CDTFA-401-A (FRONT) REV. 115 (7-18) STATE, LOCAL, AND ...

CDTFA-401-A (FRONT) REV. 116 (11-19)

STATE, LOCAL, AND DISTRICT SALES AND USE TAX RETURN

DUE ON OR BEFORE

PERIOD BEGIN DATE

PERIOD END DATE

STATE OF CALIFORNIA

CALIFORNIA DEPARTMENT OF TAX AND FEE ADMINISTRATION

CDTFA USE ONLY EFF

YOUR ACCOUNT NUMBER

PM

CALIFORNIA DEPARTMENT OF TAX AND FEE ADMINISTRATION PO BOX 942879 SACRAMENTO CA 94279-8062

READ INSTRUCTIONS BEFORE PREPARING

Please check this box if this filing represents an AMENDED RETURN

ELECTRONIC FILING INFORMATION AND RETURN INSTRUCTIONS (CDTFA-401-INST) ARE AVAILABLE AT WWW.CDTFA. OR BY CALLING 1-800-400-7115 (CRS:711).

1 Total sales

1$

.00

2 Purchases subject to use tax

2

.00

3 Total (add line 1 and 2)

3

.00

IF YOU HAVE DEDUCTIONS, FILL OUT SECTIONS A AND B ON PAGE 2 OF THIS RETURN.

IF YOU HAVE NO DEDUCTIONS, ENTER "0" ON LINE 11 AND PROCEED TO LINE 12.

11 Total nontaxable transactions reported (enter the total from Section B, line 6)

11

.00

12 Transactions subject to tax (subtract line 11 from line 3)

12

.00

13 State tax 6.00 percent (multiply line 12 by .0600)

13

.00

14 County tax 1/4 percent (multiply line 12 by .0025)

14

.00

Local tax 1 percent (multiply line 12 by .01; additional schedules may apply -- see

15 line 15 instructions)

15

.00

District tax (you must complete CDTFA-531-A2, Schedule A2, if you are engaged in

16 business in a transaction and use tax district)

16

.00

17 Total state, county, local, and district tax (add lines 13, 14, 15, and 16)

17

.00

18 Excess tax collected (enter excess tax collected, if any)

18

.00

19 Total tax amount (add line 17 and 18)

19

.00

20a Credit for current period partial tax exemptions (enter the total from Section D, line 6) 20a

.00

20b Credit for prior period tax recovery (enter the Total Prior Period Tax Recovery Amount 20b from CDTFA-531-Q)

.00

20c Credit for tax paid to other state(s) (enter the credit as calculated from CDTFA-531-P) 20c

.00

Credit for aircraft common carrier partial exemption (CDTFA-531-X is required to claim

20d this credit)

20d

.00

21 Net tax (subtract lines 20a, 20b, 20c, and 20d from line 19)

21

.00

1st prepayment (tax only)

2nd prepayment (tax only)

Less tax prepayments 22 (see line 22 instructions)

$

$

22

No taxable transactions No taxable transactions

.00

23 Remaining tax (subtract line 22 from line 21)

23

.00

24

PENALTY (multiply line 23 by 10 percent [0.10] if payment made after due date shown above)

PENALTY

24

.00

INTEREST: One month's interest is due on tax for each month or

25 fraction of a month that payment is delayed after the due date.

INTEREST

25

.00

The adjusted monthly interest rate is INTEREST RATE CALCULATOR

26 TOTAL AMOUNT DUE AND PAYABLE (add lines 23, 24, and 25)

26 $

.00

27 Sales at state-designated fairgrounds (see instructions)

27 $

.00

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.

SIGNATURE

PRINT NAME AND TITLE

EMAIL ADDRESS TELEPHONE

DATE

PAID PREPARER'S USE ONLY

PAID PREPARER'S NAME

PAID PREPARER'S TELEPHONE NUMBER

A Make check or money order payable to California Department of Tax and Fee Administration.

Write your account number on your check or money order. Make a copy of this document for your records.

