Special Notice Form California - State Board Of Equalization Page 3
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4Special Notice
State Board of Equalization
June 2004
Sample Statements
Quarterly Statement for a City
STATE OF CALIFORNIA - BOARD OF EQUALIZATION
STATEMENT OF BRADLEY-BURNS LOCAL TAX DISTRIBUTION
01XXX
DATE: MM/DD/2004
FOR THE PERIODS SHOWN BELOW
PAYEE: CITY TREASURER
CITY OF XXXXXXX
NET COLLECTIONS
mm/dd-mm/dd
1,000,000.00
COUNTY AMT (CITY RATE 100.00%)
0.00
IN-LIEU AMT
0.00
--------------------------------------------------------------------------------------------------------------------------------
TOTAL DUE
mm/dd-mm/dd
1,000,000.00
STATE TAX
250,000.00-
---------------------------------------------------------------------------------------------------------------------------------
LOCAL TAX
750,000.00
PRIOR ADVANCES
mm/dd-mm/dd
673,500.00-
ADJUSTED COST OF ADMIN
10,200.00-
---------------------------------------------------------------------------------------------------------------------------------
BALANCE
mm/dd-mm/dd
66,300.00
CURRENT ADVANCE
mm/dd-mm/dd
240,600.00
TOTAL PAYMENT PER SECTION 7203.1
306,900.00
Monthly Statement for a City
STATE OF CALIFORNIA - BOARD OF EQUALIZATION
STATEMENT OF BRADLEY-BURNS LOCAL TAX DISTRIBUTION
01XXX
DATE:
MM/DD/2004
FOR THE PERIODS SHOWN BELOW
PAYEE:
CITY TREASURER
CITY OF XXXXXXXXXXX
CURRENT ADVANCE
mm/15-mm/13
263,300.00
PRIOR CREDITS
0.00
TOTAL PAYMENT PER SECTION 7203.1
263,300.00
Page 3
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