Form 04-833 - Games Of Chance And Contests Of Skill Permittee Annual Financial Statement - 1998 Page 6

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1998 Permittee Annual Financial Statement
Permittee Name
Permit Number
Federal EIN
SCHEDULE AP-1: DEDUCTIBLE BINGO PRIZES
1. Prizes paid from gross receipts………………………………………………… 1
2. Donated bingo prizes
2
(Schedule BP, column C, line 1)………………………………
3. Total prizes awarded
3
(add line 1 and line 2)……………………………………………………………………
4. Gross receipts from bingo
4
(see instructions)…………………………………………
5. Percent limitation………………………………………………………………… 5
85%
6. Maximum prizes
6
(multiply line 4 by line 5)………………………………………………………………………
7. Excess prizes
7
(line 3 minus line 6) (if line 6 is greater than line 3, enter 0)…………………………………
8. Deductible prizes
8
(line 1 minus line 7) (enter on Schedule AP, column C, line 1)……………………………
SCHEDULE C-1: COST OF PULL-TAB GAMES AND BINGO CARDS
Inventory method for pull-tab games:
Unopened Games
Percent Complete
Pull-Tab Games
Bingo Cards
Cost of inventory of unopened games/unused cards at beginning of year.
1.
1
1
(If different from last year's ending inventory, attach explanation.)
2. Cost of pull-tab games or bingo cards purchased………………………………2
2
3. Add line 1 and line 2……………………………………………………………… 3
3
4. Cost of inventory of unopened games/unused cards at end of year………… 4
4
Cost of pull-tab games on vendor activity report (Schedule AV)
5.
……………………………. 5
5
(If included in amount on line 2)
6. Line 3 minus lines 4 and 5 (enter on Schedule C, line 12, pull-tabs)…………6
6
7. Line 3 minus line 4 (enter on Schedule C, line 14, bingo)…………………… 7
7
04-833c-1 (Revised 11/98)
Page 6

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