CDTFA-401-A (BACK) REV. 116 (11-19)

STATE OF CALIFORNIA

CALIFORNIA DEPARTMENT OF TAX AND FEE ADMINISTRATION

STATE, LOCAL, AND DISTRICT SALES AND USE TAX RETURN

YOUR ACCOUNT NUMBER

REPORTING PERIOD

SECTION A. Nontaxable Sales (deductions) 4 Sales to other retailers for purposes of resale 5 Nontaxable sales of food products 6 Nontaxable labor (repair and installation) 7 Sales to the United States government 8 Sales in interstate or foreign commerce 9 Sales tax included on line 1 (if any) 10 Other (clearly explain) 11 Total Section A (add lines 4 through 10)

28 $

.00

29

.00

30

.00

31

.00

32

.00

33

.00

34

.00

35 $

.00

SECTION B. Current Period Tax Recoveries and Deductions The amount reported is for current period only. The original transaction needs to be included in line 1 on page 1. (To claim a credit for all other prior period tax recovery items, complete CDTFA-531-Q, Schedule Q ? Tax Recovery.)

1 Bad debt losses on taxable sales

36 $

.00

2 Cost of tax-paid purchases resold prior to use

37

.00

3 Returned taxable merchandise

38

.00

4 Cash discounts on taxable sales (see instructions on how to calculate this deduction) 39

.00

5 Total Section B (add lines 1 through 4)

40

.00

Total nontaxable transactions (add the total from Section A, line 11, and Section B, line 5

6 and enter total here and on page 1, line 11)

41 $

.00

SECTION C. Current Period Partial Tax Exemptions at .05 Partial Exemption Rate (do not include partial exemptions in Section A, line 11)

1 Teleproduction equipment 2 Farm equipment and machinery 3 Diesel fuel used in farming and food processing 4 Timber harvesting equipment and machinery 5 Racehorse breeding stock 6 Subtotal Section C (add lines 1 through 5) 7 Partial exemption rate 8 Total Section C (multiply line 6 by line 7)

42 $

.00

43

.00

44

.00

45

.00

46

.00

47

.00

48

.05

49 $

.00

SECTION D. Current Period Partial Tax Exemptions at .039375 Partial Exemption Rate (do not include partial exemptions in Section A, line 11)

1 Manufacturing and research and development equipment 2 Zero-emission transit bus 3 Subtotal Section D (add line 1 and 2) 4 Partial exemption rate 5 Total Section D (multiply line 3 by line 4)

50 $

51 52 53

54 $

.00 .00 .00 .039375 .00

Total Current Period Partial Exemptions (add the total from Section C, line 8 and

6 Section D, line 5, and enter here and on page 1, line 20a)

55 $

.00

CDTFA-531-A2 (S1F) REV. 34 (7-19)

STATE OF CALIFORNIA

CALIFORNIA DEPARTMENT OF TAX AND FEE ADMINISTRATION

SCHEDULE A2 ? COMPUTATION SCHEDULE FOR DISTRICT TAX -- Long Form

DUE ON OR BEFORE

YOUR ACCOUNT NUMBER

A1

ENTER amount from line 12 on CDTFA-401-A or CDTFA-401-GS, or from line 1 on CDTFA-401-E

$

.00

A2/A3 ENTER all transactions subject to only the state rate of 7.25% (see instructions)

?

.00

A4

SUBTRACT line A2/A3 from line A1 (Allocate this amount to the correct district tax areas in column A5.)

$

.00

PLEASE READ THE INSTRUCTIONS ON PAGE 12 BEFORE COMPLETING THIS SCHEDULE

DISTRICT TAX AREAS

A5 ALLOCATE LINE A4 TO CORRECT DISTRICT(S)

ALAMEDA COUNTY City of Alameda City of Albany City of Hayward City of Newark City of San Leandro City of Union City AMADOR COUNTY BUTTE COUNTY City of Oroville Town of Paradise CALAVERAS COUNTY City of Angels Camp COLUSA COUNTY City of Williams

378 (Eff. 4-1-19) 648

429 430 (Eff. 4-1-17) 451 380 428 194

(Eff. 4-1-19) 649 381

(Eff. 4-1-19) 650

139

A6/A7 ADD ( + ) / DEDUCT ( - ) ADJUSTMENTS

A8 TAXABLE AMOUNT A5 plus/minus A6/A7

A9 TAX RATE

A10 DISTRICT TAX DUE

Multiply A8 by A9

.02 $

.00

.025

.00

.025

.00

.025

.00

.025

.00

.025

.00

.025

.00

.005

.00

.01

.00

.005

.00

.005

.00

.005

.00

SUBTOTAL A11a (Add amounts in column A10 on this page. Enter the total here and on line A11a below.)

