Instruction For Nebraska Tax Application And Return For Mechanical Amusement Device Decals

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INSTRUCTIONS
WHO MUST FILE.
WHO MUST FILE.
WHO MUST FILE.
WHO MUST FILE.
WHO MUST FILE. All operators and distributors of
COMBINED LICENSES.
COMBINED LICENSES.
COMBINED LICENSES.
COMBINED LICENSES.
COMBINED LICENSES. For those operators who are also
mechanical amusement devices covered by the Mechanical
distributors, a combined license will be issued.
Amusement Device Tax Act must file an application.
PAYMENT OF ADDITIONAL OCCUPATION TAXES
PAYMENT OF ADDITIONAL OCCUPATION TAXES
PAYMENT OF ADDITIONAL OCCUPATION TAXES
PAYMENT OF ADDITIONAL OCCUPATION TAXES
PAYMENT OF ADDITIONAL OCCUPATION TAXES
AND LICENSE FEES.
AND LICENSE FEES.
AND LICENSE FEES.
AND LICENSE FEES.
AND LICENSE FEES. This application must be used for
WHEN AND WHERE TO FILE.
WHEN AND WHERE TO FILE.
WHEN AND WHERE TO FILE.
WHEN AND WHERE TO FILE.
WHEN AND WHERE TO FILE. This application, properly
paying occupation taxes and any applicable license fees due
signed and accompanied by check or money order payable to
on any mechanical amusement device put into operation
the Nebraska Department of Revenue, must be filed prior to
after the original application has been filed.
the date of the first transaction involving the use or sale of a
mechanical amusement device. Licenses and occupation tax
DISPLAY DECAL.
DISPLAY DECAL.
DISPLAY DECAL. Every operator shall conspicuously
DISPLAY DECAL.
DISPLAY DECAL.
decals issued on or after July 1, 1998 expire December 31,
and permanently affix to each mechanical amusement device
1999.
The decal shall not be affixed by
The decal shall not be affixed by
the occupation tax decal. The decal shall not be affixed by
The decal shall not be affixed by
The decal shall not be affixed by
tape or any other means.
tape or any other means.
tape or any other means.
tape or any other means.
tape or any other means. The backing on each decal must
DEFINITIONS
DEFINITIONS
DEFINITIONS
DEFINITIONS
DEFINITIONS
be removed in order to permanently affix the decal to the
mechanical amusement device. Any person who has placed
Mechanical amusement device
Mechanical amusement device
Mechanical amusement device
Mechanical amusement device
Mechanical amusement device is any machine which,
a mechanical amusement device in operation in the state of
upon insertion of a coin, currency, credit card, or substitute
Nebraska without the necessary decal conspicuously and
into the machine, operates or may be operated or used for a
permanently affixed to it is subject to an administrative
game, contest, or amusement of any description, and includes
penalty of $75 for each violation and the mechanical
but is not limited to the following:
amusement device is subject to being sealed by the Nebraska
Pinball games
Department of Revenue. If the seal is broken prior to payment
of the occupation tax upon the mechanical amusement
Air hockey games
device, the device shall be subject to forfeiture and sale by
Pool (or any coin-operated billiards game)
the department.
Shuffleboard
SPECIFIC INSTRUCTIONS
SPECIFIC INSTRUCTIONS
SPECIFIC INSTRUCTIONS
SPECIFIC INSTRUCTIONS
SPECIFIC INSTRUCTIONS
Football and Foosball games
LINE 17.
LINE 17.
LINE 17.
LINE 17.
LINE 17. The fee for a distributor’s license is $250 per year
Racing games
or fraction thereof.
Light tennis and ping pong
LINE 19.
LINE 19.
LINE 19.
LINE 19.
LINE 19. The fee for an operator’s license when 10 or more
Baseball games
devices are operated is $250 per year or fraction thereof.
Bowling games
LINE 20.
LINE 20.
LINE 20.
LINE 20.
LINE 20. An operator is not required to pay the operator's
license fee until they have placed in operation 10 or more
Radio-ray games such as rifles, tanks, cannons, darts
mechanical amusement devices. The addition of a tenth
I.Q. games
device automatically requires the payment of the $250 fee.
Coin-operated automatic musical devices
LINE 22.
LINE 22.
LINE 22. The occupation tax shall only be paid by the
LINE 22.
LINE 22.
Game and draw lotteries
operator who has actual ownership of such mechanical
Boxing games
amusement device being taxed. Each operator shall also
have paid the sales or use tax on each device being operated.
Video and electronic games
An occupation tax of $50 for each mechanical amusement
Distributor
Distributor
Distributor
Distributor
Distributor is any person who sells, leases, or delivers
device is assessed on each mechanical amusement device
possession or custody of a mechanical amusement device to
placed in operation on or after July 1, 1998 but before
operators for a consideration either directly or indirectly
April 1, 1999.
received.
If the device is placed into operation after April 1, 1999, but
before January 1, 2000, the tax per device is $25. An
Operator
Operator
Operator
Operator
Operator is any person who operates a place of business in
occupation tax decal is issued denoting the payment of the
which a mechanical amusement device owned by him or her
tax for each device.
is physically located, or any person who places and either
directly or indirectly manages or controls any mechanical
AUTHORIZED SIGNATURE.
AUTHORIZED SIGNATURE.
AUTHORIZED SIGNATURE.
AUTHORIZED SIGNATURE.
AUTHORIZED SIGNATURE. This application must be
amusement device.
signed by the owner, member, partner, or corporate officer
listed on line 16. Persons who are not listed on line 16 but are
Distributor-operator.
Distributor-operator.
Distributor-operator. A distributor who leases or rents a
Distributor-operator.
Distributor-operator.
signing the application must attach a completed power of
device to business owners, but retains control of the device,
attorney.
is also considered an operator and subject to the same licensing
requirements and payment of the operator’s license fee and
If you need additional assistance, contact the Nebraska
occupation tax on each mechanical amusement device. A
Department of Revenue, P.O. Box 94818, Lincoln, Nebraska
distributor-operator is subject to both the distributor and the
68509-4818, or dial 1-800-742-7474 from anywhere in the
operator license fees.
continental United States. Lincoln residents call 471-5729.

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