Form CDTFA-1071 "Common Carrier's Report of Cigarette Deliveries" - California

This version of the form is not currently in use and is provided for reference only.
Download this version of Form CDTFA-1071 for the current year.

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 October 1, 2017;
  • 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.

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Download Form CDTFA-1071 "Common Carrier's Report of Cigarette Deliveries" - California

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CDTFA-1071 (FRONT) REV. 5 (10-17)
STATE OF CALIFORNIA
COMMON CARRIER’S REPORT OF CIGARETTE DELIVERIES
CALIFORNIA DEPARTMENT OF TAX AND FEE ADMINISTRATION
of Interstate or Foreign Shipments of Cigarettes Destined California Points
(For CDTFA Use Only)
CODE NUMBER
FOR MONTH OF
IMPORTANT—Read instructions on reverse side before completing report.
Year
Page
of
Pages
NAME OF CARRIER
MAILING ADDRESS
RAILROAD WAYBILL OR
R.R. CAR NUMBER
SHIP BILL OF LADING OR
NAME OF CONSIGNEE AND
OR NAME OF VESSEL
NUMBER OF
NAME OF SHIPPER
CDTFA USE ONLY
SIZE OF CASE
MOTOR CARRIER
CALIFORNIA CITY WHERE
OR TT IF BY
ORIGIN (CITY AND STATE OR COUNTRY)
CODE NUMBER
CASES OR BALES
OR BALE
PRO NUMBER
DELIVERY MADE
MOTOR CARRIER
DATE
NUMBER
A
D
H
B
C
E
F
G
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
CERTIFIED CORRECT
TITLE
CLEAR
PRINT
CDTFA-1071 (FRONT) REV. 5 (10-17)
STATE OF CALIFORNIA
COMMON CARRIER’S REPORT OF CIGARETTE DELIVERIES
CALIFORNIA DEPARTMENT OF TAX AND FEE ADMINISTRATION
of Interstate or Foreign Shipments of Cigarettes Destined California Points
(For CDTFA Use Only)
CODE NUMBER
FOR MONTH OF
IMPORTANT—Read instructions on reverse side before completing report.
Year
Page
of
Pages
NAME OF CARRIER
MAILING ADDRESS
RAILROAD WAYBILL OR
R.R. CAR NUMBER
SHIP BILL OF LADING OR
NAME OF CONSIGNEE AND
OR NAME OF VESSEL
NUMBER OF
NAME OF SHIPPER
CDTFA USE ONLY
SIZE OF CASE
MOTOR CARRIER
CALIFORNIA CITY WHERE
OR TT IF BY
ORIGIN (CITY AND STATE OR COUNTRY)
CODE NUMBER
CASES OR BALES
OR BALE
PRO NUMBER
DELIVERY MADE
MOTOR CARRIER
DATE
NUMBER
A
D
H
B
C
E
F
G
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
CERTIFIED CORRECT
TITLE
CLEAR
PRINT
CDTFA-1071 (BACK) REV. 5 (10-17)
INSTRUCTIONS FOR COMPILING
CALIFORNIA DEPARTMENT OF TAX AND FEE ADMINISTRATION CDTFA-1071
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 on this form must be fled on or before the 25th day of each month covering cigarette deliveries
made during the preceding calendar month. A report must be fled each month whether or not any deliveries
are made.
COLUMN
A
Enter the complete name of shipper and the city and state or country in which the
shipment originated.
B
Enter the name of the consignee to whom delivery was made and the California
city in which delivery was made.
C
Do not write in this column.
D
If the shipment entered California by railroad, the car initials and number in which
shipment was contained must be shown.
If the shipment entered California by water, the voyage number and the name of
the vessel in which the shipment was transported into California must be shown.
If the shipment entered California by motor carrier, the letters TT must be shown.
E & F
If the shipment entered California by railroad, the waybill date and number must
be shown.
If the shipment entered California by water, the steamship bill of lading date and
number must be shown.
If the shipment entered California by motor carrier, the pro number (or freight bill
number) and date must be shown.
G
Show the total number of cases or bales of cigarettes contained in the shipment.
H
List (in thousands, i.e., 3M, 5M, 6M, 10M, 12M) the number of cigarettes per case
or bale.
Certifcation: The correctness of the report must be certifed to by a representative of the carrier fling the
report. If a multiple page report is fled, only 1 page of the report need be certifed.
If you need additional information, please contact the California Department of Tax and Fee Administration,
Return Processing Section, P.O. Box 942879, Sacramento, CA 94279-0088. You may also visit the CDTFA
website at www.cdtfa.ca.gov or call the 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
weekdays from 8:00 a.m. to 5:00 p.m. (Pacifc time), except state holidays.
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