Form Au-215 - Pari-Mutuel Tax Return Of Uncashed Pari-Mutuel Tickets

ADVERTISEMENT

AU-215
New York Department of Taxation and Finance
Pari-Mutuel Tax Return
(4/11)
of Uncashed Pari-mutuel Tickets
Under Sections 241, 328, 426, and 529 of the Racing Pari-Mutuel Wagering and Breeding Law
Association name
Federal employer identification number (EIN)
Number and street
City, State, ZIP code
Ra cing season
Part 1 (to be completed and filed by March 15th)
1 Total amount of uncashed tickets as of December 31 .............................................................................
1.
2 Uncashed ticket balance as of last day of February ............................
2.
3 Balance of uncashed tickets to be remitted
............................................................
3.
(multiply line 2 by .95)
Part 2 (to be completed and filed by April 10th)
4 Uncashed ticket balance as of March 31st ......................................
4.
5 Other unclaimed funds .....................................................................
5.
Identify:
6 Total liability
..................................................................................................................
6.
(add lines 4 and 5)
7 Amount previously remitted
..........................................................................................
7.
(from line 3 above)
8 Balance of amount of uncashed tickets to be remitted
8.
....................................
(subtract line 7 from line 6)
Signature of authorized person
Title
Date
Signature of individual or name of firm preparing this return
Preparer’s address
State of New York
County of
I,
, being duly sworn, deposes and says that he is the
of the
, a corporation or association duly authorized to conduct pari-mutuel betting under Chapter 865
of the laws of 1982, and that the foregoing report, made pursuant to sections 241, 328, 426 and 529 of said chapter, contains a true and
accurate statement of the total of all sums of unpaid money due on account of pari-mutuel tickets not presented for the year for which this
return is made.
Sworn to before me this
day of
Notary Public
Mail this original return to: New York State Department of Taxation and Finance, PO Box 5048, Albany NY 12205-0048

ADVERTISEMENT

00 votes

Related Articles

Top 20 Happy Easter Cards And Gift Tags To Download For Free
Top Ten Easter Arts And Crafts Activities For Your Kids
Free Easter Coloring Pages And Easter Printables For Your Kids

Related forms

Form M-941 - Instructions For Tax Return Of Income Taxes Withheld - 2015 Form M-941 - Instructions For Tax Return Of Income Taxes Withheld - 2015 Financial
Form T-71 - Insurance Companies Tax Return Of Gross Premiums For Calendar Year Ending - Department Of Administration - Division Of Taxation - 2000 Form T-71 - Insurance Companies Tax Return Of Gross Premiums For Calendar Year Ending - Department Of Administration - Division Of Taxation - 2000 Legal
Form T-71 - Insurance Companies Tax Return Of Gross Premiums - 2010 Form T-71 - Insurance Companies Tax Return Of Gross Premiums - 2010 Financial
Form T-71 - Insurance Companies Tax Return Of Gross Premiums - 2011 Form T-71 - Insurance Companies Tax Return Of Gross Premiums - 2011 Financial
Form T-71 - Insurance Companies Tax Return Of Gross Premiums Form T-71 - Insurance Companies Tax Return Of Gross Premiums Financial
Form T-71 - Insurance Companies Tax Return Of Gross Premiums - 2007 Form T-71 - Insurance Companies Tax Return Of Gross Premiums - 2007 Financial
Form T-71 - Insurance Companies Tax Return Of Gross Premiums For 200 Form T-71 - Insurance Companies Tax Return Of Gross Premiums For 200 Financial
Form T-71 - Insurance Companies Tax Return Of Gross Premiums - 2009 Form T-71 - Insurance Companies Tax Return Of Gross Premiums - 2009 Financial
Form T-71 - Insurance Companies Tax Return Of Gross Premiums - 2005 Form T-71 - Insurance Companies Tax Return Of Gross Premiums - 2005 Financial
Form T-71 - Insurance Companies Tax Return Of Gross Premiums - 2014 Form T-71 - Insurance Companies Tax Return Of Gross Premiums - 2014 Financial

Related Categories

Parent category: Financial
Download
Go