Use this form to report total gallons produced during the year. Due by January 18 following the year in which the gallons were produced.
LB56P
Small Winery Producon Report
(Rev. 12/17)
Authorized Signature Print Name Title Date Dayme Phone
Paid Preparer’s Signature PTIN Date Dayme Phone
I declare that this report 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
Sign Here
A B C D E F
Wine Wine More Than Wine More Than Wine More Than Sparkling
14% or Less (gals) 14% to 21% (gals) 21% to 24% (gals) 24% (gals) Wine (gals) Cider (gals)
1 January .............................................................. 1
2 February ............................................................. 2
3 March ............................................................... 3
4 April ................................................................ 4
5 May ................................................................. 5
6 June ................................................................ 6
7 July ................................................................. 7
8 August ............................................................... 8
9 September ........................................................... 9
10 October ........................................................... 10
11 November ......................................................... 11
12 December .......................................................... 12
13 Subtotals (add lines 1 through 12 in each column) ......................... 13
14 TOTAL (add line 13, columns A through F) .......................................................................................................14
Total Gallons Produced
Check if amended
Company Name FEIN
Address Minnesota Tax ID Number Locaon Code
City State ZIP Code Period of Return
Print or Type