Minnesota Credit for Returned Cigarettes (Nonresident Distributors)

Credit for Returned Cigarettes (Nonresident Distributors)
CT401-B, Credit for Returned Cigarettes (for Nonresident Distributors)
*226141*

Nonresident Distributors

Attachment #2

CT401-B, Credit for Returned Cigarettes
Licensee	

Address	

Minnesota Tax ID Number 	

Page

of

Period of Return (mo/yr)

Enter number of cigarettes (not packs or cartons) returned to the manufacturer. Report cigarettes during month of return, not the
month credit memo is received.

Credit for Non-Fee Brands
		Credit Memo	

Date 		

Number	

RGA

Number*	

Manufacturer	

Minnesota Stamped

1
	2
	3
	4
	5
	6
	7
	8
	9
	10	 Total non-fee cigarettes (add lines 1 through 9)  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10	
	11	 Value of non-fee cigarettes (multiply line 10 by 0.18895 [mill rate])  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11	

$
Enter on CT401-R, line 9B

Credit for Fee Brands
		Credit Memo	

Date 		

Number	

RGA

Number*	

Manufacturer	

Minnesota Stamped

12
	13
	14
	15
	16
	17
	18
	19
	20
	21	 Total fee cigarettes (add lines 12 through 20)  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21	
	22	 Value of fee cigarettes (multiply line 21 by 0.18895 [mill rate])  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22	

$
Enter on CT401-R, line 9C

	23	 Total number of Minnesota stamped cigarettes (add lines 10 and 21)  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23	
	24	 Total value of Minnesota stamped cigarettes (add lines 11 and 22)  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24	
* Returned Goods Authorization (RGA) number.

(Rev. 1/24)

$
Enter on CT401-R, line 9D