Form LB41MW "Manufacturer's Minnesota Warehouse Report" - Minnesota

What Is Form LB41MW?

This is a legal form that was released by the Minnesota Department of Revenue - a government authority operating within Minnesota. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on September 1, 2014;
  • The latest edition provided by the Minnesota Department of Revenue;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form LB41MW by clicking the link below or browse more documents and templates provided by the Minnesota Department of Revenue.

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Download Form LB41MW "Manufacturer's Minnesota Warehouse Report" - Minnesota

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LB41MW
Manufacturer’s Minnesota Warehouse Report
Brewers and malt-beverage manufacturers that have a manufacturer’s warehouse permit under MS 340A.3055 must file this report monthly with
Form LB41. Convert quantities to barrels (see Form LB41 instructions).
Check if Amended
Company Name
FEIN
Address
Minnesota Tax ID Number
Location Code
City
State
ZIP Code
Period of Return
A
B
More Than 3.2%
3.2% or Less
(in barrels)
(in barrels)
1 Beginning inventory. Enter total barrels of malt beverages in
Minnesota warehouse (line 8 from the previous month) . . . . . . . . . . . . . . . . . . . 1
2 Total malt-beverage shipments to Minnesota warehouse
. . . . . 2
(from Schedule A)
3 Returns and other additions to inventory (from Schedule B) . . . . . . . . . . . . . . . . 3
4 Total amount available for sale (add lines 1, 2 and 3) . . . . . . . . . . . . . . . . . . . . . . 4
5 Sales to Minnesota wholesalers and other removals from inventory
(from Schedule C) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
6 Sales to wholesalers and agencies out of state (from Schedule D) . . . . . . . . . . . . 6
7 Add lines 5 and 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
8 Ending inventory (subtract line 7 from line 4) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
I declare that this form and accompanying schedules are correct and complete to the best of my knowledge and belief.
Authorized Signature
Date
Daytime Phone
Print Name
Title
Mail to: Minnesota Revenue, Mail Station 3331, St. Paul, MN 55146-3331
Phone: 651-556-3036 Email: alc.taxes@state.mn.us
(Rev. 9/14)
LB41MW
Manufacturer’s Minnesota Warehouse Report
Brewers and malt-beverage manufacturers that have a manufacturer’s warehouse permit under MS 340A.3055 must file this report monthly with
Form LB41. Convert quantities to barrels (see Form LB41 instructions).
Check if Amended
Company Name
FEIN
Address
Minnesota Tax ID Number
Location Code
City
State
ZIP Code
Period of Return
A
B
More Than 3.2%
3.2% or Less
(in barrels)
(in barrels)
1 Beginning inventory. Enter total barrels of malt beverages in
Minnesota warehouse (line 8 from the previous month) . . . . . . . . . . . . . . . . . . . 1
2 Total malt-beverage shipments to Minnesota warehouse
. . . . . 2
(from Schedule A)
3 Returns and other additions to inventory (from Schedule B) . . . . . . . . . . . . . . . . 3
4 Total amount available for sale (add lines 1, 2 and 3) . . . . . . . . . . . . . . . . . . . . . . 4
5 Sales to Minnesota wholesalers and other removals from inventory
(from Schedule C) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
6 Sales to wholesalers and agencies out of state (from Schedule D) . . . . . . . . . . . . 6
7 Add lines 5 and 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
8 Ending inventory (subtract line 7 from line 4) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
I declare that this form and accompanying schedules are correct and complete to the best of my knowledge and belief.
Authorized Signature
Date
Daytime Phone
Print Name
Title
Mail to: Minnesota Revenue, Mail Station 3331, St. Paul, MN 55146-3331
Phone: 651-556-3036 Email: alc.taxes@state.mn.us
(Rev. 9/14)
LB41MW
Company Name
FEIN
Period of Return
Minnesota Tax ID Number
Location Code
Malt-Beverage Purchases
Schedule A
List the malt-beverage products shipped during the period to Minnesota warehouses. (Attach additional sheets if necessary.)
Invoice
More Than 3.2%
3.2% or Less
(in barrels)
(in barrels)
Date Rec’d
Purchased From
Date
Number
Total
(Enter on Form LB41MW, line 2)
LB41MW
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
B1
Invoice
More Than 3.2%
3.2% or Less
(in barrels)
(in barrels)
Date Rec’d
Returned From
Date
Number
Total
Other Additions to Inventory
B2
More Than 3.2%
3.2% or Less
Date
Describe Addition
(in barrels)
(in barrels)
Total
Schedule B Total
(Add totals from B1 and B2. Enter
result on Form LB41MW, line 3)
LB41MW
Company Name
FEIN
Period of Return
Minnesota Tax ID Number
Location Code
Sales to Minnesota Wholesalers/Other Removals
Schedule C
(Attach additional sheets if necessary.)
Sales to Minnesota Wholesalers
C1
Date
Invoice
More Than 3.2%
3.2% or Less
Rec’d
Sold to/Location Shipped
Date
Number
(in barrels)
(in barrels)
Total
Samples/Promotions
C2
Invoice
Date
More Than 3.2%
3.2% or Less
(in barrels)
(in barrels)
Rec’d
Location Shipped
Date
Number
Total
Schedule C Total
(Add totals from C1 and C2.
Enter result on Form LB41MW, line 5)
LB41MW
Company Name
FEIN
Period of Return
Minnesota Tax ID Number
Location Code
Out of State Sales, Reductions and Authorized Breakage/Supervised Destruction
Schedule D
Sales to Wholesalers and Agencies Out of State
D1
Invoice
More Than 3.2%
3.2% or Less
(in barrels)
(in barrels)
Date
Sold to/Location Shipped
Date
Number
Total
Authorized Breakage/Supervised Destruction
D2
Inspector Who
More Than 3.2%
3.2% or Less
(in barrels)
(in barrels)
Date
Supervised Destruction
Affidavit Number
Total
Other Reductions
D3
More Than 3.2%
3.2% or Less
(in barrels)
(in barrels)
Date
Describe Reduction
Total
Schedule D Total
(Add totals from D1, D2 and D3. Enter
result on Form LB41MW, line 6)
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