Illinois Department of Revenue
RB-32
Expenditure of Funds Earned Through Bingo
Step 1: Identify your organization
1
3
Organization’s name ____________________________________
Bingo license number
B - ____________________
2
4
Address _____________________________________________
Period covered by report ___/___/_____ through ___/___/_____
Number and street
Month Day
Year
Month Day
Year
____________________________________________________
City
State
ZIP
Step 2: Figure your expenditure of funds
1
1
Gross proceeds from bingo during the report period
$_____________________
2
2
Cash prizes awarded to players during the report period
$_____________________
3
3
Subtract Line 2 from Line 1. This is the amount deposited in your bingo checking account.
$_____________________
4
4
Other deposits made in your bingo checking account during the report period
$_____________________
5
5
Balance in your bingo checking account at the start of the report period
$_____________________
6
6
Add Lines 3, 4, and 5.
$_____________________
7
Total amount of all checks written on your bingo checking account and all other charges
7
to the account during the report period. This total should equal the total amount in Step 3, Item 1.
$_____________________
8
8
Subtract Line 7 from Line 6.
$_____________________
9
9
Balance in your bingo checking account at the end of the report period
$_____________________
10
Are the amounts on Lines 8 and 9 the same?
_____ yes
_____ no
If “no,” give an explanation below.
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
Step 3: Tell us about your bingo checking account
1
Write the number of each check written on your bingo checking account during the period covered by this report, the amount
of the check, the person or organization to whom the check was made payable, and the purpose for the expenditure. Also list and
explain any other charges to the bingo checking account.
Check no.
Check amount
Person or organization
Purpose
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Subtotal
for Page 1
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This form is authorized as outlined by the Bingo License and Tax Act. Disclosure of this information is REQUIRED. Failure to provide
RB-32 (R-5/98)
information could result in this form not being processed. This form has been approved by the Forms Management Center.
IL-492-1381
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