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.

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

(see instructions)

1

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

3 Add lines 1 and 2

4a

Signature

Tax on wagers authorized

under the law of the state in

which accepted. Enter the

amount of these wagers

from line 3; multiply by the

amount shown and enter the

result

(Please type or print your name below signature.)

Date

Tax on wagers other than

wagers described on line 4a.

Enter the amount of these

wagers from line 3; multiply

by the amount shown and

enter the result

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

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

6 Balance due. Subtract line 5 from line 4c

Cat. No. 20585U

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FP

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Sign

Here  

Form 730 (Rev. 10-99)

Tax on wagers. Add lines 4a and 4b

Keep a copy

of this return

for your records.

Monthly Tax on Wagering OMB No. 1545-0235

(Rev. October 1999)

Department of the Treasury—Internal Revenue Service

Name

Address (number, street, room or suite no.)

Form

730

City, state, and ZIP code (Foreign addresses, include province and postal code as appropriate.)

Month (MM)

and year (YYYY)

Foreign country, if applicable. Do not abbreviate.

Employer identification number (EIN)

Please print in ALL CAPITAL LETTERS. Leave a blank box between words.

Daytime telephone number (optional)

(Section 4401 of the Internal Revenue Code)

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

b

c

X .0025 =

X .02 =

Check here if: Address change Final return

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.

● Are in the business of accepting wagers,

● Conduct a wagering pool or lottery, or

● Are required to be registered and you receive

wagers for or on behalf of another person but do

not register 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.

-

- -

dollars cents

dollars cents

Use Form 11-C, Occupational Tax and

Registration Return for Wagering, to register.

.

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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

● 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:

Taxpayer Advocate. This office cannot change

the law or technical decisions, but it can help

clear up problems that resulted from previous

contacts.
Form 730 (10-99) Page 2

Lines 4a and 4b. Enter the applicable amount

from line 3 in the boxes to the left. Multiply the

amount by the rate shown and enter the tax in

the boxes to the right. 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; willfully failing to collect and pay tax,

or 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 you accepted from someone else 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. See Regulations

section 44.6419-2 for a model certificate.

Privacy Act and Paperwork Reduction Act

Notice. 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.

Section 4401 of the Internal Revenue Code

imposes a tax on wagering. The form is used to

determine the amount of the tax. Section 6109

requires you to provide your taxpayer

identification number (SSN or EIN). Failure to

provide this information in a timely manner, or

providing false information, may subject you to

penalties. 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 the

administration of their taxes.

The time needed to complete and file this form

will vary depending on individual circumstances.

The estimated average time is: Recordkeeping,

5 hr., 30 min.; Learning about the law or the

form, 53 min.; Preparing, copying, assembling,

and sending the form to the IRS, 1 hr., 1 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

Forms Committee, Western Area Distribution

Center, Rancho Cordova, CA 95743-0001. DO

NOT send this form to this address. Instead, see

Where to file on this page.

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 section 6103.

● 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. File Form 730 for each month by

the last day of the following month. 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 “0”

(zero) in the last box of the dollar amount

column. If you stop accepting wagers, check the

final return box above line 1.

● Use a black ink pen. The machines used to

read this form may not be able to read other

colored ink or pencil.

● Print in ALL CAPITAL LETTERS. Begin printing

in the first box on the left. Leave a blank box

between each name and word. If there are not

enough boxes, print as many letters as there are

boxes. Use hyphens for compound names; use

one box for each hyphen.

Completing lines 1 through 6. Enter dollar

amounts as follows:

Completing Form 730. Enter in the boxes

provided 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 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.

● 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.

Where to file. Mail your return to the Internal

Revenue Service, Cincinnati, OH 45999-0100.

You may also hand carry your return to the

district director’s office for the district in which

you live or where your principal place of

business is located, or to any permanent post of

duty within your Internal Revenue district.

● You may enter the amount in 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.

● You do not have to use all the boxes for a

column entry; do not use zeros or dashes to fill

empty boxes. Do not use commas or dollar

signs.

Always keep your records available for IRS

inspection.

Credit for an overpayment of tax. 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

including the following information is attached.

● The facts involving the overpayment.

● 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 who placed the wager on which the

tax was imposed, or

2. Have repaid the amount of the tax to the

person who placed the wager, or

3. Have the written consent of the person who

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:

● If you have not paid the tax, a credit may be

claimed on the Form 730 for the month during

which the wager was accepted in the amount of

the tax due for the laid-off wager.

● 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 lay off.

No credit is allowed unless the following

information is attached to the return for each

laid-off wager.

● The certificate described in Regulations

section 44.6419-2(d).

● A statement that includes:

1. The reason for the credit,

2. 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.

3. The date of payment, and

4. Whether any previous claim covering all or

part of the amount involved has been filed.

● 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.