Special Notice Form California - State Board Of Equalization Page 4
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4Special Notice
State Board of Equalization
June 2004
Sample Statements
Quarterly Statement for a County
STATE OF CALIFORNIA – BOARD OF EQUALIZATION
STATEMENT OF BRADLEY-BURNS LOCAL TAX DISTRIBUTION
xx998
DATE:
MM/DD/2004
FOR THE PERIODS SHOWN BELOW
PAYEE:
COUNTY TREASURER
COUNTY OF XXXXXXXX
NET
% CO.
COUNTY
TAX JURISDICTION
COLLECTIONS
SHARE
AMOUNT
AAAAAAAA
0.00
0.00
0.00
BBBBBBBBBB
0.00
0.00
0.00
CCCCCC
0.00
0.00
0.00
DDDDDDDD
0.00
0.00
0.00
PAYEE
1,000,000.00
100.00
1,000,000.00
---------------------------------------------------------------------------------------------------------------------------------
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 County
STATE OF CALIFORNIA - BOARD OF EQUALIZATION
STATEMENT OF BRADLEY-BURNS LOCAL TAX DISTRIBUTION
XX998
DATE:
MM/DD/2004
FOR THE PERIODS SHOWN BELOW
PAYEE:
ASSISTANT TREASURER
COUNTY 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 4
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