Department of the Treasury

Internal Revenue Service

OMB No. 1545-0235

Form 730

(Section 4401 of the Internal Revenue Code)

Tax on Wagering

(Rev. November 1996)

For IRS Use Only

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.

1 Gross wagers accepted during month (not including layoffs)

2 Gross amount of layoff wagers accepted during month

3 Add lines 1 and 2

4a

Signature

Tax on wagers authorized under the law of the state in which accepted

(multiply the amount of these wagers included on line 3 by .0025)

Title (Owner, etc.) Date

b Tax on wagers, other than wagers described on line 4a (multiply the

amount of these wagers included on line 3 by .02)

File this return and your payment with the IRS as shown under Where To File on page 2. Make your check or money order payable

to the “Internal Revenue Service”. Write your name, address, EIN, and “Form 730” on it.

5 Layoff credits (No credit is allowed unless supported by evidence.)

6 Net tax due. (Subtract line 5 from line 4c.) If no tax is due, write “NONE”

Cat. No. 20585U

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 If address is different

from prior return,

check here ©

Sign

Here

For Paperwork Reduction Act Notice, see page 2.

1

2

3

4a

5

6

4b

©

© ©

Form 730 (Rev. 11-96)

c Add lines 4a and 4b 4c

Keep a copy

of this return

for your records.
Form 730 (11-96) Page 2

Records.—Keep a complete and detailed

record of all taxes paid and credits taken

for at least 3 years from the date the tax is

due. Also, keep copies of the returns.

These records must be available to the IRS

at all times.

Line 4a or 4b.—Multiply the applicable

amount on line 3 by .25% (.0025) or 2%

(.02). The rate of tax depends on your

state and the type of wager accepted in

the state. The lower rate is applicable to

wagers that are authorized by state law.

Where To File.—File your return with the

Internal Revenue Service Center,

Cincinnati, OH 45999-0100. You may also

hand carry your return to the district

director’s office or to any permanent post

of duty within your Internal Revenue

district. Regulations section 301.6091-1(c)

defines hand-carried returns that may be

filed with your district director or at a

permanent post of duty.

Penalties and Interest.—If you file or pay

late, you may be charged penalties and

interest on the amount you owe. The law

provides a penalty of 5% to 25% of the

unpaid tax for late filing of the return. You

can also be charged 1⁄2 of 1% of the

unpaid amount for each month or part of a

month for taxes not paid. The maximum

penalty is 25% of the unpaid amount.

Line 5.—Enter any credit you claim for a

tax you paid or owe on any wager that is

laid off with someone else liable for the

tax. To claim the credit, attach a full

explanation of the reason for claiming the

credit, certificates to support the layoff

wagers, and a statement about whether a

previous claim for refund for any part of

this amount has been filed. The statement

must show the following: (a) each amount

making up the total credit; (b) the monthly

return on which you reported the tax; (c)

the date of the payment; and (d) the

amount chargeable to each month if the

tax was paid for more than 1 month.

Completing the Form.— Enter the month

for which this form is being filed, your

employer identification number, name, and

address, and sign and date the return.

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

criminal proceeding. See section 4424 for

more details.

Line 1.—Enter the gross amount of wagers

accepted during the month. (See line 2 for

layoff wagers.) Include all charges

connected 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.

Line 2.—Enter the gross amount of any

layoff wagers you accepted from someone

else during the month. Keep a copy of the

certificate you give the person making the

layoff wager. See Regulations section

44.6419-2 for a sample and suggested

format for the certificate.

Instead of taking the credit, you may file

a claim for refund on Form 8849, Claim for

Refund of Excise Taxes. If you do, attach

the same information as required for a

credit, as explained above. You are not

allowed interest on any credit.

● Games 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.

Who Must File.—You must file Form 730

and pay the tax on wagers under section

4401(a) if you:

General Instructions

Section references are to the Internal

Revenue Code unless otherwise noted.

● Are in the business of accepting wagers,

or

● Conduct a wagering pool or lottery.

Paperwork Reduction

Act Notice

● 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.

You also must be registered under

section 4412. Get Form 11-C,

Occupational Tax and Registration Return

for Wagering. If you are registered under

section 4412 and receive wagers for or on

behalf of another person but do not

register that person’s name and address,

you then become liable for the tax and

must file Form 730.

What is Not Taxed.—The tax is not

imposed on the following:

The time needed to complete and file

this form will vary depending on individual

circumstances. The estimated average time

is: Recordkeeping, 3 hr., 35 min.;

Learning about the law or the form,

1 hr., 10 min.; Preparing the form, 2 hr.,

12 min.; Copying, assembling, and

sending the form to the IRS, 16 min.

● Parimutuel wagering, including horse

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

licensed under state law.

What is Taxed.—This return covers most

wagers and lotteries, including the

following:

● Coin-operated devices, such as pinball

machines.

● Wagers on a sports event or contest

placed with a person engaged in the

business of accepting wagers.

● Sweepstakes, wagering pools, or

lotteries conducted by an agency of a

state, if the wager is placed with the state

agency or its authorized agents or

employees.

● Wagers placed in a wagering pool on a

sports event or contest, if the pool is

conducted for profit.

● Wagers placed in a lottery conducted for

profit, including punchboards.

When To File.—You must file Form 730

each month by the last day of the month

following the month for which you are

reporting taxable wagers. (However, if

necessary, the IRS may be granted

authority to require a return to be filed and

tax to be paid immediately.) The IRS will

not send you a notice that a return is due.

File a return whether or not you have

taxable wagers to report. If you have none

to report, write “None” on the return. If you

do not expect to file Form 730 in the

future, write “FINAL RETURN” on the

return.

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 Forms Committee,

Western Area Distribution Center, Rancho

Cordova, CA 95743-0001. DO NOT send

this form to this address. Instead, see

Where To File below.

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.

The return covers lotteries including the

numbers game, policy, punchboards, and

similar types of wagering. It does not

include the following:

We ask for the information on this form 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.

You are not required to provide the

information requested on a form 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

Code section 6103.

A Change To Note

Beginning January 1, 1997, all Forms 730

(except hand-carried) will be filed with the

Internal Revenue Service Center,

Cincinnati, OH. See Where To File below.