(: No) Unchecked
(: Yes) Unchecked
(CLEAR) CLEAR
(PRINT) PRINT
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1) Taxpayer name including owner name and fictitious business name or d b a (doing business as) designation 2) Taxpayer s permit
ADDRESS (street city state zip code)
an in state office of the out of state retailer and that title to the goods passed in this state ) 6) Name title and phone number of the
an out of state location and claims that the tax is sales tax and not use tax evidence must be submitted that there was participation by
BOE 549 S REV 1 (12 02) STATE OF CALIFORNIA
business activity(ies) 5) Specific reasons and evidence why the taxpayer s allocation is questioned (In cases where it is submitted
BUSINESS ADDRESS (street city state zip code)
CLAIMED INCORRECT DISTRIBUTION OF LOCAL TAX SHORT FORM BOARD OF EQUALIZATION
contact person 7) The tax reporting periods involved
DATE BUSINESS STARTED CURRENTLY OPERATING
DATES OF OPERATION
DAYTIME PHONE NUMBER BEST TIME TO CALL
DESCRIPTION OF OPERATION OF BUSINESS CALIFORNIA SELLER S PERMIT NUMBER
distributed Sufficient factual data must include at a minimum all of the following for each business location being questioned:
From: To:
Has this business changed locations?
If yes list previous address and dates of operation
MAILING ADDRESS (street city state zip code)
NAME OF JURISDICTION ALLOCATION PERIOD IN QUESTION
NAME TITLE
Note: The inquiry must contain sufficient factual data to support the probability that local tax has been erroneously allocated and
number or a notation stating no permit number 3) Complete business address of the taxpayer 4) Complete description of taxpayer s
OWNER NAME BUSINESS NAME
Person to call for more information regarding the taxpayer s allocation of local tax
REASON FOR QUESTIONING THE ALLOCATION
Regulation 1699 or is a place of business as defined by Regulation 1802 must be submitted In cases that involve shipments from
SECTION I GENERAL BUSINESS INFORMATION
SECTION II QUESTIONS ABOUT THE BUSINESS
that the location of the sale is an unregistered location evidence that the unregistered location is a selling location as explained by
Yes No