Form Lb56w - Wine Excise Tax Return Page 3

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LB56W
Company name
FEIN
Period of return
Minnesota tax ID number
Location code
Returns/Other Additions to Inventory
Schedule B
(Attach additional sheets if necessary.)
Customer Returns on Which Tax Has Been Paid
B1
Wine (liters)
Sparkling
Date
Original
Original
More Than
More Than
More Than
Wine
Cider
Number of
Rec'd
Returned From
Invoice Date Invoice Number 14% or Less 14% to 21% 21% to 24%
24%
(liters)
(liters)
Bottles
Total
Customer Returns on Which Tax has not been Paid or Tax-Exempt Returns
B2
Wine (liters)
Sparkling
Date
Original
Original
More Than
More Than
More Than
Wine
Cider
Number of
Rec'd
Returned From
Invoice Date Invoice Number 14% or Less 14% to 21% 21% to 24%
24%
(liters)
(liters)
Bottles
Total
Other Additions to Inventory
B3
Wine (liters)
Sparkling
Date
More Than
More Than
More Than
Wine
Cider
Number of
Rec'd
Describe Addition
14% or less 14% to 21% 21% to 24%
24%
(liters)
(liters)
Bottles
Total
Total (add B1, B2 and B3 totals;
enter result on Form LB56W, line 3)

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