Form BOE-1056 Fillable Vendor's Report of Beer Shipments Into California

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((a) FOR MONTH OF) ((b) BOE ACCOUNT NUMBER) ((c) Page ) ((d) NAME) ((e) MAILING ADDRESS (street city state and zip code)) (a) FOR MONTH OF (b) BOE ACCOUNT NUMBER (CLEAR) CLEAR (d) NAME (e) MAILING ADDRESS (street city state and zip code) (EMAIL ADDRESS) (f) SIGNATURE (g) PRINT NAME AND TITLE (h) TELEPHONE (i) EMAIL ADDRESS (of Pages) (PRINT) PRINT (Row 1 Column 1 NAME OF LICENSED IMPORTER ) (Row 1 Column 2 CALIFORNIA CITY/DESTINATION ) (Row 1 Column 4 CARRIER NAME OR STEAMSHIP LINE ) (Row 1 Column 5 BILL OF LADING R R CAR NO OR TRUCK TRAILER NO ) (Row 1 Column 6 INVOICE DATE ) (Row 1 Column 6 INVOICE NUMBER ) (Row 1 Column 7 PACKAGES NUMBER ) (Row 1 Column 7 PACKAGES TYPE ) (Row 1 Column 8 TOTAL GALLONS BEER ) (Row 10 Column 1 Name of Licensed Importer ) (Row 10 Column 2 CALIFORNIA CITY/DESTINATION ) (Row 10 Column 4 CARRIER NAME OR STEAMSHIP LINE ) (Row 10 Column 5 BILL OF LADING R R CAR NO OR TRUCK TRAILER NO ) (Row 10 Column 6 INVOICE DATE ) (Row 10 Column 6 INVOICE NUMBER ) (Row 10 Column 7 PACKAGES NUMBER ) (Row 10 Column 7 PACKAGES TYPE ) (Row 10 Column 8 TOTAL GALLONS BEER ) (Row 11 Column 1 Name of Licensed Importer ) (Row 11 Column 2 CALIFORNIA CITY/DESTINATION ) (Row 11 Column 4 CARRIER NAME OR STEAMSHIP LINE ) (Row 11 Column 5 BILL OF LADING R R CAR NO OR TRUCK TRAILER NO ) (Row 11 Column 6 INVOICE DATE ) (Row 11 Column 6 INVOICE NUMBER ) (Row 11 Column 7 PACKAGES NUMBER ) (Row 11 Column 7 PACKAGES TYPE ) (Row 11 Column 8 TOTAL GALLONS BEER ) (Row 12 Column 1 Name of Licensed Importer ) (Row 12 Column 2 CALIFORNIA CITY/DESTINATION ) (Row 12 Column 4 CARRIER NAME OR STEAMSHIP LINE ) (Row 12 Column 5 BILL OF LADING R R CAR NO OR TRUCK TRAILER NO ) (Row 12 Column 6 INVOICE DATE ) (Row 12 Column 6 INVOICE NUMBER ) (Row 12 Column 7 PACKAGES NUMBER ) (Row 12 Column 7 PACKAGES TYPE ) (Row 12 Column 8 TOTAL GALLONS BEER ) (Row 13 Column 1 Name of Licensed Importer ) (Row 13 Column 2 CALIFORNIA CITY/DESTINATION ) (Row 13 Column 4 CARRIER NAME OR STEAMSHIP LINE ) (Row 13 Column 5 BILL OF LADING R R CAR NO OR TRUCK TRAILER NO ) (Row 13 Column 6 INVOICE DATE ) (Row 13 Column 6 INVOICE NUMBER ) (Row 13 Column 7 PACKAGES NUMBER ) (Row 13 Column 7 PACKAGES TYPE ) (Row 13 Column 8 TOTAL GALLONS BEER ) (Row 14 Column 1 Name of Licensed Importer ) (Row 14 Column 2 CALIFORNIA CITY/DESTINATION ) (Row 14 Column 4 CARRIER NAME OR STEAMSHIP LINE ) (Row 14 Column 5 BILL OF LADING R R CAR NO OR TRUCK TRAILER NO ) (Row 14 Column 6 INVOICE DATE ) (Row 14 Column 7 PACKAGES NUMBER ) (Row 14 Column 7 PACKAGES TYPE ) (Row 14 Column 8 TOTAL GALLONS BEER ) (Row 14 Column F INVOICE NUMBER ) (Row 2 Column 1 Name of Licensed Importer ) (Row 2 Column 2 CALIFORNIA CITY/DESTINATION ) (Row 2 Column 4 CARRIER NAME OR STEAMSHIP LINE ) (Row 2 Column 5 BILL OF LADING R R CAR NO OR TRUCK TRAILER NO ) (Row 2 Column 6 INVOICE DATE ) (Row 2 Column 7 PACKAGES NUMBER ) (Row 2 Column 7 PACKAGES TYPE ) (Row 2 Column 8 TOTAL GALLONS BEER ) (Row 3 Column 1 Name of Licensed Importer ) (Row 3 Column 2 CALIFORNIA CITY/DESTINATION ) (Row 3 Column 4 CARRIER NAME OR STEAMSHIP LINE ) (Row 3 Column 5 BILL OF LADING R R CAR NO