Forms and instructions are offered in Adobe Acrobat PDF format. You will need the free Adobe Acrobat Reader installed on your computer to view and print these files.

Instructions
Lawful Gambling Distributor Instructions Revised 1/12
Lawful Gambling Manufacturer Instructions Revised 1/12Lawful Gambling Tax Instructions Revised 11/11

Forms

Form	Description
A	Lawful Gambling Receipts and Expenses by Site Revised 1/12
B2	Lawful Gambling Report of Barcoded Games Revised 1/12
Barcode Label Sheet	Barcode Label Sheet Revised 1/12
​C	​Lawful Purpose Expenditures Revised 1/12
​CC	​Annual Certified Cash Count by Site Revised 1/12
​CI	​Annual Certified Physical Inventory and Cash Count Summary Revised 1/12
ER	Lawful Gambling Tax Credit for Exempt Raffles Revised 1/12
F	Lawful Gambling Fund Reconciliation Revised 1/12
G1	Lawful Gambling Monthly Tax Return Revised 1/12
G74	Distributor Monthly Pull-Tab and Tipboard Tax Return Revised 1/12
G7430	Lawful Gambling Refund of Tax Paid on Unsold Pull-Tab and Tipboard Tickets Revised 1/12
​INV	​Annual Certified Physical Inventory by Site Revised 1/12
​NRL	​Net Receipts Loss Revised 1/12
​PV61	​Lawful Gambling Return Payment Voucher Revised 12/11 (Onscreen fill-in version)
​PV73	​Lawful Gambling Amended Return Payment Voucher Revised 12/11 (Onscreen fill-in version)
​PV74	​Distributor Tax Return Payment Voucher Revised 12/11 (Onscreen fill-in version)
​PV75	​Distributor Tax Amended Return Payment Voucher Revised 12/11 (Onscreen fill-in version)
​PV76	​Distributor Tax Extension Payment Voucher Revised 12/11 (Onscreen fill-in version)
​PV87	​Lawful Gambling Extension Payment Voucher Revised 12/11 (Onscreen fill-in version)

Worksheets

Worksheet	Description
Worksheet E	Lawful Gambling Combined Receipts Tax Revised 1/12