Free Front - California

BOE-244-B (FRONT) REV. 3 (12-00)

STATE OF CALIFORNIA

CLAIM FOR EXCISE TAX EXEMPTION ON DISTILLED SPIRITS EXPORTED OR SOLD TO COMMON CARRIERS AND ARMED FORCES INSTRUMENTALITIES
Please read the instructions on the reverse before preparing this report.
ACCOUNT NUMBER FOR MONTH OF

BOARD OF EQUALIZATION

Year
NAME

Page

of

Pages

BUSINESS ADDRESS (street, city, state and ZIP code)

SHIPPED TO (CONSIGNEE) NAME CITY STATE OR COUNTRY NAME OF CARRIER

BILL OF LADING OR FREIGHT BILL NO.

INVOICE DATE NO.

WINE GALLONS 100 PROOF AND UNDER OVER 100 PROOF

A Totals from previous page

B

C

D

E

F

G


H

I

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
TOTALS

The original of this report must be mailed to the Excise Taxes Division, State Board of Equalization, 450 N Street, MIC:56, PO Box 942879, Sacramento, CA 94279-0056.

BOE-244-B (BACK) REV. 3 (12-00)

INSTRUCTIONS FOR COMPLETING THE CLAIM FOR EXCISE TAX EXEMPTION ON DISTILLED SPIRITS EXPORTED OR SOLD TO COMMON CARRIERS REPORT

FILING REQUIREMENTS This report must be completed in accordance with the instructions below showing all bottled or packaged distilled spirits exported from California, sold for export and actually exported from California, sold to common carriers engaged in interstate or foreign passenger service, or sold to instrumentalities of the Armed forces.

PREPARATION OF THE REPORT Prepare report in duplicate, retain a copy for your files, and mail the original to the Excise Taxes Division, State Board of Equalization, 450 N Street, MIC:56, PO Box 942879, Sacramento, CA 94279-0056. · · · · · Enter entire account number. Enter reporting month and year. Enter page number and number of pages in reporting month. Enter owner or company name. Enter business address, including zip code.

COLUMN A. B. C. D. E. F. G. H. I. J. Enter the name of the consignee of the shipment. Enter the name of the city where the shipment is being delivered. Enter the name of the state or country where shipment is being delivered. Enter the name of carrier transporting the shipment out of California. Enter the bill of lading or freight bill number. Enter invoice date covering the shipment. Enter invoice number covering the shipment. 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. Total all entries made in Columns H and I and enter the totals in the boxes at the bottom of the report.

CLEAR

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