Form Cg-8 - Indiana Annual Bingo And/or Pull Tab License Financial Report

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Indiana Annual Bingo and/or Pull Tab
CG-8
SF-45387
License Financial Report
(R2/7-05)
Do Not Write Above
This report must be filed by the 10th day of the month in which your license expires.
Organization Name (Please type or print)
Street Address of Principal Office (Do not enter a P.O. Box Number)
City
State
Zip Code
County
Organization Telephone Number
Taxpayer Identification Number (TID)
(
)
Average attendance
Number of bingo events held during
the 12-month accounting period: ____________________
of each bingo event: ____________________
Contact Name
Contact’s Telephone Number
License Number
Report Information
This report should show all financial and accounting activity related to your Annual Gaming License. The accounting period is a 12-
month period; the year-end will always occur one month prior to the end of the gaming period. For example, if your license expires
5/31/98, then your accounting period will be from 5/1/97 to 4/30/98. This financial statement will reflect your organization's
accounting period and not the licensing period.
Enter your accounting period: From _________________ To _________________
NOTE: You must include a copy of your bingo event program (e.g. flyer listing the games at your bingo event) with this financial
report. This should include the number of regular and special games and the cost of the game/event.
Have you attached a copy of your bingo event program? Yes
No
If you answered no, attach an explanation.
Ending Inventory Statement
Section A
Enter below the ending inventory of your pull tabs, punchboards and tip boards as of the last day of your accounting period. Attach
Schedule CG-INV if additional space is needed. NOTE: Your license cannot be issued unless this information is provided.
Number of
Serial Number
Name of
Name of Game
Boxes Remaining
of Game
Manufacturer/Distributor
(Turn the page)
CG-8 (1)

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