Form Boe-403-B - Registration Information For Out-Of-State Account Page 2

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BOE-403-B BACK REV. 3 (11-92)
11. Corporations: Please attach your latest financial statements.
12. Real Estate Owned: (Anywhere in the United States)
ADDRESS
CURRENT VALUE
BALANCE DUE
PAYMENTS MADE TO
13. Are you a lessor or lessee of equipment situated or used in California?
Yes, as a lessor
Yes, as a lessee
No
14. Do you lease or license computer software located in California?
Yes
No
15. Do you perform construction contracts in California?
Yes
No
Type of contracts:
Lump Sum
Time and Material
Cost plus a fee
Are all materials purchased California tax paid?
Yes
No
16. Do you sell and install machinery, fixtures or equipment?
Yes
No
17. Do you make sales to ultimate consumers in California?
Yes
No
18. Do salespersons, solicitors, independent contractors, or manufacturers’ agents based in, or traveling into California, solicit orders or
provide assistance to customers on behalf of your company?
Yes
No. If your answer is yes, please list these persons on
line 20 indicating their name, address and date started.
19. Please check the different advertising media you use to reach California customers.
Local/regional newspapers
National newspapers and magazines
Cable television
Radio/non-cable TV
Telemarketing
Television shopping systems
Trade shows/fairs
Direct mail
Yellow pages
Catalogs placed in outlets
If none of the above, please indicate how you solicit California sales: ________________________________________________
_______________________________________________________________________________________________________
20. Additional remarks: _______________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
Prepared by: _______________________________________________________ Title : __________________________________
(
)
Telephone number _____________________________________________

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