Form Lb59 - Alcoholic Beverage Customs Declaration

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LB59
Alcoholic Beverage Customs Declaration
Individuals entering Minnesota with intoxicating liquor, malt beverages or commemorative bottles purchased in a
foreign country must complete this form and submit it to U.S. Customs upon arrival.
Name
Social Security number
Address
Date(s) product brought into Minnesota
City
State
ZIP
Purchases
Country where Purchased
Product Type
Alcohol Content
Product Size
Quantity
Print Name
Signature
Date
Daytime phone
Email
U.S. Customs mail to: Minnesota Revenue, Mail Station 3331, St. Paul, MN 55146-3331.
Phone: 651-556-3036. Fax: 651-556-5236. Email: alc.taxes@state.mn.us
March 2013

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