A11a A11b A11c A11d A11e A11f A11g A11h A11i A11j A11k

A11

SUBTOTAL DISTRICT TAX (Page 1, enter the total from line A11a above.) SUBTOTAL DISTRICT TAX (Page 2, enter the total from line A11b on page 2.) SUBTOTAL DISTRICT TAX (Page 3, enter the total from line A11c on page 3.) SUBTOTAL DISTRICT TAX (Page 4, enter the total from line A11d on page 4.) SUBTOTAL DISTRICT TAX (Page 5, enter the total from line A11e on page 5.) SUBTOTAL DISTRICT TAX (Page 6, enter the total from line A11f on page 6.) SUBTOTAL DISTRICT TAX (Page 7, enter the total from line A11g on page 7.) SUBTOTAL DISTRICT TAX (Page 8, enter the total from line A11h on page 8.) SUBTOTAL DISTRICT TAX (Page 9, enter the total from line A11i on page 9.) SUBTOTAL DISTRICT TAX (Page 10, enter the total from line A11j on page 10.) SUBTOTAL DISTRICT TAX (Page 11, enter the total from line A11k on page 11.) TOTAL DISTRICT TAX (Add lines A11a, A11b, A11c, A11d, A11e, A11f, A11g, A11h, A11i, A11j, and A11k. Enter here and on line 16 of CDTFA-401-A or CDTFA-401-GS, or on line 5 on CDTFA-401-E.)

$

.00

Continued on page 2

$

.00

.00

.00

.00

.00

.00

.00

.00

.00

.00

.00

$

.00

Page 1

CDTFA-531-A2 (S1B) REV. 34 (7-19)

SCHEDULE A2 ? COMPUTATION SCHEDULE FOR DISTRICT TAX -- Long Form

ACCOUNT NUMBER

REPORTING PERIOD

DISTRICT TAX AREAS

A5 ALLOCATE LINE A4 TO CORRECT DISTRICT(S)

CONTRA COSTA COUNTY

025

City of Antioch

(Exp. 3-31-19) 350

City of Antioch

(Eff. 4-1-19) 652

City of Concord

242

City of El Cerrito

383

City of Hercules

286

City of Martinez

(Exp. 3-31-19) 453

City of Martinez

(Eff. 4-1-19) 654

Town of Moraga

301

City of Orinda

303

City of Pinole

385

City of Pittsburg

288

City of Pleasant Hill

(Eff. 4-1-17) 455

City of Richmond

387

City of San Pablo

(Exp. 9-30-17) 368

City of San Pablo

(Eff. 10-1-17) 609

DEL NORTE COUNTY

388

EL DORADO COUNTY

City of Placerville

(Exp. 3-31-17) 246

City of Placerville

(Eff. 4-1-17) 457

City of So. Lake Tahoe

097

FRESNO COUNTY

099

City of Coalinga

(Eff. 4-1-19) 656

City of Fowler

(Eff. 4-1-19) 658

City of Huron

352

City of Kerman

(Eff. 4-1-19) 660

City of Kingsburg

(Eff. 10-1-18) 636

City of Reedley

177

City of Sanger

179

City of Selma

169

GLENN COUNTY

City of Orland

(Eff. 4-1-17) 458

HUMBOLDT COUNTY

389

City of Arcata

425

City of Eureka

427

City of Fortuna

(Eff. 4-1-17) 460

City of Rio Dell

391

City of Trinidad

426

Discontinued Discontinued

Discontinued Discontinued

A6/A7 ADD ( + ) / DEDUCT ( - ) ADJUSTMENTS

A8 TAXABLE AMOUNT A5 plus/minus A6/A7

A9 TAX RATE

A10 DISTRICT TAX DUE

Multiply A8 by A9

.01 $

.00

.015

.00

.02

.00

.015

.00

.025

.00

.015

.00

.015

.00

.02

.00

.02

.00

.015

.00

.02

.00

.015

.00

.015

.00

.02

.00

.0175

.00

.015

.00

.0025

.00

.005

.00

.01

.00

.005

.00

.00725

.00

.01725

.00

.01725

.00

.01725

.00

.01725

.00

.01725

.00

.01225

.00

.01475

.00

.01225

.00

.005

.00

.005

.00

.0125

.00

.0125

.00

.0125

.00

.015

.00

.0125

.00

SUBTOTAL A11b (Add amounts in column A10 on this page. Enter the total here and on line A11b on page 1 of Schedule A2.)

