Form B-205 - Amusement Gross Receipts Tax Return Page 2

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Page 2
B-205
Legal Name
NCDOR ID
Web
12-11
Part 2.
Detailed Listing of Multiple Events Held in One Facility (Amusements Other Than Motion Picture Shows)
Date of
Gross Receipts
FEIN or SSN
Address Where
Performance
From Admission
Name of Promotion
of Promotion
Amusements Was Held
(If traveling engagement)
Charges
Total Receipts
(Add the gross receipts and enter
the sum here and on Part 1, Line 1)
Part 3.
Detailed Listing of Multiple Events Held in One Facility (Motion Picture Shows)
Date of
Gross Receipts
FEIN or SSN
Address Where
Performance
From Admission
Name of Promotion
of Promotion
Motion Picture Show Was Held
(If traveling engagement)
Charges
Total Receipts
(Add the gross receipts and enter
the sum here and on Part 1, Line 5)

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