Form Ct501-R - Cigarette Reconciliation

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CT501-R
Minnesota Importers
Cigarette Reconciliation
Complete this schedule to reconcile stamps and cigarettes .
Licensee
Address
Minnesota tax ID number
Period of return (mo/yr)
A
B
C
Non-fee
Fee
Total
brands
brands
(A + B)
1 Beginning inventory (from CT501-R, line 5, of
preceding month; if this is your first return, enter zero) . . . 1
2 Cigarettes imported during the month
(from CT501-A, lines 19A, 19B and 20) . . . . . . . . . . . . . . 2
3 Total cigarettes available (add lines 1 and 2) . . . . . . . . . 3
4 Cigarettes sold out-of-state
(from CT501-D, lines 19A, 19B and 19C) . . . . . . . . . . . . 4
5 Ending inventory (from CT501-I, lines 3 and 4) . . . . . . . . 5
6 Cigarettes to be accounted for
(subtract lines 4 and 5 from line 3) . . . . . . . . . . . . . . . . 6
7 Unstamped cigarettes sold to Minnesota distributors
(from CT501-C, lines 19A, 19B and 19C) . . . . . . . . . . . . . 7
8
Shrinkage . Line 7 is more than line 6 . . . . . . . . . . . . 8
Overage. Line 6 is more than line 7 . . . . . . . . . . . . . . .
I declare that this return and supporting schedules are correct and complete to the best of my knowledge and belief .
Authorized signature
Title
Date
Daytime phone
(
)
Attach schedules and mail to Minnesota Revenue, Mail Station 3331, St . Paul, MN 55146-3331 .
Phone 651-556-3035 . TTY: Call 711 for Minnesota Relay .
(Rev . 1/08)

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