[ FOID
1 800 400 7115 (TTY:711); from the main menu select the option Special Taxes and Fees Customer service representatives
1 Samples in packages of 5 or less cigarettes
10 TOTAL AMOUNT DUE AND PAYABLE (add lines 7 8 and 9) $
2 Samples in packages of more than 5 cigarettes
3 Taxable sales to the U S Government
4 Other distributions subject to tax
5 Total distributions subject to tax (add lines 1 through 4)
6 Rate of tax per cigarette $
7 Total amount of tax due (multiply line 5 by line 6) $
8 Penalty [multiply line 7 by 10% (0 10) if payment is made after due date indicated
9 INTEREST: One month's interest is due on tax for each month or fraction of a month that
above]
ACCOUNTABILITY
accuracy of the reportable product transaction information concerning my transactions with such person as reported in this tax form
All schedules applicable to cigarette manufacturers must be completed and submitted with this return if the
Always write your account number on your check or money order This return must be signed
amount to the nearest whole dollar
applicable Round all quantities and dollars reported to the nearest whole number
are available weekdays from 8:00 a m to 5:00 p m (Pacific time) except state holidays
As a cigarette manufacturer in California you are required to report all taxable distributions on lines one through
be comparing your distributions to the receipts that distributors reported on their tax forms Information on this report will be
BEFORE PREPARING
BOARD OF EQUALIZATION
BOARD OF EQUALIZATION
BOE 501 CM (S1B) REV 9 (4 13)
BOE 501 CM (S1F) REV 9 (4 13)
BOE 501 CM (S2) REV 9 (4 13)
BOE 810 CTE Instructions for Preparing Cigarette Tax Schedules
BOE USE ONLY
business day will be considered timely Businesses required to pay the tax due by electronic funds transfer (EFT)
CERTIFICATION
CIGARETTE MANUFACTURER SCHEDULE CODES
CIGARETTE MANUFACTURER'S TAX RETURN
CIGARETTE MANUFACTURER'S TAX RETURN OF
CIGARETTES
CLEAR PRINT
considered valid unless it is signed and dated in the space provided at the bottom of the first page
detailed information regarding preparation of schedules see BOE 810 CTE Instructions for Preparing Cigarette Tax Schedules
Disbursement Schedules
distributions on lines one through four of the return You are also required to report all distributions on the schedules identified
dollar
DUE ON OR BEFORE
EMAIL ADDRESS
Enter the amount of tax due by multiplying line 5 by line 6 Round this amount to the nearest whole dollar
Enter the total amount due and payable by adding lines 7 8 and 9 Round this amount to the nearest whole
Enter the total number of cigarette distributions subject to tax by adding lines 1 through 4
Enter the total number of cigarettes that were distributed as other taxable distributions
Enter the total number of cigarettes that were distributed in sample packages of 5 or less cigarettes
Enter the total number of cigarettes that were distributed in sample packages of 6 or more cigarettes
Enter the total number of cigarettes that were distributed to the United States Government
Every cigarette manufacturer shall file a return with the BOE on or before the 25th day of each month reporting all taxable
example) However 10 percent (10%) is the maximum penalty applied to late returns and payments Round this
Exempt Distributions or Sales to Interstate or Foreign Commerce
Exempt Distributions or Sales to the United States Government Tax Exempt
Fees at 1 800 400 7115 (TTY:711)
FILING REQUIREMENTS
For detailed information regarding preparation of schedules see BOE 810 CTE Instructions for Preparing Cigarette Tax
four of the return You are also required to report all distributions on the schedules identified in this form where
GENERAL
I hereby certify that this return including any accompanying schedules and statements has been examined by
I hereby consent to disclose and authorize the Board of Equalization (BOE) to release as necessary certain otherwise confidential
If you are interested in filing this form electronically or if you need help completing this form please contact Special Taxes and
If you need additional information visit the BOE website at www boe ca gov or call the Taxpayer Information Section at
If you pay the tax due on line 7 after the date shown on the front of this return you will owe interest The interest
If you pay the tax due on line 7 or file your return after the due date shown on the front of this return you owe a
in this form where applicable You must file a report even if you have no activity for the reporting period
information to any person identified by me in this tax form as being involved in a reported transaction for the sole purpose of verifying the
INSTRUCTIONS
It is important that you report all transactions for which you are required to account on the supporting schedules The BOE will
Line 1
Line 10
Line 2
Line 3
Line 4
Line 5
Line 6
Line 7
Line 8
Line 9
Make a copy of this document and the accompanying schedules for your records
Make check or money order payable to the State Board of Equalization
manufacturer's activities warrant reporting on the schedule Round all amounts reported to the nearest whole
may also be subject to a 10 percent (10%) penalty for a failure to pay by EFT (payment made by check for
me and to the best of my knowledge and belief is a true correct and complete return
Multiply the tax due on line 7 by the interest rate shown and then multiply the result by the number of months
no tax is due for the reporting period The supporting schedule is considered an integral part of the return Your tax return is not
NUMBER OF
number or dollar
on our website at www boe ca gov/pdf/boe810cte pdf
or fraction of a month that have elapsed since the due date and enter here Round this amount to the nearest
Paying your tax or filing your return after the due date may result in interest and penalty charges You must file a return even if
payment is delayed after the due date The adjusted monthly interest rate is
Payments: You can make your payment by paper check Online ACH Debit (ePay) or by credit card To use ePay go to our
penalty of 10 percent (10%) of the amount of tax due Multiply the tax due on line 7 by (0 10) and enter here
please call us at 1 800 400 7115 (TTY:711) or visit the BOE's website at www boe ca gov/sptaxprog/spftdcigs htm
PO BOX 942879
PREPARATION OF SCHEDULES
PREPARATION OF THE RETURN
Prior to completing the return prepare the applicable distribution schedules identified on this form as described in
RA B/A AUD REG
rate noted on the front of this return applies for each month or fraction of a month that your payment is late
READ INSTRUCTIONS
Returns and payments must be postmarked or received on or before the due date of the return to be considered
RR QS FILE REF
SACRAMENTO CA 94279 6067
Sample Cigarettes and Tobacco Products for additional information on the distribution of samples
Schedules
Schedules available on our website at www boe ca gov/pdf/boe810cte pdf If you need help completing this form
shared with and used by other government agencies Failure to report fully may result in the BOE contacting you to determine
SIGNATURE PRINT NAME AND TITLE TELEPHONE
SPECIAL TAXES AND FEES
Stamp Unaffixed or Tax Unpaid Product
STATE OF CALIFORNIA
TAXABLE DISTRIBUTIONS IN CALIFORNIA
The BOE 810 CTF Cigarette Tax Disbursement Schedule is included with every Cigarette Manufacturer's Tax Return For
The California State Board of Equalization (BOE) is responsible for administering the California Cigarette Tax Law This includes
the distribution of unstamped cigarettes as samples by manufacturers' agents or representatives Refer to Regulation 4081
This is the current rate of tax per cigarette
timely If the due date falls on a Saturday Sunday or state holiday returns postmarked or received on the next
To obtain the latest information on schedule filing instructions or reporting requirements visit the BOE's website at
transaction information regarding quantities invoice numbers bills of lading locations dates method of delivery or any other applicable
website at 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 Mandatory EFT accounts must pay by EFT or ePay Be sure to sign and mail your return
whole dollar
why your reports differ from reports submitted by third parties
www boe ca gov
YOUR ACCOUNT NO