Form CDTFA-241-A "Distilled Spirits Purchased or Received From Other Licensees in California" - California

What Is Form CDTFA-241-A?

This is a legal form that was released by the California Department of Tax and Fee Administration - a government authority operating within California. Check the official instructions before completing and submitting the form.

Form Details:

  • Released on August 1, 2019;
  • The latest edition provided by the California Department of Tax and Fee Administration;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form CDTFA-241-A by clicking the link below or browse more documents and templates provided by the California Department of Tax and Fee Administration.

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Download Form CDTFA-241-A "Distilled Spirits Purchased or Received From Other Licensees in California" - California

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CDTFA-241-A (FRONT) REV. 5 (8-19)
STATE OF CALIFORNIA
DISTILLED SPIRITS PURCHASED OR RECEIVED FROM OTHER LICENSEES IN CALIFORNIA
CALIFORNIA DEPARTMENT OF TAX AND FEE ADMINISTRATION
IMPORTANT - Please read the instructions on the reverse before completing this report.
(a) CDTFA DISTILLED SPIRITS ACCOUNT NUMBER
(b) REPORTING PERIOD
(c)
Begin
End
Page
of
Page(s)
(d) BUSINESS NAME
(e) MAILING ADDRESS (street, city, state, and ZIP code)
1
2
3
4
5
6
INVOICE
WINE GALLONS
DISTILLED SPIRITS' CDTFA
DATE
PURCHASED FROM
CITY
ACCOUNT NUMBER
RECEIVED
NUMBER
DATE
(a) 100 PROOF AND UNDER
(b) OVER 100 PROOF
TOTALS
6a.
6b.
(f) SIGNATURE
(g) PRINT NAME AND TITLE
(h) TELEPHONE
(i) EMAIL ADDRESS
CDTFA-241-A (FRONT) REV. 5 (8-19)
STATE OF CALIFORNIA
DISTILLED SPIRITS PURCHASED OR RECEIVED FROM OTHER LICENSEES IN CALIFORNIA
CALIFORNIA DEPARTMENT OF TAX AND FEE ADMINISTRATION
IMPORTANT - Please read the instructions on the reverse before completing this report.
(a) CDTFA DISTILLED SPIRITS ACCOUNT NUMBER
(b) REPORTING PERIOD
(c)
Begin
End
Page
of
Page(s)
(d) BUSINESS NAME
(e) MAILING ADDRESS (street, city, state, and ZIP code)
1
2
3
4
5
6
INVOICE
WINE GALLONS
DISTILLED SPIRITS' CDTFA
DATE
PURCHASED FROM
CITY
ACCOUNT NUMBER
RECEIVED
NUMBER
DATE
(a) 100 PROOF AND UNDER
(b) OVER 100 PROOF
TOTALS
6a.
6b.
(f) SIGNATURE
(g) PRINT NAME AND TITLE
(h) TELEPHONE
(i) EMAIL ADDRESS
CDTFA-241-A (BACK) REV. 5 (8-19)
INSTRUCTIONS
DISTILLED SPIRITS PURCHASED OR RECEIVED FROM OTHER LICENSEES IN CALIFORNIA
This report must be completed in accordance with the instructions below showing each and every purchase or
receipt of distilled spirits from another California taxpayer.
PREPARATION OF THE REPORT
Prepare report and submit with CDTFA-501-DS, Distilled Spirits Tax Return, to the California Department of Tax
and Fee Administration (CDTFA). To file your report with the return online, go to
www.cdtfa.ca.gov
and select
File a Return. For additional information, please review the Filing Requirements section of the instructions on
the corresponding tax return CDTFA-501-DS, Distilled Spirits Tax Return.
For each page, complete (a) through (e) at the top of the report. Enter (a) your CDTFA Distilled Spirits account
number; (b) the period begin date and end date; (c) the page number and the total pages; (d) your business
name; and (e) your mailing address. Complete (f) through (i) at the bottom of the first page by signing your
name in (f); printing your name and title in (g); entering your telephone number in (h), and your email address
in (i). If a multiple page report is filed, (f) through (i) need only be completed on page 1.
Column 1.
Enter the name of the California seller from whom the distilled spirits were purchased.
Column 2.
Enter the name of the California city where the seller's business is located.
Column 3.
Enter the seller's Distilled Spirits CDTFA account number.
Column 4.
Enter the date the shipment was received.
Column 5.
Enter the invoice number and date covering the shipment.
Column 6.
(a) Enter total gallons of distilled spirits 100 proof and under per seller's invoice.
(b) Enter total gallons of distilled spirits over 100 proof per seller's invoice.
Totals.
Add the total gallons in column 6a and in column 6b, and enter the result for each column in
the Totals row. The final page of the report should contain the grand total of each column of
all pages. Enter the grand total from column 6a and 6b on line 3 of CDTFA-501-DS, Distilled
Spirits Tax Return.
Note:
Report all alcoholic beverages in wine gallons pursuant to Alcoholic Beverage Tax
Regulation
2544
by multiplying the quantity in liters by 0.264172. Round the result to the
nearest gallon.
For more information, visit our website at www.cdtfa.ca.gov. You may also call our Customer Service Center at 1-800-400-7115
(TTY:711); from the main menu, select the option Special Taxes and Fees. Customer service representatives are available
Monday through Friday from 8:00 a.m. to 5:00 p.m. (Pacific time), except state holidays.
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