPARKLING HARD
SPECIAL
STATE OF CALIFORNIA
STILL WINE NOT
STILL WINE OVER 14
Tax Regulation 2544) and enter the result on line 1c Round to the nearest gallon Include any wine imported in bond whether held by you at
TAXES
TELEPHONE
The California State Board of Equalization (BOE) administers the California Alcoholic Beverage Tax Law (Revenue and Taxation Code section
the front of the tax return applies for each month or fraction of a month that your payment is late Multiply the tax due on line 9 by the interest
the greater of 10 percent (0 10) of the amount of the remaining tax due or $50 00 Multiply line 9 by 10 percent (0 10) and enter the greater of
the total on line 9
these gallons (multiply line 6 by line 7) $
they relate to the importation of beer and wine are shown on this return
this amount or $50 00 on line 10
time for the filing of this return not to exceed one month Any request for an extension should be made in writing and addressed to the BOE in
to destroy beer or wine should be attached to this return
TOTAL BEER
total for the reporting period reported on BOE 269 A Do not include beer purchased from another California licensee such as a California
TRANSACTIONS DURING REPORTING PERIOD
wine importer
with the total for the reporting period reported on BOE 269 A Do not include wine purchased from another California licensee such as a
www boe ca gov click on the eServices tab and log in to make a payment To pay by credit card go to our website or call 1 855 292 8931
you on your account at the premises of a licensed warehouse Imports reported on this form must agree with the total for the reporting period
YOUR ACCOUNT NO
your licensed premises or held for you on your account at the premises of a licensed warehouse Imports reported on this form must agree