Form CDTFA-1071 "Common Carrier's Report of Cigarette Deliveries of Interstate or Foreign Shipments of Cigarettes Destined and California Points" - California

What Is Form CDTFA-1071?

This is a legal form that was released by the California Department of Tax and Fee Administration - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

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-1071 by clicking the link below or browse more documents and templates provided by the California Department of Tax and Fee Administration.

ADVERTISEMENT
ADVERTISEMENT

Download Form CDTFA-1071 "Common Carrier's Report of Cigarette Deliveries of Interstate or Foreign Shipments of Cigarettes Destined and California Points" - California

Download PDF

Fill PDF online

Rate (4.4 / 5) 59 votes
CDTFA-1071 (FRONT) REV. 6 (8-19)
STATE OF CALIFORNIA
COMMON CARRIER'S REPORT OF CIGARETTE DELIVERIES OF INTERSTATE OR
CALIFORNIA DEPARTMENT OF TAX AND FEE ADMINISTRATION
FOREIGN SHIPMENTS OF CIGARETTES DESTINED FOR CALIFORNIA POINTS
No activity to report (If box is checked, only need to complete sections (a) to (e) and (f) to (i))
IMPORTANT - Please read the instructions on the reverse before completing this report.
Amended report (check this box if this filing represents an amended report)
(a) CDTFA COMMON CARRIER ACCOUNT NUMBER
(b) REPORTING PERIOD
(c)
Page
of
Page(s)
Begin
End
(d) BUSINESS NAME
(e) MAILING ADDRESS (street, city, state, and ZIP code)
1
2
3
4
5
6
7
8
9
WAYBILL, BILL OF LADING,
NUMBER OF
SHIPPER INFORMATION
OR FREIGHT BILL
CIGARETTES
RAILCAR,
NUMBER OF
PER CASE,
DELIVERY MADE TO -
CONSIGNEE/
EMPLOYER
VOYAGE,
CASES, BALES
BALE OR OTHER
NAME OF CONSIGNEE/
LICENSEE CDTFA
IDENTIFICATION
MODE
OR TRAILER
OR OTHER
CONTAINER
NAME
CITY
STATE/COUNTRY
LICENSEE
ACCOUNT NUMBER
NUMBER (EIN)
CODE
NUMBER
NUMBER
DATE
CONTAINERS
(in thousands)
(f) SIGNATURE
(g) PRINT NAME AND TITLE
(h) TELEPHONE
(i) EMAIL ADDRESS
CDTFA-1071 (FRONT) REV. 6 (8-19)
STATE OF CALIFORNIA
COMMON CARRIER'S REPORT OF CIGARETTE DELIVERIES OF INTERSTATE OR
CALIFORNIA DEPARTMENT OF TAX AND FEE ADMINISTRATION
FOREIGN SHIPMENTS OF CIGARETTES DESTINED FOR CALIFORNIA POINTS
No activity to report (If box is checked, only need to complete sections (a) to (e) and (f) to (i))
IMPORTANT - Please read the instructions on the reverse before completing this report.
Amended report (check this box if this filing represents an amended report)
(a) CDTFA COMMON CARRIER ACCOUNT NUMBER
(b) REPORTING PERIOD
(c)
Page
of
Page(s)
Begin
End
(d) BUSINESS NAME
(e) MAILING ADDRESS (street, city, state, and ZIP code)
1
2
3
4
5
6
7
8
9
WAYBILL, BILL OF LADING,
NUMBER OF
SHIPPER INFORMATION
OR FREIGHT BILL
CIGARETTES
RAILCAR,
NUMBER OF
PER CASE,
DELIVERY MADE TO -
CONSIGNEE/
EMPLOYER
VOYAGE,
CASES, BALES
BALE OR OTHER
NAME OF CONSIGNEE/
LICENSEE CDTFA
IDENTIFICATION
MODE
OR TRAILER
OR OTHER
CONTAINER
NAME
CITY
STATE/COUNTRY
LICENSEE
ACCOUNT NUMBER
NUMBER (EIN)
CODE
NUMBER
NUMBER
DATE
CONTAINERS
(in thousands)
(f) SIGNATURE
(g) PRINT NAME AND TITLE
(h) TELEPHONE
(i) EMAIL ADDRESS
CDTFA-1071 (BACK) REV. 6 (8-19)
INSTRUCTIONS
COMMON CARRIER'S REPORT OF CIGARETTE DELIVERIES
Prepare report in duplicate, retain copy and mail original to:
California Department of Tax and Fee Administration
Return Processing Branch
PO Box 942879
Sacramento, California 94279-0088
A report must be filed on or before the 25th day of each month covering cigarette deliveries made during the
preceding calendar month. A report must be filed each month whether or not any deliveries are made.
For each page, complete (a) through (e) at the top of the report. Enter (a) your CDTFA Common Carrier account
number; (b) the period begin date and end date; (c) the page number and the total pages of the report; (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 entering
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 complete name of the shipper, city, and the state or country from which the
shipment originated. A list of valid postal codes is available on CDTFA-810-CTC, Postal
Abbreviations Table, which can be found on our website at www.cdtfa.ca.gov.
Foreign Trade Zone: Enter the name of the person or firm in whose name the merchandise
was stored in the zone and the zone from which it was released. (Example: No. 3 –
San Francisco).
Column 2.
Enter the name of the consignee/licensee to whom delivery was made.
Column 3.
Enter the consignee/licensee's CDTFA account number.
Column 4.
Enter the consignee/licensee's Employer Identification Number (EIN).
Column 5.
Enter the mode code for the shipment being reported in column 6.
Codes: R = Railcar, S = Ship, and J = Truck
Column 6.
If the shipment entered California via:
Railcar - enter the railcar initials, followed by the railcar number (example: combine railcar
initials WXYZ with railcar number 45678 = WXYZ45678).
Voyage - enter the voyage number.
Trailer - enter the US DOT Number assigned to the trailer. If the trailer does not have a US
DOT Number, enter the Motor Carrier Permit Number (CA Number) issued by the California
Department of Motor Vehicles.
Column 7.
Enter the waybill, bill of lading, or freight bill number and date. The date should be entered
in mm/dd/yyyy format.
Column 8.
Enter the total number of cases, bales, or other containers of cigarettes contained in the
shipment.
Column 9.
List, in thousands, the number of cigarettes per case, bale, or other container.
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.
Page of 2