Form Lb56w - Wine Excise Tax Return Page 2
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5LB56W
Company name
FEIN
Period of return
Minnesota tax ID number
Location code
Purchases
Schedule A
(Attach additional sheets if necessary.)
Invoice
Wine (liters)
Sparkling
Date
More Than
More Than
More Than
Wine
Cider
Number of
Date
Number
Rec'd
Purchased From
14% or less 14% to 21% 21% to 24%
24%
(liters)
(liters)
Bottles
Total (enter on Form LB56W, line 2)
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Parent category: Financial