Department of the Treasury

Internal Revenue Service

OMB No. 1545-0235

Form 730

(Section 4401 of the Internal Revenue Code)

Monthly Tax Return for Wagers (Rev. October 2003)

For IRS Use Only

Enter your T

name,

address,

employer

identification

number,

and

month and

year of

return.

FF

Name Month and year FD

FP

Employer identification number Number, street, and room or suite no.  I

T

City, state, and ZIP code

1 Gross amount of wagers accepted during month (not including laid-off wagers) (see instructions)

2 Gross amount of laid-off wagers accepted during month (see instructions)

3 Add lines 1 and 2

4a Tax on wagers authorized under the law of the state in which

accepted. Enter the amount of these wagers included in line

3; multiply by the amount shown and enter the result

b Tax on wagers other than wagers described on line 4a. Enter

the amount of these wagers included in line 3; multiply by the

amount shown and enter the result 

5 Credits. No credit is allowed unless supported by evidence. (see instructions)

6 Balance due. Subtract line 5 from line 4c. Complete Form 730-V, Payment Voucher.

1

2

3

4a

5

6

4b

c Tax on wagers. Add lines 4a and 4b 4c

Under penalties of perjury, I declare that I have examined this return and any accompanying certificates and statements, and, to the best of my

knowledge and belief, they are true, correct, and complete.

Signature

(Type or print your name below signature.)

Date

File this return, your payment, and voucher with the IRS as shown under Where to file on page 2. Make your check or money

order payable to the “United States Treasury”. Write your name, address, EIN, and “Form 730” on it.

Cat. No. 20585U

Sign

Here

 

Form 730 (Rev. 10-2003)

Keep a copy

of this return

for your records.

For Privacy Act and Paperwork Reduction Act Notice, see page 2.

$ × .0025 =

$ × .02 =

Who must file. You must file Form 730

and pay the tax on wagers under section

4401(a) if you:

Instructions

Section references are to the Internal

Revenue Code unless otherwise noted.

● Are in the business of accepting wagers,

● Conduct a wagering pool or lottery, or

● Are required to be registered and you

received wagers for or on behalf of another

person but did not report that person’s

name and address.

What is taxed. The tax applies only to

wagers accepted in the United States or

placed by a person who is in the United

States with a person who is a U.S. citizen

or resident.

Use Form 11-C, Occupational Tax and

Registration Return for Wagering, to

register.

● On a sports event or contest with a

person engaged in the business of

accepting wagers on a sports event or

contest.

● In a wagering pool on a sports event or

contest if the pool is conducted for profit.

Taxable wagers include those placed:

● In a lottery conducted for profit,

including the numbers game, policy, punch

boards, and similar types of wagering.

What is not taxed. The tax is not imposed

on the following five items:

● Parimutuel wagering, including horse

racing, dog racing, and jai alai, when it is

licensed under state law.

● Coin-operated devices, such as pinball

machines.

● Sweepstakes, wagering pools, or

lotteries that are conducted by an agency

of a state, if the wager is placed with the

state agency or its authorized agents or

employees.

● Drawings conducted by an organization

exempt from tax under sections 501 and

521, as long as the net proceeds of the

drawing do not benefit a private

shareholder or individual.

When to file. If you are liable for tax, file

Form 730 for each month by the last day

of the month following the month for which

you are reporting taxable wagers. The IRS

will not send you a notice that a return is

due. Once you file a return reporting tax,

file a return each month whether or not

you have taxable wagers to report. If you

have no tax to report, write “None” in the

entry space for line 6; sign and date Form

730. If you stop accepting wagers, check

the final return box above line 1.

● Games of the type in which all persons

placing wagers in the game are present

when wagers are placed, winners are

determined, and prizes or other property

are distributed.

Check applicable boxes: Final return Address change

What’s new? New Form 730-V, Payment

Voucher, must be included with your return

and payment if you have a balance due on

line 6 of Form 730. If you usually receive

Form 730 from the IRS, there should be

three preaddressed Forms 730 and a

voucher page with three preaddressed

vouchers. If you order Form 730 from the

IRS or download it from the IRS website,

one voucher is included with Form 730.

The scanning boxes have been eliminated

to accommodate these changes.
Form 730 (10-2003) Page 2

Lines 4a and 4b. Enter the applicable

amount included in line 3. Multiply the

amount by the rate shown and enter the

result. The rate of tax depends on whether

the wager is authorized by the laws of the

state in which the wager was accepted.

