Cg-Inv State Form 48682 - Charity Gaming Ending Inventory Statement - 2005

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Schedule
Indiana Department of Revenue
CG-INV
Charity Gaming Ending Inventory Statement
State Form 48682
(R3/07-05)
Use this schedule to enter the ending inventory of your pull tabs, punchboards
and tip boards as of the last day of your accounting period.
Organization Name (Please Type or Print)
Indiana Taxpayer Identification Number (TID)
Street Address
City
State
Zip Code
County
Enter your accounting period:
From _________________ To _________________
Name of
Number of
Serial Number
Name of Game
Of Game
Manufacturer/Distributor
Boxes Remaining
(TURN THE PAGE)
CG-INV (1)

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