Free Front - California


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State: California
Category: Tax Forms
Author: CMadrose
Word Count: 582 Words, 3,732 Characters
Page Size: 1008 x 612 pts
URL

http://www.boe.ca.gov/pdf/boe217.pdf

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BOE-217 (FRONT) REV. 6 (6-00)

COMMON CARRIER'S REPORT OF DELIVERY
of interstate shipments of alcoholic beverages destined to California points.

STATE OF CALIFORNIA

BOARD OF EQUALIZATION

For Month of _____________________________ Year ________ Name of Common Carrier __________________________________________________________________ Mail Address _____________________________________________________________________________
NAME OF SHIPPER CITY AND STATE DELIVERY MADE TO NAME OF LICENSED IMPORTER AND CALIFORNIA CITY B BOARD USE ONLY CODE NUMBER C R.R. CAR NO. NAME OF VESSEL AND VOYAGE NO. OR TRAILER NO. D WAYBILL, BILL OF LADING OR FREIGHT BILL NUMBER E DATE F

Page ________ of _______

pages

(Account No. _______________ )

IMPORTANT Read instructions on reverse side before completing report
DESCRIPTION OF ALCOHOLIC BEVERAGES NUMBER OF PACKAGES G TYPE PACKAGES H KIND I

A

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

Certified Correct _________________________________________ Title __________________________________________

BOE-217 (BACK) REV. 6 (6-00)

INSTRUCTIONS FOR COMPILING STATE BOARD OF EQUALIZATION FORM BOE-217
Prepare report in duplicate, retain copy and mail original to:
EXCISE TAXES DIVISION STATE BOARD OF EQUALIZATION 450 N STREET, MIC:56 PO BOX 942879 SACRAMENTO, CA 94279-0056

A report on this form must be filed on or before the fifteenth day of each month covering deliveries made during the preceding calendar month. A report must be filed each month whether or not any deliveries are made. The report must be completed in each detail as called for under the various headings of the report. A receipt must be obtained from the importer for each delivery of interstate shipments of alcoholic beverages in California. Copy of this receipt showing all the information required on BOE-217 must be furnished to the importer to whom the delivery is made. COLUMN A. Enter the complete name of the shipper as shown on the bill of lading and the city and state or country in which the shipment originated. B. In this column enter the name of the licensed importer to whom the delivery was made; or in the case of delivery to a licensed public warehouse or "order notify" shipments, list the name of the licensed importer for whom the shipment was delivered. The California city in which delivery was made also must be shown. C. Do no write in this column -- it is for Board use only. D. If the shipment entered California in a railroad car, the car number in which the shipment was contained must be shown. If the shipment entered California by water, the voyage number and the name of the vessel in which the shipment was transported into California must be shown. If the shipment entered California by motor carrier, the truck number must be shown. E. & F. If the shipment entered California via railroad, the waybill and number must be shown. If the shipment entered California by water, the steamship bill of lading date and number must be shown. If the shipment entered California by motor carrier, the pro number (or freight bill number) and the date must be shown. It is important that the same number be reported in this column as that shown on the delivery receipt furnished to the importer. G. This column must show the total number of packages contained in the shipment. H. This column must show the type of packages contained in the shipment (i.e., cs., cnt., bbl., drum, etc.) I. This column must show the kind of alcoholic beverage contained in the shipment (i.e., beer, wine, whiskey, gin, vodka, etc.)

CERTIFICATION.

The correctness of the report must be certified by a representative of the common carrier filing the report. Only page 1 of the report need be certified.

CLEAR

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