OR TRUCK TRAILER NO ) (Row 3 Column 6 INVOICE DATE ) (Row 3 Column 6 INVOICE NUMBER ) (Row 3 Column 7 PACKAGES NUMBER ) (Row 3 Column 7 PACKAGES TYPE ) (Row 3 Column 8 TOTAL GALLONS BEER ) (Row 4 Column 1 Name of Licensed Importer ) (Row 4 Column 2 CALIFORNIA CITY/DESTINATION ) (Row 4 Column 4 CARRIER NAME OR STEAMSHIP LINE ) (Row 4 Column 5 BILL OF LADING R R CAR NO OR TRUCK TRAILER NO ) (Row 4 Column 6 INVOICE DATE ) (Row 4 Column 6 INVOICE NUMBER ) (Row 4 Column 7 PACKAGES NUMBER ) (Row 4 Column 7 PACKAGES TYPE ) (Row 4 Column 8 TOTAL GALLONS BEER ) (Row 5 Column 1 Name of Licensed Importer ) (Row 5 Column 2 CALIFORNIA CITY/DESTINATION ) (Row 5 Column 4 CARRIER NAME OR STEAMSHIP LINE ) (Row 5 Column 5 BILL OF LADING R R CAR NO OR TRUCK TRAILER NO ) (Row 5 Column 6 INVOICE DATE ) (Row 5 Column 6 INVOICE NUMBER ) (Row 5 Column 7 PACKAGES NUMBER ) (Row 5 Column 7 PACKAGES TYPE ) (Row 5 Column 8 TOTAL GALLONS BEER ) (Row 52 Column 6 INVOICE NUMBER ) (Row 6 Column 1 Name of Licensed Importer ) (Row 6 Column 2 CALIFORNIA CITY/DESTINATION ) (Row 6 Column 4 CARRIER NAME OR STEAMSHIP LINE ) (Row 6 Column 5 BILL OF LADING R R CAR NO OR TRUCK TRAILER NO ) (Row 6 Column 6 INVOICE DATE ) (Row 6 Column 6 INVOICE NUMBER ) (Row 6 Column 7 PACKAGES NUMBER ) (Row 6 Column 7 PACKAGES TYPE ) (Row 6 Column 8 TOTAL GALLONS BEER ) (Row 7 Column 1 Name of Licensed Importer ) (Row 7 Column 2 CALIFORNIA CITY/DESTINATION ) (Row 7 Column 4 CARRIER NAME OR STEAMSHIP LINE ) (Row 7 Column 5 BILL OF LADING R R CAR NO OR TRUCK TRAILER NO ) (Row 7 Column 6 INVOICE DATE ) (Row 7 Column 6 INVOICE NUMBER ) (Row 7 Column 7 PACKAGES NUMBER ) (Row 7 Column 7 PACKAGES TYPE ) (Row 7 Column 8 TOTAL GALLONS BEER ) (Row 8 Column 1 Name of Licensed Importer ) (Row 8 Column 2 CALIFORNIA CITY/DESTINATION ) (Row 8 Column 4 CARRIER NAME OR STEAMSHIP LINE ) (Row 8 Column 5 BILL OF LADING R R CAR NO OR TRUCK TRAILER NO ) (Row 8 Column 6 INVOICE DATE ) (Row 8 Column 6 INVOICE NUMBER ) (Row 8 Column 7 PACKAGES NUMBER ) (Row 8 Column 7 PACKAGES TYPE ) (Row 8 Column 8 TOTAL GALLONS BEER ) (Row 9 Column 1 Name of Licensed Importer ) (Row 9 Column 2 CALIFORNIA CITY/DESTINATION ) (Row 9 Column 4 CARRIER NAME OR STEAMSHIP LINE ) (Row 9 Column 5 BILL OF LADING R R CAR NO OR TRUCK TRAILER NO ) (Row 9 Column 6 INVOICE DATE ) (Row 9 Column 6 INVOICE NUMBER ) (Row 9 Column 7 PACKAGES NUMBER ) (Row 9 Column 7 PACKAGES TYPE ) (Row 9 Column 8 TOTAL GALLONS BEER ) (TELEPHONE) (TTY:711); (Year) 071 ( 071 ( 071 ( 071 ( 071 ( 071 ( 071 ( 1 2 3 4 5 6 7 8 32151) 32452 800 400 7115 A report must be filed by each holder of Certificate of Compliance issued 23671 Alcoholic and the total number of pages of the report; (d) your business name and (e) your mailing address Complete and year of the report; (b) your Board of Equalization (BOE) vendor account number; (c) the page number are available weekdays from 8:00 a m to 5:00 p m (Pacific time) except state holidays barrels BEERDATE NUMBER NUMBER TYPE Beverage BILL OF LADING BOARD OF EQUALIZATION BOE 1056 (BACK) 11 (8 12) BOE 1056 (FRONT) REV 11 (8 12) boxes (f) through (i) at the bottom of the first page by signing your name in box (f); printing in box (g); entering your phone number in box (h) and your email address in box (i) California CALIFORNIA CITY/ CARRIER NAME OR Column Column Column Column Control Customer DESTINATION BOE ACCOUNT NUMBER dividing Enter the importer s BOE beer and wine importer account number Enter the invoice date and number of the shipment Enter the name of the California city to which the shipment is destined Enter the name of the licensed importer to whom the shipment is consigned If the Enter the total gallons of beer contained in this shipment Report all beer in gallons by multiplying Enter the total number and type of packages contained in the shipment It is not exception of kegs/barrels failure filed boxes (f) through (i) need only be completed on page 1 of the report filed pursuant to Certificate of Compliance For each page complete the information in boxes (a) through (e) on the top of the report Enter (a) the month GALLONS If a multiple page report is If the shipment entered California via railroad or motor carrier enter the name of carrier; If If the shipment entered California via steamship enter the bill of lading number If the If you need additional information please contact the State Board of Equalization Special Taxes and Fees P O Box 942879 IMPORTANT Read instructions on reverse side before completing report In reporting pool shipments list each consignee as a separate shipment INSTRUCTIONS INVOICE PACKAGES TOTAL NAME OF LICENSED IMPORTER necessary that quantities be segregated by type and size of container with the Note: option or call the Taxpayer Information Section P O Box 942879 Sacramento California 94279 0088 before the 10th day of each month and must show all Page of Pages person to render the reports required under this section is a misdemeanor PREPARATION OF REPORT purchaser and consignee Pursuant R R CAR NO OR refusal report representatives Revenue Revenue Row 1 Column 3 BOE ACCOUNT NUMBER ) Row 10 Column 3 BOE ACCOUNT NUMBER ) Row 11 Column 3 BOE ACCOUNT NUMBER ) Row 12 Column 3 BOE ACCOUNT NUMBER ) Row 13 Column 3 BOE ACCOUNT NUMBER ) Row 14 Column C BOE ACCOUNT NUMBER ) Row 2 Column 3 BOE ACCOUNT NUMBER ) Row 3 Column 3 BOE ACCOUNT NUMBER ) Row 4 Column 3 BOE ACCOUNT NUMBER ) Row 5 Column 3 BOE ACCOUNT NUMBER ) Row 6 Column 3 BOE ACCOUNT NUMBER ) Row 7 Column 3 BOE ACCOUNT NUMBER ) Row 8 Column 3 BOE ACCOUNT NUMBER ) Row 9 Column 3 BOE ACCOUNT NUMBER ) Sacramento CA 94279 0088 You may also visit the BOE website at section section select service shipment entered California via motor carrier enter the truck trailer number shipment entered California via railroad enter the railroad car initials and number If the shipment was sold to a person other than to the consignee show both the name of shipments shipments of beer into California during the preceding calendar month A report must be filed even if there Special STATE OF CALIFORNIA STEAMSHIP LINE Taxation Taxation Taxes The report must be completed in full and mailed to of Equalization Special Taxes and Fees the shipment entered California via steamship enter the name of the steamship line total ounces by 128 Round the result to the nearest gallon TRUCK TRAILER NO VENDOR S REPORT OF BEER SHIPMENTS INTO VENDOR S REPORT OF BEER SHIPMENTS INTO CALIFORNIA www boe ca gov

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