Fillable Form 730 - Monthly Tax Return For Wagers printable pdf download

730

Monthly Tax Return for Wagers

Form

OMB No. 1545-0235

(Rev. January 2008)

Department of the Treasury

(Section 4401 of the Internal Revenue Code)

For IRS Use Only

Internal Revenue Service

Enter your

name,

address,

Name

Month and year

employer

identification

number,

Number, street, and room or suite no.

Employer identification number

and

month and

year of

return.

City, state, and ZIP code

Check applicable boxes:

Final return

Address change

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

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

Add lines 1 and 2

4a Tax on wagers authorized under the law of the state in which

accepted. Enter the amount of these wagers included in line

× .0025

3; multiply by the amount shown and enter the result

b Tax on wagers other than wagers described on line 4a. Enter

the amount of these wagers included in line 3; multiply by the

amount shown and enter the result

.02

c Tax on wagers. Add lines 4a and 4b

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

Balance due. Subtract line 5 from line 4c. See the instructions for line 6.

File this return, your payment, and voucher with the IRS as shown under Where to file on page 3. Make your check or money order

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

Sign

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.

Here

Keep a copy

of this return

Signature

Date

for your records.

Type or print your name below signature.

Paid

Date

Check

Preparer’s SSN or PTIN

Preparer’s

if self-

Preparer’s

signature

employed

Use Only

Firm’s name (or

EIN

yours if self-employed),

(Optional)

Phone no. (

)

address, and ZIP code

730

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

Cat. No. 20585U

Form

(Rev. 1-2008)

730-V

Form

(2008)

Detach Here and Mail With Your Payment and Form 730.

730-V

Payment Voucher

OMB No. 1545-0235

(Rev. January 2008)

Department of the Treasury

Do not staple or attach this voucher to your payment.

(77)

Internal Revenue Service

Enter your employer identification

Dollars

Cents

number.

Enter the amount of your payment.

3 Enter year and month as shown on Form 730.

Enter your business name (individual name if sole proprietor).

Enter your address.

Send Form 730, this voucher, and payment to:

Department of the Treasury

Enter your city, state, and ZIP code.

Internal Revenue Service

Cincinnati, OH 45999-0100

Form 730 - Monthly Tax Return For Wagers

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