Form Ct201-F - Minnesota Distributors Monthly Cigarette Fee
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1CT201-F
Minnesota Distributors
Monthly Cigarette Fee
You must pay a fee on cigarettes produced by manufacturers who have not entered into a settlement agreement with the state
of Minnesota (M.S. 297F.24). The fee is $0.025 per cigarette. The fee does not apply if the manufacturer enters into an agree-
ment with the state.
Complete Schedule CT201-F to calculate the monthly cigarette fee to be reported on Form CT201. Attach Schedule CT201-F to
your Form CT201.
Licensee
Minnesota tax ID number
Street
Period of return (mo/yr)
City
State
Zip code
1 Beginning inventory of Minnesota stamped fee-brand cigarettes
(from CT201-F, line 10, of previous month) . . . . . . . . . . . . . . . . . . . . . . 1
2 Beginning inventory of unstamped and other-state stamped
fee-brand cigarettes (from CT201-F, line 11, of previous month) . . . . . . 2
3 Purchases of Minnesota stamped fee-brand cigarettes received
during the month (from CT201-S, line 19B) . . . . . . . . . . . . . . . . . . . . . . . 3
4 Purchases of unstamped and other-state stamped fee-brand
cigarettes received during the month (from CT201-A, line 19B) . . . . . . 4
5 Total fee-brand cigarettes available (add lines 1 through 4) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
6 Fee-brand cigarettes sold out of state
(from CT201-C, line 19B) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
7 Minnesota stamped fee-brand cigarettes returned
to manufacturer (from manufacturer credit memo) . . . . . . . . . . . . . . . . 7
8 Other-state stamped fee-brand cigarettes returned
to manufacturer (from CT201-B, line 20A) . . . . . . . . . . . . . . . . . . . . . . . . 8
9 Unstamped fee-brand cigarettes returned to manufacturer
(from CT201-B, line 20B) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
10 Ending inventory of Minnesota stamped fee-brand cigarettes
(from CT201-I, total of lines 9b, 10b, 11b, 12b, 13b and 14b) . . . . . 10
11 Ending inventory of unstamped and other-state stamped fee-brand
cigarettes (from CT201-I, total of lines 2b, 3b, 4b, 5b, 6b and 7b) . . 11
12 Minnesota stamped fee-brand cigarettes received from
other distributors (from line 3 above) . . . . . . . . . . . . . . . . . . . . . . . . . . 12
13 Cigarettes NOT subject to fee this period (add lines 6 through 12) . . . . . . . . . . . . . . . . . . . . . . . . . . 13
14 Cigarettes subject to fee (subtract line 13 from line 5) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
15 Little cigars stamped (from CT201-LC, add lines 1c and 5c) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
16 Stamped little cigars returned to manufacturer (from manufacturer credit memo) . . . . . . . . . . . . . 16
17 Little cigars subject to fee (subtract line 16 from line 15) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
18 Total cigarettes/cigars subject to fee (add lines 14 and 17) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
19 Fee (multiply line 18 by 0.025) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 $
20 Debit/credit (complete only if instructed by the department) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 $
21 Monthly cigarette fee (add lines 19 and 20; enter the result on CT201, line 10) . . . . . . . . . . . . . 21 $
(Rev. 6/13)
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