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Form Au-212.4 - Schedule Iv - New York State Pari-Mutuel Betting Tax Return - Outstanding Pari-Mutuel Tickets Balance Page 2

AU-212.4 (8/04) (back)

Instructions

Current period — Enter the amount of outstanding tickets added

General information

this date.

This schedule will provide a daily reconciliation of outstanding

ticket balances. Track operators will prepare separate schedules for

Total outstanding — Add the two preceding lines and enter the

on-track races and inter-track wagering if segregated.

total.

List the name of the organization and type of racing applicable to

Paid in current period — Enter the total of outstanding tickets

outstanding ticket schedule. If on-track outstanding tickets include

cashed this date.

the uncashed tickets of an inter-track wagering participant, enter

the name of participant on the line provided. If this schedule is

Balance — Subtract the Paid in current period line from the Total

prepared by an inter-track wagering participant maintaining their

outstanding line and enter the remaining balance. This balance

own segregated outstanding ticket balances, enter the name of the

must also be entered as the Previous balance on the next

host track.

reconciliation date.

Line instructions

Remarks — Enter any explanation required.

Date — Enter the date of reconciliation.

Previous balance — Enter the balance from the last reconciliation.

Form Au-212.4 - Schedule Iv - New York State Pari-Mutuel Betting Tax Return - Outstanding Pari-Mutuel Tickets Balance Page 2