Form CDTFA-230-N-1 "Form of Declaration - Place of Delivery of Tangible Personal Property" - California

What Is Form CDTFA-230-N-1?

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 September 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;

Download a fillable version of Form CDTFA-230-N-1 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-230-N-1 "Form of Declaration - Place of Delivery of Tangible Personal Property" - California

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CDTFA-230-N-1 REV. 1 (9-17)
STATE OF CALIFORNIA
FORM OF DECLARATION
CALIFORNIA DEPARTMENT OF TAX AND FEE ADMINISTRATION
PLACE OF DELIVERY OF
TANGIBLE PERSONAL PROPERTY
Regulation 1823.4
DECLARATION
I HEREBY CERTIFY THAT:
(1) The
DESCRIPTION OF TANGIBLE PERSONAL PROPERTY PURCHASED
purchased from
NAME OF SELLER
was delivered to the following address:
(2) The above address is located outside the
District.
(3) The above address is my principal place of residence or principal place of business.
(4) The tangible personal property listed above is purchased for use at the following location(s), which is outside the
District.
STREET, CITY, STATE, ZIP CODE
I understand that this declaration is for the purpose of allowing the above named seller to treat the sale of the above-
described tangible personal property as exempt from the use tax imposed by the
District.
If the property is principally stored, used or otherwise consumed in that district, the purchaser shall be liable for and pay the
use tax.
I have personal knowledge of the statements of fact contained in this declaration. I declare under penalty of perjury under
the laws of the State of California and the United States that the foregoing statements are true and correct.
NAME OF PURCHASER
NAME AND TITLE OF AUTHORIZED AGENT (if applicable)
SIGNATURE OF PURCHASER OR AUTHORIZED AGENT
DATE
CLEAR
PRINT
CDTFA-230-N-1 REV. 1 (9-17)
STATE OF CALIFORNIA
FORM OF DECLARATION
CALIFORNIA DEPARTMENT OF TAX AND FEE ADMINISTRATION
PLACE OF DELIVERY OF
TANGIBLE PERSONAL PROPERTY
Regulation 1823.4
DECLARATION
I HEREBY CERTIFY THAT:
(1) The
DESCRIPTION OF TANGIBLE PERSONAL PROPERTY PURCHASED
purchased from
NAME OF SELLER
was delivered to the following address:
(2) The above address is located outside the
District.
(3) The above address is my principal place of residence or principal place of business.
(4) The tangible personal property listed above is purchased for use at the following location(s), which is outside the
District.
STREET, CITY, STATE, ZIP CODE
I understand that this declaration is for the purpose of allowing the above named seller to treat the sale of the above-
described tangible personal property as exempt from the use tax imposed by the
District.
If the property is principally stored, used or otherwise consumed in that district, the purchaser shall be liable for and pay the
use tax.
I have personal knowledge of the statements of fact contained in this declaration. I declare under penalty of perjury under
the laws of the State of California and the United States that the foregoing statements are true and correct.
NAME OF PURCHASER
NAME AND TITLE OF AUTHORIZED AGENT (if applicable)
SIGNATURE OF PURCHASER OR AUTHORIZED AGENT
DATE
CLEAR
PRINT