Form 730 - Monthly Tax Return For Wagers
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4730
Monthly Tax Return for Wagers
Form
OMB No. 1545-0235
(Section 4401 of the Internal Revenue Code)
(Rev. December 2013)
Department of the Treasury
Information about Form 730 and its instructions is at
▶
For IRS Use Only
Internal Revenue Service
T
Enter your
FF
Name
Month and year
name,
FD
address,
employer
Number, street, and room or suite no.
Employer identification number
FP
identification
I
number,
and
City or town, state or province, country, and ZIP or foreign postal code
T
month and
year of
return.
Check applicable boxes:
Final return
Address change
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1
Gross amount of wagers accepted during month (not including laid-off wagers) (see instructions)
.
.
2
Gross amount of laid-off wagers accepted during month (see instructions)
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2
3
3
Add lines 1 and 2 .
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4a Tax on wagers authorized under the law of the state in which
accepted. Enter the amount of these wagers included in line
3; multiply by the amount shown and enter the result
.
.
. $
4a
× .0025 =
b Tax on wagers other than wagers described on line 4a. Enter
the amount of these wagers included in line 3; multiply by the
amount shown and enter the result
.
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. $
4b
×
.02 =
c Tax on wagers. Add lines 4a and 4b .
4c
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5
Credits. No credit is allowed unless supported by evidence (see instructions)
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5
6
Balance due. Subtract line 5 from line 4c (see instructions)
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6
File this return, your payment, and voucher with the IRS as shown under Where to file in the instructions. Make your check or money
order payable to “United States Treasury.” Write your name, address, EIN, “Form 730,” and the tax period on it.
Under penalties of perjury, I declare that I have examined this return, including any accompanying certificates and statements, and to the best of my
Sign
knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any
Here
knowledge.
Keep a copy
of this return
Signature
Date
for your
records.
Type or print your name below signature.
Print/Type preparer’s name
Preparer's signature
Date
PTIN
Paid
Check
if
self-employed
Preparer
Use Only
Firm’s name
Firm's EIN
▶
▶
Firm's address
Phone no.
▶
730
For Paperwork Reduction Act Notice, see instructions.
Form
(Rev. 12-2013)
Cat. No. 20585U
730-V
Detach Here and Mail With Your Payment and Form 730.
Form
▼
▼
730-V
Payment Voucher
OMB No. 1545-0235
(Rev. December 2013)
Do not staple or attach this voucher to your payment.
Department of the Treasury
▶
Internal Revenue Service
1
Enter your employer identification
2
Dollars
Cents
Enter the amount of your payment.
▶
number.
Make your check or money order payable to “United States Treasury”
3
Enter year and month as shown on Form 730.
4
Enter your business name (individual name if sole proprietor).
Y
Y
Y
Y
M
M
Enter your address.
Send Form 730, this voucher, and payment to:
Department of the Treasury
Enter your city, state, and ZIP code.
Internal Revenue Service
Cincinnati, OH 45999-0100
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