Instructions (Continued)

United States resident, file with the service
center for the State where you are a resi-
dent. If you do not have an office, principal
place of business, or residence in the United
States, file with the Internal Revenue Serv-
ice Center, Philadelphia, PA 19255. You may
also hand-carry your return to the District
Director's office or to any permanent post
of duty within your Internal Revenue dis-
trict.

Completing the Form.—in the appro-
priate spaces enter the month this form per-
tains to and your employer identification
number. Also, be sure to enter your name
and address, and sign and date the return.

Line 1.—Enter the gross amount of
wagers accepted during the month. (See
line 2 for lay-off 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
lay-off wagers you accepted from someone
else during the month. Keep a copy of the

certificate you give the person making the
lay-off wager. See regulations section 44.-
6419-2 for a sample and suggested format
for certificate information.

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 you must attach a full
explanation of the reason for claiming the
credit, attach certificates to support the laid
off 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 cre (b) the monthly return
on which you reported the tax; (c) the date
of the payment; and (d) the amount charge-
able to each month if the tax was paid for
more than one month.

Keep a complete record of all credits for
at least 3 years from the date the credit was
taken. You are not allowed interest on any
credit.

Instead of taking the credit you may file
a claim for refund on Form 843, Claim. If
you do, you will have to supply the same
information to support the credit.

Records.—Keep a complete and detailed

U.S. G.P.0, 1981-343-522 E. 1.

430787287

record of all taxes paid for at least 3 years
from the date the tax is due. Also keep dupli-
cate copies of the returns. These records
must be available to IRS at all times.

Penalties and Interest.—Avoid penalties
and interest by correctly filing returns and
paying the tax when due. The law provides a
penalty of from 5% to 25% of the unpaid
tax for late filing of the return, and 14 of 1%
of the unpaid amount each month or frac-
tion of a month for taxes not paid when due,
with a total maximum of 25% of the un-
paid amount.

Disclosure of Information on Wagering
Taxes.—Except for administering or enforc-
ing Internal Revenue taxes, neither the
Treasury Department nor any of its em-
ployees may disclose documents, records,
or information obtained through them which
a taxpayer supplies in connection with wag-
ering taxes. Except in administering or en-
forcing Internal Revenue taxes, certain docu-
ments related to wagering taxes and infor-
mation obtained through them which
relates to wagering taxes may not be used
against the taxpayer in any criminal pro-
ceeding. See section 4424 for more in-
formation.


rom 730

(Rev. Nov. 1981)

Department of the Treasury
Internal Revenue Service

Tax on Wagering

(Section 4401 of the Internal Revenue Code)

(OMB No. 1545-0235
Expires 9-30-84

1 Gross amount of wagers accepted during month
(not including lay-offs accepted). . . . |_$

2 Gross amount of lay-off wagers accepted during
month (See instructions) .

4
“

For month of

.19..

Employer identification number

m
a

3 Add lines 1 and 2. oe
4 Tax (2% ofline3). 2. 2. . 2 wee
5 Lay-off credits. (No credit allowed unless sup-

Ported by evidence. See instructions) .
6 Net tax due (subtract line 5 from line 4) .

(cue)

Under the penalties of perjury | declare that | have examined this return (including
any accompanying certificates and statements) and to the best of my knowledge and
belief it is true, correct, and complete.

_ Date...

Signature __.

Title (Owner, etc.) _. nee
ORIGINAL.—Fite this return and your payment with your Internal Re
Service Center. (See Where to File on back.) Include your employer identifica-
tion or social security number on your check or money order.

For Paperwork Reduction Act Notice, see back of form.

For IRS Use Only|
_
3

4°
A

Your name and address in space below

If your business records are not available at the address shown above, enter address where
records are maintained.

(Number and street) City Gtatey GIP code)


Instructions

(Section references are to the Internal Revenue
Code unless otherwise specified.)

Paperwork Reduction Act Notice—The Paper-
work Reduction Act of 1980 says we must tell you
why we are collecting this information, how we
will use it, and whether you have to give it to us.
We ask for the information to carry out the Inter-
nal Revenue laws of the United States. 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 required to give us this
information.

Who Must File.—You must file Form 730
and pay the 2% tax on wagers under sec-
tion 4401(a) if you:

e@ Are in the business of accepting

wagers, or

@ Conduct a wagering pool or lottery.
You must also be registered under sec-
tion 4412. See Form 11-C, Special Tax Re-
turn and Application for Registry-Wagering.
If you are registered under section 4412 and
receive wagers for or on behalf of another
person but fail to register that person's
name and address, you then become liable
for the tax and must file Form 730.

What Is Taxed.—This return covers most
wagers and lotteries, including the follow-
in

@ Wagers on a sports event or contest
placed with a person engaged in the
business of accepting wagers.

@ 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.

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, and similar types of
wagering. It does not include the following:

Games in which all persons placing
wagers in the game are present when
wagers are placed, winners are deter-
mined, and prizes or other property is
distributed.

@ Drawings conducted by an organiza-
tion exempt from tax under sections
501 and 521, as long as the net pro-
ceeds of the drawing do not benefit a
private shareholder or individual.

What Is Not Taxed.—The tax is not im-
posed on the following:

@ Parimutuel wagering, including horse

racing, dog racing, and jai-alai, where
it is licensed under State law.
Coin-operated devices, such as pinball
machines.
Sweepstakes, wagering pools, or lot:
teries conducted by an agency of a
State, if the wager is placed with the
State agency or its authorized agents
or employees.

When to File.—You must file a return on
Form 730 each month by the last day of the
month following the month for which you
are reporting taxable wagers. (However, if
it becomes necessary, IRS may be granted
authority to require a return to be filed and
tax to be paid immediately.) 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.

Where to File.—File Form 730 with the In-
ternal Revenue Service Center for the State
where your office or principal place of busi-
ness is located. If you do not have an office
or principal place of business but you are a

(Continued on back of duplicate copy)



rorm 730 Deparment of the THeasuny Tax on Wagering OMB No. 1545-0235

Internal Revenue Service

(Rev. Nov. 1981) (Section 4401 of the Internal Revenue Code) Expires 9-30-84
1 Gross amount of wagers accepted during month For month of Employer identification number |= T $
(not including lay-offs accepted). . . . |_% ceceeeseee veers 19. 8 FF
2 Gross amount of lay-off wagers accepted during 2

month (See instructions) . 5
3 Addlinesland2. 2... 2. ee Your name and address in space below |“

4 Tax (2% of line 3) . .
5 Lay-off credits. (No credit allowed unless sup-
ported by evidence, See instructions). . . ico)

s Net tax due (subtract line 5 from line 4). . | $

rtant-—File this return with your Internal Revenue Service Center
and NOT with the Coramisioner ef internal Reverse wt Washington, D.

Make your check or money order payable to the Internal Revenue Service.
If you have nothing to report, write “None” on this form and return it to

your Internal Revenue Service Center. If this is a final return write “FINAL
RETURN.”

Section 301.6091-1(c) of the IRC regulations defines hand-carried re-
tums that may be filed with your District Director or at @ permanent post
o

DUPLICATE RETURN.—Keep this copy for your records.