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73A100 (1-11)

RACE TRACK PARI-MUTUEL

FOR DEPARTMENT USE ONLY

Commonwealth of Kentucky

2 8

AND ADMISSIONS REPORT

___ ___ ___ ___ ___ ___ / ___ ___ / ___ ___ /___ ___/ ___

DEPARTMENT OF REVENUE

Account Number

Tax

Mo.

Yr.

Tr.

Racing

Days ___ , ___, ___ , ___ , ___ , ___ , ___

Race

Dates ___/___ , ___/___ , ___/___ , ___/___ , ___/___ , ___/___ , ___/___

Track Conducting Live Racing_______________________________________

(B)

(A)

INSTRUCTIONS: See reverse side of this report for information.

Wagers at Receiving Tracks

Wagers at Tracks

or Telephone Account Wagers

Conducting Live Racing

PART I—PARI-MUTUEL TAX REPORT

or Whole Card Simulcast

1. Amount wagered at this track .....................................................................

2. Applicable tax rate. Enter only one of the following rates:

•

.015 if track’s daily average live handle is less than $1,200,000 or

•

.0175 if track’s daily average live handle is less than $1,200,000 and

.03 if total anticipated annual live racing

is conducting harness racing.

handle is more than $250,000

•

.035 if track’s daily average live handle is $1,200,000 or more or

•

.0375 if track’s daily average live handle is $1,200,000 or more and

is conducting harness racing ...................................................................

3. Calculated tax (multiply line 1 by applicable rate on line 2 and enter result)

4. Amount retained by harness race track to promote and maintain its live meet $

5. Net tax due (subtract line 4 from line 3 and enter result if harness

race track) .....................................................................................................

PART II—ALLOCATION OF PARI-MUTUEL TAX

6. Equine Drug Research (enter .001 times line 1, Columns A and B) ............

7. Equine Industry Program (enter .002 times line 1, Column A, if host

track; enter .0005 times line 1, Column B, if receiving track) .....................

8. Higher Education Equine Trust and Revolving Fund

(enter .001 times line 1, Columns A and B) .................................................

9. Thoroughbred Development Fund Rate .......................................................

.0075

.02

10. Standardbred Development Fund Rate

.......................................................

.0125

.02

11. Quarter Horse, Appaloosa and Arabian Development Fund Rate

..............

.0125

.02

12. Thoroughbred Development Fund Deposit (line 1 times Line 9) ................

13. Standardbred Development Fund Deposit (line 1 times line 10) .................

14. Quarter Horse, Appaloosa and Arabian Development

Fund Deposit (line 1 times line 11) ..............................................................

15. (a) General Fund (Column A), line 5, minus lines 6, 7, 8, 12, 13 and 14 ...

(b) General Fund (Column B), line 5, minus lines 6, 7, 8, 12, 13 and 14) ..

16. Total amount due (add lines 6, 7, 8, 12, 13 and 14 and enter here)

(must equal line 5 in Column A and Column B) .....................................

➤ Make check payable to Kentucky State Treasurer. ➤ Mail original report and remittance to Department of Revenue, Frankfort, Kentucky 40619.

PART III—SIMULCAST FACILITY ALLOCATION (To be completed only by Simulcast Facility.)

17. Commissions at Simulcast Facility ..............................................................................................................................

18. Allocation to the Kentucky Horse Racing Commission to be used for purses at county fairs

and the Standardbred Sires Stakes program (enter .04 times line 17) ..........................................................................

19. Allocation to the Kentucky Thoroughbred Owners and Breeders, Inc. (enter .06 times line 17) ................................

20. Total amount due (add lines 18 and 19 and enter here) .............................................................................................

➤ Make check payable to Kentucky Horse Racing Commission. ➤ Mail copy of report and remittance to Kentucky Horse Racing Commission, 4063

Iron Works Parkway, Lexington, Kentucky 40511. ➤ Mail original report to the Kentucky Department of Revenue, Frankfort, Kentucky 40619.

I, the undersigned, certify that the above reports, including any accompanying schedules, are, to the best of my knowledge and belief, true and correct.

This _____________________ day of ________________________ , 20_______ .

__________________________________________________

Track Representative

Title