The lower rate applies to wagers that are

authorized by state law.

Penalties. Avoid penalties and interest by

filing returns and paying taxes when due.

The law provides penalties for filing a

return late; paying taxes late; failing to file

a return; negligence; and fraud. These

penalties are in addition to the interest

charge on late payments. The penalty for

filing a return late will not be imposed if

you can show that the failure to file a

timely return is due to reasonable cause.

Line 5. You may be able to claim a credit

for the amount of any overpayment of tax

or for the amount of tax imposed with

respect to a wager that you laid off.

Disclosure of information on wagering

taxes. Except for administering or

enforcing Internal Revenue taxes, neither

the Treasury Department nor any of its

employees may disclose documents,

records, or information obtained through

them that a taxpayer supplies in

connection with wagering taxes. Also,

certain documents related to wagering

taxes and information obtained through

them that relates to wagering taxes may

not be used against the taxpayer in any

nontax criminal proceeding. See section

4424 for more details.

Line 2. Enter the gross amount of any

laid-off wagers accepted during the month.

Gross laid-off wagers are the total of those

laid-off wagers that are authorized and

those that are not authorized by the state

in which they are accepted.

Privacy Act and Paperwork Reduction

Act Notice. We ask for the information on

Form 730 to carry out the Internal Revenue

laws of the United States. You are required

to give us the information. We need it to

ensure that you are complying with these

laws and to allow us to figure and collect

the right amount of tax. Section 4401 of

the Internal Revenue Code imposes a tax

on wagering. Form 730 is used to

determine the amount of the tax. Section

6109 requires you to provide your

employer identification number (EIN).

Routine uses of this information include

giving it to the Department of Justice for

civil and criminal litigation, and to cities,

states, and the District of Columbia for use

in administering their tax laws. If you fail to

provide this information in a timely manner

or provide false information, you may be

liable for penalties and interest.

The time needed to complete and file

Form 730 will vary depending on individual

circumstances. The estimated average

times are: Recordkeeping, 6 hr., 4 min.;

Learning about the law or the form, 47

min.; Preparing, copying, assembling,

and sending the form to the IRS, 56 min.

If you have comments concerning the

accuracy of these time estimates or

suggestions for making this form simpler,

we would be happy to hear from you. You

can write to the Tax Products Coordinating

Committee, Western Area Distribution

Center, Rancho Cordova, CA 95743-0001.

Do not send Form 730 to this address.

Instead, see Where to file above.

You are not required to provide the

information requested on a form that is

subject to the Paperwork Reduction Act

unless the form displays a valid OMB

control number. Books or records relating

to a form or its instructions must be

retained as long as their contents may

become material in the administration of

any Internal Revenue law. Generally, tax

returns and return information are

confidential, as required by section 6103.

Completing Form 730. If you are not

using the preaddressed Form 730, enter

your name, address, employer

identification number (EIN), and the month

(MM) and year (YYYY) for which this form

is filed.

Line 1. Enter the gross amount of wagers

accepted during the month. Gross wagers

are the total of those wagers that are

authorized and those wagers that are not

authorized by the state in which they are

accepted. Include all charges connected

Where to file. Mail your return to the

Internal Revenue Service, Cincinnati, OH

45999-0100.

Always keep your records available for

IRS inspection.

Credit for an overpayment of tax.

Generally, you may claim a credit for any

overpayment of tax. The claim must be

filed within 3 years from the time the Form

730 reporting the tax was filed or 2 years

from the time the tax was paid, whichever

is later. No credit is allowed unless a

statement of the facts involving the

overpayment is attached that includes the

following information:

● An explanation of the reason for claiming

a credit.

● The date of payment and the amount of

the tax.

● Whether any previous claim covering the

amount involved, or any part, has been

filed.

● A statement that you:

1. Have not collected (whether as a

separate charge or otherwise) the amount

of the tax from the person that placed the

wager on which the tax was imposed, or

2. Have repaid the amount of the tax to

the person that placed the wager, or

3. Have the written consent of the

person that placed the wager to the

allowance of the credit. The consent must

be attached to the return.

● If the overpayment relates to a laid-off

wager accepted by you, one of the above

three statements must be attached for

both the person who placed the laid-off

wager with you and the person who placed

the original wager.

