Form Lb37 - Distilled Spirits And Wine Shipped Into Minnesota
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2LB37
Distilled Spirits and Wine Shipped into Minnesota
Monthly Informational Report
Due by the 10th of the month following the month that shipments were made. Return is due even if no tax is due. If no shipments were made, write “No transactions/shipments.”
If you don’t file on time, there is a $25 penalty for each month the report remains unfiled.
Recap each invoice before you list it. You may attach multiple pages of this form. Do not send computer printout spreadsheets.
You must convert gallons to liters (1 gallon = 3.7854118 liters; 1 liter = 0.264172 gallons).
Check if Amended
Company Name
FEIN
Address
Minnesota Tax ID Number
Location Code
City
State
ZIP
Period of Return
Wine
Invoice
Distilled
More Than
More Than
More Than
Sparkling
Low-Alcohol
Bottles
Miniatures
Ship Date
Shipped to (name and address)
Number
Spirits
14% or Less
14% to 21%
21% to 24%
24%
Wine
Cider
Dairy
(
(50 ml)
200 ml or more)
If additional space is needed, continue on page 2.
Sign here: I declare that this form is correct and complete to the best of my knowledge and belief.
Authorized Signature
Print Name
Title
Date
Daytime Phone
Paid Preparer’s Signature
PTIN
Date
Daytime Phone
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
(Rev. 6/12)
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