Form CDTFA-217 "Common Carrier's Report of Delivery" - California

What Is Form CDTFA-217?

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 March 1, 2018;
  • 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;

Download a fillable version of Form CDTFA-217 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-217 "Common Carrier's Report of Delivery" - California

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COMMON CARRIER’S REPORT OF DELIVERY
CDTFA-217 (FRONT) REV. 8 (3-18)
STATE OF CALIFORNIA
CALIFORNIA DEPARTMENT OF TAX AND FEE ADMINISTRATION
of interstate shipments of alcoholic beverages destined to California points.
Page _________of _________ pages
For Month of ________________________________ Year _________
IMPORTANT
Name of Common Carrier _________________________________________________________________________
(Account No. ________________ )
Read instructions on reverse side
before completing report
Mail Address _____________________________________________________________________________________
CDTFA USE
R.R. CAR NO.
WAYBILL,
DESCRIPTION
DELIVERY MADE TO
NAME OF SHIPPER
BILL OF LADING
OF ALCOHOLIC BEVERAGES
ONLY
NAME OF VESSEL
NAME OF LICENSED IMPORTER
OR FREIGHT BILL
NUMBER OF
TYPE
CITY AND STATE
CODE
AND VOYAGE NO.
AND CALIFORNIA CITY
NUMBER
OR TRAILER NO.
PACKAGES
PACKAGES
KIND
NUMBER
DATE
A
B
C
D
E
F
G
H
I
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Certifed Correct _____________________________________________
Title _____________________________________________
CLEAR
PRINT
COMMON CARRIER’S REPORT OF DELIVERY
CDTFA-217 (FRONT) REV. 8 (3-18)
STATE OF CALIFORNIA
CALIFORNIA DEPARTMENT OF TAX AND FEE ADMINISTRATION
of interstate shipments of alcoholic beverages destined to California points.
Page _________of _________ pages
For Month of ________________________________ Year _________
IMPORTANT
Name of Common Carrier _________________________________________________________________________
(Account No. ________________ )
Read instructions on reverse side
before completing report
Mail Address _____________________________________________________________________________________
CDTFA USE
R.R. CAR NO.
WAYBILL,
DESCRIPTION
DELIVERY MADE TO
NAME OF SHIPPER
BILL OF LADING
OF ALCOHOLIC BEVERAGES
ONLY
NAME OF VESSEL
NAME OF LICENSED IMPORTER
OR FREIGHT BILL
NUMBER OF
TYPE
CITY AND STATE
CODE
AND VOYAGE NO.
AND CALIFORNIA CITY
NUMBER
OR TRAILER NO.
PACKAGES
PACKAGES
KIND
NUMBER
DATE
A
B
C
D
E
F
G
H
I
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Certifed Correct _____________________________________________
Title _____________________________________________
CLEAR
PRINT
CDTFA-217 (BACK) REV. 8 (3-18)
INSTRUCTIONS FOR COMPILING CALIFORNIA DEPARTMENT OF TAX AND FEE
ADMINISTRATION FORM CDTFA-217
Prepare report in duplicate, retain copy and mail original to:
CALIFORNIA DEPARTMENT OF
TAX AND FEE ADMINSTRATION
RETURN PROCESSING BRANCH
PO BOX 942879
SACRAMENTO, CA 94279-0088
A report on this form must be fled on or before the ffteenth day of each month covering deliveries made dur-
ing the preceding calendar month. A report must be fled each month whether or not any deliveries are made.
The report must be completed in each detail as called for under the various headings of the report.
A receipt must be obtained from the importer for each delivery of interstate shipments of alcoholic beverages
in California. Copy of this receipt showing all the information required on CDTFA-217 must be furnished to the
importer to whom the delivery is made.
COLUMN
A. Enter the complete name of the shipper as shown on the bill of lading and the city and state or
country in which the shipment originated.
B. In this column enter the name of the licensed importer to whom the delivery was made; or in the
case of delivery to a licensed public warehouse or “order notify” shipments, list the name of the
licensed importer for whom the shipment was delivered.
The California city in which delivery was made also must be shown.
C. Do not write in this column.
D. If the shipment entered California in a railroad car, the car number in which the 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 truck number must be shown.
E. & F. If the shipment entered California via railroad, the waybill 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
the date must be shown. It is important that the same number be reported in this column as that
shown on the delivery receipt furnished to the importer.
G. This column must show the total number of packages contained in the shipment.
H. This column must show the type of packages contained in the shipment (i.e., cs., cnt., bbl., drum,
etc.)
I. This column must show the kind of alcoholic beverage contained in the shipment (i.e., beer, wine,
whiskey, gin, vodka, etc.)
CERTIFICATION:
The correctness of the report must be certifed by a representative of the common carrier
fling the report. Only page 1 of the report need be certifed.
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