Credit for wagers laid off by you. If you

accept a wager and lay off all or a part of

that wager with a person who is liable for

tax then follow the rules below to claim a

credit depending if you paid the tax.

● If you have paid the tax, a credit may be

allowed for the tax paid on the laid-off

amount. The claim must be filed within 3

years from the time the return reporting the

tax was filed or 2 years from the time the

tax was paid, whichever is later. Interest

will not be allowed on a credit for the tax

imposed on a wager that you laid off.

No credit is allowed unless the following

information is attached to the return for

each laid-off wager:

1. The certificate described in Regulations

section 44.6419-2(d).

2. A statement that includes:

a. The reason for the credit,

b. The month in which the tax was paid,

Recordkeeping. Keep copies of your tax

returns, records, and accounts of all

transactions to show that the correct tax

has been paid. Keep records to support all

adjustments claimed and all exemptions at

least 4 years from the latest of the

following dates: when the tax became due,

when you paid the tax, when you claimed

an adjustment, or when you filed a claim

for refund.

c. The date of payment, and

d. Whether any previous claim covering

all or part of the amount involved has been

filed.

● If you have not paid the tax, a credit

may be claimed on Form 730 in the

amount of the tax due for the laid off

wager, provided there is attached to Form

730 for the month during which the wager

was accepted and laid off the certificate

described in Regulations section

44.6419-2(d).

Unresolved tax problems. The Taxpayer

Advocate’s office may assign a personal

advocate to taxpayers who have been

unable to resolve their problems with the

IRS. You can write to the Taxpayer

Advocate at the IRS office that last

contacted you or call a toll-free assistance

number, 1-877-777-4778. Persons who

have access to TTY/TDD equipment may

call 1-800-829-4059 to ask for help from

the Taxpayer Advocate. This office cannot

change the law or technical decisions, but

it can help clear up problems that resulted

from previous contacts.

Rounding. You may round amounts to

whole dollars. If you do round, leave the

boxes for the cents amounts blank. You

can drop amounts that are less than 50

cents, and increase amounts that are 50

cents or more to the next whole dollar. If

you do round, do so for all amounts. But if

you have to add two or more amounts to

figure the amount to enter on a line,

include cents when adding and only round

off the total.

Line 6. New Form 730-V, Payment

Voucher, must be filed with Form 730 if

you have a balance due on line 6.

with placing the wager. If you can prove

that the person placing the wager has paid

a separate charge equal to the tax, do not

include that amount in the amount of the

wager. Do not include laid-off wagers in

this amount.
Form 730

Payment Voucher

Purpose of Form

Complete Form 730-V if you are making a payment

with Form 730, Monthly Tax Return for Wagers. We

will use the completed voucher to credit your payment

more promptly and accurately, and to improve our

service to you.

Specific Instructions

Box 1—Employer identification number (EIN). If you

do not have an EIN, apply for one on Form SS-4,

Application for Employer Identification Number, and

write “Applied For” and the date you applied in this

entry space.

● Enclose your check or money order made payable to

the “United States Treasury.” Be sure to enter your EIN

“Form 730,” and the tax period on your check or

money order. Do not send cash. Do not staple this

voucher or your payment to Form 730 (or to each

other).

● Detach the completed voucher and send it with your

payment and Form 730. See Where to file on page 2

of Form 730.

If you have your return prepared by a third party and

a payment is required, provide this payment voucher to

the return preparer.

Box 3. Enter the same date you entered on page 1 of

Form 730.

Box 4—Name and address. Enter your name and

address as shown on Form 730.

Box 2—Amount paid. Enter the amount paid with

Form 730.

3 Enter year and month as shown on Form 730.

Y

Enter the amount of your payment. 

2

 Detach Here and Mail With Your Payment and Form 730. 

OMB No. 1545-0235

Form 730-V

Department of the Treasury

Internal Revenue Service

Payment Voucher

Enter your employer identification

number.

4 Enter your business name (individual name if sole proprietor).

 Do not staple or attach this voucher to your payment.

Enter your address.

Enter your city, state, and ZIP code.

Form 730-V (2003)

1 Dollars Cents

Y Y YMM

Send Form 730, this voucher, and payment to:

Internal Revenue Service

Cincinnati, OH 45999-0100

(October 2003)