Form Pv77 - Fermented Malt Beverage Tax Return Payment
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1Fermented Malt Beverage Tax Return Payment
PV77
IMPORTANT:
Type in the required information while this form is on the screen and print a copy. A personalized scan
line will be printed on the voucher using the information you entered. To help ensure your payment is properly credited
to your account, verify that the tax-year end date and Minnesota tax ID number are included in the scan line.
When you print this voucher, be sure to set the Page Scaling to “None” in your Print options. DO NOT check the “Auto-
rotate and center pages” or “Shrink to fit” boxes. If they are already checked, click on the box to uncheck them.
Before You Can Make a
Pay Electronically
Pay by Credit or Debit Card
• Go to and log
• Go to officialpayments.com; or
Payment
in to e‑Services; or
To ensure your payment is processed
• Call 1-800-272-9829.
correctly, you must have a Minnesota tax ID
• Call 1-800-570-3329 to pay by phone.
You will be charged a fee to use this service,
number. To register for a Minnesota tax ID
You’ll need your user name, password
which goes directly to Official Payments
number:
and banking information. When paying
Corporation (a national company that part‑
• Go to ; or
electronically, you must use an account that
ners with federal, state and local govern‑
is not associated with any foreign banks.
ments to provide credit/debit card payment
• Call 651‑282‑5225 or 1‑800‑657‑3605.
services). The Department of Revenue
After you authorize the payment, you’ll
does not have any financial agreement with
receive a confirmation number. You can
Official Payments and does not receive any
cancel a payment up to one business day
of its fees.
before the scheduled payment date, if
needed.
Pay by Check
If you are not required to pay electroni‑
cally, you may pay by check. Complete the
voucher below and mail it with your check.
All information is required to process your
payment, including your Minnesota tax ID
number.
When you pay by check, your check autho‑
rizes us to make a one‑time electronic fund
transfer from your account, and you may
not receive your canceled check.
Cut carefully along this line to detach.
(Rev. 2/12)
PV77
0302
Fermented Malt Beverage Tax Return Payment
Minnesota tax ID
(required)
Name of taxpayer
FEIN
Enter the last day for the period. Use mmddyy format.
Address
Example: If paying tax due for period ending 12/31/12,
enter 123112.
City
State
Zip code
Period end date
Tax-year end
(mmddyy)
(mmddyy)
Make check payable to Minnesota Revenue.
Send with Form LB40 or LB41, or mail separately to:
AMOUNT
Minnesota Revenue, Mail Station 3331, St. Paul, MN 55146-3331
OF CHECK
00
To help ensure your payment is properly credited to your account, be sure to verify that the scan line below includes the correct tax-year end date and your Minnesota tax ID.
0300200000000000000000123110000000
000000
0000000000000000000000002
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