Page 2

$

.00

Continued on page 3

CDTFA-531-A2 (S2F) REV. 34 (7-19)

SCHEDULE A2 ? COMPUTATION SCHEDULE FOR DISTRICT TAX -- Long Form

ACCOUNT NUMBER

REPORTING PERIOD

DISTRICT TAX AREAS

A5 ALLOCATE LINE A4 TO CORRECT DISTRICT(S)

IMPERIAL COUNTY

029

City of Calexico

230

City of El Centro

(Eff. 4-1-17) 462

INYO COUNTY

014

KERN COUNTY

City of Arvin

198

City of Bakersfield

(Eff. 4-1-19) 741

City of Delano

170

City of Ridgecrest

(Exp. 3-31-17) 291

City of Ridgecrest

(Eff. 4-1-17) 463

City of Wasco

(Eff. 4-1-17) 464

KINGS COUNTY

City of Corcoran

(Eff. 10-1-17) 603

LAKE COUNTY

City of Clearlake

(Exp. 3-31-17) 058

City of Clearlake

(Eff. 4-1-17) 468

City of Lakeport

(Exp. 3-31-17) 101

City of Lakeport

(Eff. 4-1-17) 466

LOS ANGELES COUNTY (Exp. 6-30-17) 218

LOS ANGELES COUNTY (Exp. 9-30-17) 577

LOS ANGELES COUNTY (Eff. 10-1-17) 594

City of Avalon

(Exp. 6-30-17) 219

City of Avalon

(Exp. 9-30-17) 578

City of Avalon

(Eff. 10-1-17) 595

City of Burbank

(Eff. 4-1-19) 662

City of Commerce

(Exp. 6-30-17) 307

City of Commerce

(Exp. 9-30-17) 585

City of Commerce

(Eff. 10-1-17) 596

City of Compton

(Exp. 6-30-17) 449

City of Compton

(Eff. 7-1-17) 589

City of Covina

(Eff. 4-1-19) 664

City of Cudahy

(Eff. 4-1-19) 678

City of Culver City

(Exp. 6-30-17) 305

City of Culver City

(Exp. 9-30-17) 584

City of Culver City

(Exp. 3-31-19) 597

City of Culver City

(Eff. 4-1-19) 666

City of Downey

(Exp. 6-30-17) 474

City of Downey

(Exp. 9-30-17) 592

City of Downey

(Eff. 10-1-17) 598

Discontinued

Discontinued Discontinued Discontinued Discontinued Discontinued Discontinued

Discontinued Discontinued Discontinued

Discontinued Discontinued Discontinued Discontinued Discontinued

A6/A7 ADD ( + ) / DEDUCT ( - ) ADJUSTMENTS

A8 TAXABLE AMOUNT A5 plus/minus A6/A7

A9 TAX RATE

A10 DISTRICT TAX DUE

Multiply A8 by A9

.005 $

.00

.01

.00

.01

.00

.005

.00

.01

.00

.01

.00

.01

.00

.0075

.00

.01

.00

.01

.00

.01

.00

.005

.00

.015

.00

.005

.00

.015

.00

.015

.00

.02

.00

.0225

.00

.02

.00

.025

.00

.0275

.00

.03

.00

.02

.00

.025

.00

.0275

.00

.025

.00

.03

.00

.03

.00

.03

.00

.02

.00

.025

.00

.0275

.00

.03

.00

.02

.00

.025

.00

.0275

.00

SUBTOTAL A11c (Add amounts in column A10 on this page. Enter the total here and on line A11c on page 1 of Schedule A2.)

Page 3

$

.00

Continued on page 4

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