Fillable Alcohol Sales on Reservaons (Minnesota Department of Revenue)

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Alcohol Sales on Reservaons (Minnesota Department of Revenue)

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ASR
Alcohol Sales on Reservaons
(Rev. 2/18)
Authorized Signature Print Name Title Date Dayme Phone
Paid Preparer’s Signature PTIN Date Dayme Phone
Sign here: I declare that this form is correct and complete to the best of my knowledge and belief.
Mail to:
Minnesota Revenue, Mail Staon 3331, St. Paul, MN 55146-3331
Phone: 651-556-3036 Fax: 651-556-5236 Email: alc.taxes@state.mn.us
Bois Forte Band of Chippewa
Fond du Lac Band of Chippewa
Grand Portage Band of Chippewa
Leech Lake Band of Chippewa
Lower Sioux Community
Mille Lacs Band of Chippewa
Prairie Island Sioux Community
Red Lake Band of Chippewa
Shakopee Mdewakanton Sioux Community
Upper Sioux Community
White Earth Band of Chippewa
Check if Amended
Company Name FEIN
Address Minnesota Tax ID Number Locaon Code
City State ZIP Period of Return
Due the 18th of each month, even if you had no sales during the reporng period.
Beer Wine Distilled Spirits Bottles
More Less More Than More Than More Than Sparkling Cider Distilled Spirits Low-Alcohol Wine & Distilled
Name of Tribe Than 3.2% Than 3.2% 14% or Less 14% to 21% 21% to 24% 24% Wine (liters) (liters, excluding Dairy Miniatures Spirits
(in barrels) (in barrels) (liters) (liters) (liters) (liters) (liters) miniatures) (liters) (50 ml) (200 ml or more)
Form ASR Instrucons
General Instrucons
You must report all alcohol sales made on
Tribal land, including sales made to busi-
ness that are not owned by the Tribe.
Form ASR is due by the 18th day of each
month, even if you have no sales to report
in any given month.
Wine and Dislled Spirits
Wine and distilled spirits must be reported
in liters.
Boles
Include on this line all wine and distilled
spirits that are 200 ml or greater in size.
Beer
Note: 3.2% beer is measured by weight,
not by volume.
The Minnesota tax rate for beer is based
on the 31-gallon barrel and the alcohol
content of beer. You must convert all mea-
surement of kegs and cases into barrels or
percentages of a barrel.
To convert kegs and cases into barrels,
divide the total ounces of beer in the kegs
or cases by 3,968 (the number of ounces in
a barrel).
1 barrel = 31 gallons
1 gallon = 128 uid ounces
1 liter = 0.264172 gallons
The conversion table to the right is for the
most commonly used sizes of kegs and
cases. Multiply the number you have of
each size by the decimal shown.
Conversion Table
Mulply the quanty
If you have: you have by:
50 ltr bbl .42608
30 ltr bbl .25565
6/64 oz. case .09677
12/40 oz. case .12097
12/32 oz. case .09677
24/22 oz. case .13306
15/22 oz. case .08317
12/22 oz. case .06653
24/16 oz. case .09677
12/16 oz. case .04839
30/12 oz. case .09073
24/12 oz. case .07258
20/12 oz. case .06048
18/12 oz. case .05444
12/12 oz. case .03629
6/12 oz. case .01815
24/11.2 oz. case .06774
35/7 oz. case .06174
12/21.3 oz. case .06441
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Completed 29 July 2020

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