Form Ccf1 - County Conservation Fee Return
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1CCF1
County Conservation Fee Return
You must file this return each quarter to report Minnesota’s share of the fee you collect. Returns are due on or before the
20th day of the month following the end of the quarter .
County
Minnesota tax ID
Contact
Phone
For quarter ending (check one):
Year
March 31
June 30
September 30
December 31
1 Total county conservation fee collected . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
2 Multiply line 1 by 50% ( .50) . PAY THIS AMOUNT as the state’s share of the fee . . . . . . . . . . 2
I declare that this return is correct and complete to the best of my knowledge and belief.
Signature
Position
Date
Mail check payment and return to Minnesota Revenue, Mail Station 3331, St . Paul, MN 55146-3331
.
Phone: 651-556-4721 (TTY: Call 711 for Minnesota Relay)
(Rev . 12/11)
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Parent category: Financial