Schedule B2 - Lawful Gambling Report Of Barcoded Games

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B2
Schedule B2 — Lawful Gambling Report of Barcoded Games
Use this schedule to report pull-tab, tipboard and paddleticket games removed from play during the month. Only use the “In Play” game status to
report electronic pull-tabs open at the end of the month. If you’re reporting destroyed, fund loss, defective or missing games, read the Lawful
Federal ID number (FEIN)
Minnesota tax ID
Gambling Tax Instruction booklet. Complete a separate Schedule B2 for each type of game and operation.
Name of gambling site
License number
Site permit number
Month/year reported
Page
of
Type of operation (check one):
Booth
Bar-op
Pull-tab dispenser
Game status (check one):
Type of game
Paper pull-tabs
Electronic pull-tabs
Paddletickets
Tipboards
Played
Missing
Reported as
Destroyed with
Fund loss games
(check one):
Progressive tipboards
Progressive pull-tabs
Defective
In Play
fund loss
Revenue approval
destroyed by Revenue
A
B
C
D
E
F
G
H
I
J
K
L
M
Mfg
Part number
Game
Date
Ideal
Ideal prizes
Value of
Gross receipts
Value of
Net receipts
Cash-in-hand
Cash long/(short)
Date game
ID
serial number
in play
gross receipts
unsold tickets
(E minus G)
prizes paid
(H minus I)
(K minus J)
removed
Totals from previous page, if any
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16 Total
Enter the totals from Columns H, I and J for each type of game on the appropriate lines of Form G1. Attach this schedule to your Form G1.
(Rev 5/13)

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