Instructions (Continued)

Completing the Form.—In the appropriate
spaces enter the month this form pertains to and
your employer identification number. Also, be sure
to enter your name, 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 4(a) or 4(b).—Enter the tax applicable in
your state for the type of wager accepted. A lower

rate is applicable to wagers that are authorized by
state law.

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 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 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 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, attach the
same information as required above for a credit.

Records.—Keep a complete and detailed record
of all taxes paid for at least 3 years from the date the
taxis due. Also keep 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 ¥ of 1% of the unpaid amount each month or
fraction of a month for taxes not paid when due, with
a total maximum of 25% of the unpaid amount.

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 which a taxpayer supplies in connection with
wagering taxes. Except in administering or enforcing
Internal Revenue taxes, certain documents related to
wagering taxes and information obtained through
them which relates to wagering taxes may not be
used against the taxpayer in any criminal proceeding.
See section 4424 for more information.


rom 730

Department of the Treasury—Internal Revenue Service

OMB No. 1545-0235

i‘ Expires 9-30-86
(Rev. June 1984) Tax on Wagering (Section 4401 of the Internal Revenue Code) For IRS Use Only
Your name and address (Please type or print) Employer identification T
number FF
FP
For month of '
weseeceeeeeee 19... us

For Paperwork Reduction

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

Act Notice, see back of
form.
Under penalties of perjury | declare that | have examined this return |1 Gross wagers accepted during month (not including lay-offs). . . . |%
and any accompanying certificates and statements, and, to the best of my “
knowledge and belief, they are true, correct, and complete. 2 Gross amount of lay-off wagers accepted during month . .

Signature _

Date Title (Owner, etc.)

3 Addlinesdand2 .

amounts in line 3) .

ORIGINAL.—File this return and your payment with your Internal Revenue]

4(a) Tax on wagers authorized under the law of the state in which accepted (0025 of such

(b) Tax on wagers, other than wagers described on line 4(a) (.02 of such amounts in line 3)

Service Center. (See Where to File on back.) Include your employer|> _ Lay-off credits (No credit allowed unless supported by evidence.)

identification or social security number on your check or money order. 6 __Net tax due (Subtract line 5 from line 4.)



instructions
(Section references are to the Internal Revenue
Code.)

Paperwork Reduction Act Notice.—We ask for this
information to carry out the Internal Revenue laws of
the United States. We need it to ensure that
taxpayers 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 tax on wagers under section 4401(a) if you:

© Arein the business of accepting wagers, or
© Conduct a wagering pool or lottery.

You must also be registered under section 4412.
See Form 11-C, Special Tax Return 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 following:

© 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 ina lottery conducted for
profit, including punchboards.

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:

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

© 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.

What Is Not Taxed.—The tax is not imposed on
the following:

© 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
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.—For mailing addresses see Form
11-C. 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.

(Continued on back of duplicate copy)


rom 730 Department of the Treasury—Internal Revenue Service

OMB No. 1545-0235

'. . Expires 9-30-86
(Rev, June 1984) Tax on Wagering (Section 4401 of the Internal Revenue Code) For ins Gos Only
Your name and address (Please type or print) Employer identification | T
number FF
[FP
For month of peo
19 T

For Paperwork Reduction
Act Notice, see back of
form.

YOUR GOPY

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

Important.—File this return with your Internal Revenue Service
Center and NOT with the Commissioner of Internal Revenue at
Washington, DC. 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.”

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.

DUPLICATE RETURN.—Keep this copy for your records.

1 Gross wagers accepted during month (not includinglay-offs). . . . |S

2 Gross amount of lay-off wagers accepted during month

3 Addlines1and2 . $
4(a) Tax on wagers authorized under the law of the state in which accepted (0025 of such
amounts in line 3) .
(b) Tax on wagers, other than wagers described on line ne (a) (02 of such amounts in ne 3
5 Lay-off credits (No credit allowed unless supported by evidence.) .. [2
6 _ Net tax due (Subtract line 5 from line 4.) $