(1 Samples of snuff (including moist) and chewing tobacco Round cents to the nearest whole dollar WHOLESALE COST $ )
(10 INTEREST $)
(10 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 )
(11 TOTAL AMOUNT DUE AND PAYABLE (add lines 8 9 and 10) $ )
(1A Total wholesale cost of nontaxable transactions reported on BOE 501 MIT column H $)
(2 Samples of pipe tobacco WHOLESALE COST $ )
(3 Samples of cigars WHOLESALE COST $ )
(4 Samples of roll your own WHOLESALE COST $ )
(5 Other Samples (Please provide description of other tobacco product samples in the space provided ) )
(6 Total distributions subject to tax (add wholesale cost lines 1 through 5) WHOLESALE COST $ )
(7 Tax Rate)
(8 Total amount of tax due (multiply line 6 by line 7) $ )
(9 PENALTY [multiply line 8 by 10% (0 10) if payment is made after due date shown above] $ )
(BOE USE ONLY )
(CLEAR) CLEAR
(DATE)
(DUE ON OR BEFORE)
(EMAIL ADDRESS)
(Other Samples WHOLESALE COST $ )
(PRINT NAME AND TITLE)
(PRINT) PRINT
(TELEPHONE (AREA CODE))
(TELEPHONE)
(text)
(text)
(YOUR ACCOUNT NO )
[ FOID ]
1 800 400 7115 (TTY:711); from the main menu select the option Special Taxes and Fees
10 INTEREST: One month's interest is due on tax for each month or fraction of a month that payment is
11 TOTAL AMOUNT DUE AND PAYABLE (add lines 8 9 and 10) $
1A Total wholesale cost of nontaxable transactions reported on BOE 501 MIT
2 Samples of pipe tobacco $
3 Samples of cigars $
4 Samples of roll your own $
5 Other Samples (Please provide description of other tobacco product samples in the space
6 Total distributions subject to tax (add wholesale cost lines 1 through 5)$
7 Tax Rate
8 Total amount of tax due (multiply line 6 by line 7) $
9 Penalty [multiply line 8 by 10% (0 10) if payment is made after due date shown above] $
Always write your account number on your check or money order Make a copy of this document for your records
and 10 additional amounts are due for penalty and interest charges The penalty is ten percent (0 10) of the amount of
BEFORE PREPARING
BOARD OF EQUALIZATION
BOE 501 TIM (BACK) REV 5 (4 13)
BOE 501 TIM (FRONT) REV 5 (4 13)
column H $
COST1 Samples of snuff (including moist) and chewing tobacco $
Custom's Taxes paid
DEFINITIONS
delayed after the due date The adjusted monthly interest rate is
Detail of nontaxable transactions shall be furnished to the BOE on BOE 501 MIT
distribution and each package of sample tobacco products distributed shall be clearly marked as a sample With the exception of
Distributor includes every person who makes a "distribution" of tobacco products or who sells or accepts orders for
DUE ON OR BEFORE
EMAIL ADDRESS
Every person that manufactures or imports tobacco products shall file this tax return on or before the 25th day of the month
examined by me and to the best of my knowledge and belief is a true correct and complete return
FILING REQUIREMENTS
following the month for which the tax is due The giving away in this state of untaxed tobacco products as samples is a taxable
For example the wholesale cost of any manufactured tobacco product that is distributed in a taxable manner shall
GENERAL
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
Importer means any purchaser for resale in the United States of cigarettes or tobacco products manufactured outside of
In addition to the price paid for the tobacco product the wholesale cost of any tobacco product that is imported into this
include all manufacturing costs the cost of raw material including waste materials not incorporated into the final product
includes the distribution of untaxed tobacco products as samples by a manufacturer/importer or its agents or representatives
Line 11 Amount Due Enter the total amount due and payable including penalty and interest if applicable
line 1A below the return should only include taxable distributions of sample tobacco products
Line 1A Total Wholesale Cost of Untaxed Tobacco Products Enter the total wholesale cost of nontaxable tobacco
Lines 1 Wholesale Cost of All Tobacco Products Distributed Enter the total wholesale cost as defined of sample
Lines 9 Payment After Due Date If you are paying the tax after the due date shown on the front of this return
Make check or money order payable to State Board of Equalization
Manufacturer means a manufacturer of cigarettes and tobacco products sold in this state
month or portion of a month after the due date
nearest whole dollar
OF TAXABLE DISTRIBUTIONS OF SAMPLES IN CALIFORNIA
other articles or products made of or containing at least fifty percent (0 50) tobacco; but does not include cigarettes
Payments: You can make your payment by paper check Online ACH Debit (ePay) or by credit card To use ePay go
PO BOX 942879
PRINT NAME AND TITLE
products Sales of tobacco products [pursuant to Revenue and Taxation Code sections 30103 and 30105]
products sold from form BOE 501 MIT column H
provided )
READ INSTRUCTIONS
Return
RETURN PREPARATION
Round cents to the
SACRAMENTO CA 94279 0056
Sacramento CA 94279 0088 You may also visit the BOE website at www boe ca gov or call the Taxpayer Information Section at
section 30008] of tobacco products shall be reported on BOE 501 CT Tobacco Products Distributor Tax
shall be reported on BOE 501 MIT All other taxable distributions [pursuant to Revenue and Taxation Code
SIGNATURE
SPECIAL TAXES AND FEES
state directly from outside the country shall include any Federal Excise or US Custom's Taxes paid
STATE OF CALIFORNIA
Tax Law The law imposes a tax upon the distribution of tobacco products based on the wholesale cost of these products This
tax owing The interest rate for late payment is noted on line 10 on the front of this form and applies for each
TAXABLE DISTRIBUTIONS OF SAMPLES IN CALIFORNIA
TELEPHONE
The California State Board of Equalization (BOE) is responsible for administering the California Cigarette and Tobacco Products
the cost of labor any direct and indirect overhead costs the wholesale markup and any Federal Excise and/or US
The tax rate is determined annually by the BOE and is equivalent to the combined rate of tax imposed on cigarettes
the United States for the purpose of making a first sale or distribution within the United States
thru 5 tobacco products that you distributed The return should include only taxable distributions of sample tobacco
to our 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
Tobacco Products include but are not limited to all forms of cigars smoking tobacco chewing tobacco snuff and any
TOBACCO PRODUCTS MANUFACTURER/IMPORTER RETURN
TOBACCO PRODUCTS MANUFACTURER/IMPORTER RETURN OF
tobacco that are to be transported from outside California to a consumer within California
value of any manufacturer's discounts or trade allowances (Revenue and Taxation Code section 30017 and 30123)
WHOLESALE
Wholesale Cost means the cost of tobacco products and samples including the dollar value of samples and the dollar
YOUR ACCOUNT NO
your return