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 Producon Report
(Rev. 12/17)
Authorized Signature Print Name Title Date Dayme Phone
Paid Preparer’s Signature PTIN Date Dayme Phone
I declare that this report is correct and complete to the best of my knowledge and belief.
Mail to: Minnesota Revenue, Mail Staon 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 Locaon Code
City State ZIP Code Period of Return
Print or Type
