Form Rcg-8 - Charitable Games Equipment Price List
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Illinois Department of Revenue
RCG-8
Charitable Games Equipment Price List
Read this information first
Use this form to list all charitable games equipment you will sell,
Mail your completed price list to:
lease, or distribute to organizations licensed to hold charitable
OFFICE OF BINGO AND CHARITABLE GAMES
games events in Illinois.
ILLINOIS DEPARTMENT OF REVENUE
PO BOX 19480
Charitable games equipment is defined as “any supplies, devices,
SPRINGFIELD IL 62794-9480
equipment, products or materials designed for use or used in the
playing of charitable games including, but not limited to, cards, dice,
If you have any questions, call our Springfield office between
pull tabs and any related type of gambling ticket, chips, representa-
8:00 a.m. and 4:30 p.m. at 217 524-4164. You may also write to us at
tions of money, and wheels.”
the address above.
Step 1: Identify your business
1
2
Supplier’s name _______________________________________
Supplier’s license number CS - ___________________________
Step 2: List all charitable games equipment you will offer for sale, lease, or
distribution
(Attach additional sheets if necessary.)
Each piece of equipment listed in this step must have your name, as the supplier, permanently attached where it can be easily seen. Chips
may meet this requirement if they are monogrammed with a logo that is registered with us.
Description
Quantity
Sale price
Rental or lease price
1
___________________________________
_______________
$_________________________ $_________________________
2
___________________________________
_______________
$_________________________ $_________________________
3
___________________________________
_______________
$_________________________ $_________________________
4
___________________________________
_______________
$_________________________ $_________________________
5
___________________________________
_______________
$_________________________ $_________________________
6
___________________________________
_______________
$_________________________ $_________________________
7
___________________________________
_______________
$_________________________ $_________________________
8
___________________________________
_______________
$_________________________ $_________________________
9
___________________________________
_______________
$_________________________ $_________________________
10
___________________________________
_______________
$_________________________ $_________________________
11
___________________________________
_______________
$_________________________ $_________________________
12
___________________________________
_______________
$_________________________ $_________________________
13
___________________________________
_______________
$_________________________ $_________________________
14
___________________________________
_______________
$_________________________ $_________________________
15
___________________________________
_______________
$_________________________ $_________________________
16
___________________________________
_______________
$_________________________ $_________________________
Please turn this form over and continue completing Steps 2, 3, and 4.
This form is authorized as outlined by the Charitable Games Act. Disclosure of this information is REQUIRED. Failure to provide
information could result in a penalty. This form has been approved by the Forms Management Center.
IL-492-2146
RCG-8 front (R-5/97)
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