Instructions For 2013 Alaska Amended Permit Application Page 2
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2Instructions for 2013 Alaska Amended
Permit Application
Multiple-Beneficiary Permittee (MBP) Information
Add or delete a MBP by checking the appropriate box and
completing the requested information.
Dedication of Net Proceeds
Make changes in this section only to amend uses of net
proceeds that were reported on your organization’s original
2013 Gaming Permit Application.
Where to send Form 826A
TAX DIVISION - GAMING GROUP
ALASKA DEPARTMENT OF REVENUE
PO BOX 110420
JUNEAU AK 99811-0420
0405-826Ai Rev 09/12 - page 2
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