3737 MAIN STREET SUITE 1000
Asset depreciation schedule / asset listing for the past year
Business was sold to: for $
BUYER S NAME
Copies of the FTB returns
DATE DISCONTINUED DATE OF SALE
Enclose the following: BOE 403 CLW Use Tax Return Worksheets reporting the amount of unpaid use tax
Enclose the following: BOE 403 CLW Use Tax Return Worksheets reporting zero use tax
IN STATE SERVICE GROUP/ ATTN: ISS REP NAME
ISS REP NAME
ISS REP TELEPHONE NUMBER
Other purchases documents in lieu of purchases journal / ledger (please list):
Payment in the amount of $
Publication 123 TG California Businesses: How to Identify California Use Tax Due
Purchases journal / general ledger for the past year
Required Documents (see below)
Required Documents (see below)
RIVERSIDE CALIFORNIA 92501 3395
STATE BOARD OF EQUALIZATION
Summary pages (usually pages 1 8) of the most recent Federal Income Tax return including any schedules or
The business did not make any purchases from outside of California without paying use tax
The business made purchases from outside of California without paying the use tax
The business reported and paid use tax to
The business was DISCONTINUED on SOLD on
Use tax was reported to BOE on
(Do not send originals as they will not be returned)
2012 to determine the amount of unpaid California use tax that may be owed We have enclosed Use Tax Return
3737 MAIN STREET SUITE 1000
ADDRESS
and worksheets we will register you with an account Once this account has been issued you will be able to utilize the
another country If you have purchased any of these items either in person over the internet by telephone or by mail
applicable boxes follow the instructions sign the certification section and send the required documents along with
ATTN: TAX/ACCOUNTING DEPT
below Please sign the certification section below
BETTY T YEE
BOE 403 CL (BACK) REV 3 (5 13)
BOE 403 CL (FRONT) REV 3 (5 13)
BOE s eServices and apply for relief from the penalty using our online eRelief Requests available at www boe ca gov
BUSINESS WEBSITE ADDRESS
California State seal
CERTIFICATION
Check the business records for unpaid use tax Please respond by February 7 2013
CITY STATE ZIP
consumable supplies or other items bought from out of state for use in California including purchases imported from
CYNTHIA BRIDGES
DAYTIME TELEPHONE NUMBER
eFile logo
efile now find out how www boe ca gov
EMAIL ADDRESS
Enclose the following:
enclosed forms please call:
Enclosures: BOE 403 CLW Use Tax Return Worksheets with instructions
ENTITY NAME Response due date: February 7 2013
Equipment machinery computers office furnishings artwork books promotional items telephone equipment
Exception: If you hold a California Seller s Permit and the items were purchased for resale and not for your own use
Executive Director
First District San Francisco
For more information on use tax you may call the BOE Taxpayer Information Section at 1 800 400 7115 (TTY:711) or
For more information:
Fourth District Los Angeles
Franchise Tax Board (FTB)
generally required to report and pay the use tax (same rate as the sales tax) to the State of California For more
going back eight years (longer if fraud is detected) and the BOE reserves the right to do so if the frequency and extent
How Do I Request for Relief of Penalty?
If you do not respond:
If you have made a purchase from an out of state business that did not charge you the California use tax you are
IN STATE SERVICE GROUP MIC:EH
information we have enclosed publication 123TG California Businesses: How to Identify California Use Tax Due
JEROME E HORTON
JOHN CHIANG
MICHELLE STEEL
of your out of state purchases requires the need for additional review
order and used gave away stored or otherwise consumed the purchases in this state you may owe the California use
penalty send payment for only the use tax and interest due Once we have conducted our review of your documents
permit/account number:
Please enclose copies of the following required documents for our review:
PRINT NAME OF PERSON RESPONDING TO LETTER
Reference No: REFNUM
REQUIRED DOCUMENTS
response we may contact you if we require additional information
RIVERSIDE CALIFORNIA 92501 3395
SAMPLE
Second District Lancaster
SEN GEORGE RUNNER (Ret )
SIGNATURE
STATE BOARD OF EQUALIZATION
State Controller
STATE OF CALIFORNIA
statements that pertain to the first eight pages of the return
The Board of Equalization (BOE) is requesting that you review your out of state purchases for years 2010 2011 and
The business does NOT OWE use tax
The business has ALREADY PAID use tax
The business made purchases from outside of California and has accurately reported use tax
The business OWES use tax
The California Revenue and Taxation Code authorizes the BOE to conduct an audit that could encompass a period
the completed Use Tax Return worksheets to the address shown on the back of this letter Once we receive your
The enclosed worksheets include a line for a 10% penalty for late payment of tax If you plan on applying for relief from
the items are not subject to the use tax
There is no need to provide the required documents listed
Third District Orange County
TITLE
under the eServices tab
visit our website at www boe ca gov If you have any questions about this letter or need help with completing the
What is use tax?
What types of items are subject to use tax?
WORKPHONE FAX: 1 951 680 6455
worksheets (BOE 403 CLW) for you to report the tax Please review the next page of this letter check all of the
www boe ca gov