BOE-401-E (S1F) REV. 99 (1-17)
STATE OF CALIFORNIA
BOARD OF EQUALIZATION
STATE, LOCAL, and DISTRICT CONSUMER USE TAX RETURN
BOE USE ONLY
LOC
RA-TT
REG
YEAR
PERIOD
FOR
DUE ON OR BEFORE
RA-BTR
REF
AACS
IMPORTANT:
ACCOUNT NUMBER
SU
Your account number and reporting period
EFF
are required.
NAME
Mail To:
BOARD OF EQUALIZATION
BUSINESS ADDRESS
PO BOX 942879
SACRAMENTO CA 94279-7072
CITY
STATE
ZIP
BOE
USE
READ THE INSTRUCTIONS BEFORE PREPARING THIS RETURN
2
1 ENTER THE PURCHASE PRICE OF TANGIBLE PERSONAL PROPERTY SUBJECT TO
1
CALIFORNIA STATE USE TAX WHICH HAS NOT BEEN PAID TO A RETAILER (exclude
$
.00
vehicles, vessels, and aircraft)
Box 11
11
.00
2 TOTAL ADJUSTED PARTIAL STATE TAX EXEMPTIONS
(enter amount from box 11 on the back)
2
12
3 TOTAL AMOUNT SUBJECT TO STATE USE TAX
(subtract the adjusted amount on line 2 from line 1)
.00
3
4 STATE USE TAX 6.00%
.00
(multiply line 3 by .0600)
5
TOTAL PURCHASE PRICE OF TANGIBLE PERSONAL PROPERTY WHICH IS SUBJECT TO COUNTY
.00
USE TAX WHICH HAS NOT BEEN PAID TO A RETAILER (enter amount from line 1)
6 COUNTY USE TAX 1/4%
.00
(multiply line 5 by .0025)
15
15
15
15
15
7 LOCAL TAX ADJUSTMENTS
.00
7
8 TOTAL PURCHASE PRICE OF TANGIBLE PERSONAL PROPERTY SUBJECT TO LOCAL USE
.00
TAX WHICH HAS NOT BEEN PAID TO A RETAILER
(add or subtract line 7 to or from line 5)
.00
9
LOCAL USE TAX
(multiply line 8 by .01)
18
10 DISTRICT USE TAX
.00
(enter the TOTAL DISTRICT TAX on Schedule AE1 or AE2)
10
19
.00
11 TOTAL STATE, COUNTY, LOCAL, AND DISTRICT USE TAX
(add lines 4, 6, 9, and 10)
11
20
12 DEDUCT AMOUNT OF SALES AND USE TAX PAID TO OTHER STATES
.00
12
REC.
13 NET STATE, COUNTY, LOCAL, AND DISTRICT USE TAX
(subtract line 12 from line 11)
.00
NO
Total
22
1st prepayment (Tax only)
2nd prepayment (Tax only)
+
=
.00
14
LESS TAX PREPAYMENTS
$
14
Prepayment
15 REMAINING USE TAX DUE
.00
(subtract line 14 from line 13)
PM
16 PENALTY
24
of 10% (.10) is due if your tax payment is made, or your return is filed, after the due date shown
.00
16
above (see line 16 instructions)
25
17 INTEREST:
One month's interest is due on tax for each month or fraction of a month that payment is
.00
17
Interest Rate Calculator
delayed after the due date. The adjusted monthly interest rate is
26
18 TOTAL AMOUNT DUE AND PAYABLE
$
.00
(add lines 15, 16, and 17)
18
RE
I hereby certify that this return, including any accompanying schedules and statements, has been examined by
me and to the best of my knowledge and belief is a true, correct, and complete return.
YOUR SIGNATURE AND TITLE
TELEPHONE NUMBER
DATE
(
)
PRINT NAME AND TITLE
EMAIL ADDRESS
PAID PREPARER'S NAME
PREPARER'S TELEPHONE NUMBER
PAID PREPARER'S
(
)
USE ONLY
Page 1
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