Instructions For 2013 Alaska Mulitple-Beneficiary Permittee Quarterly Report Form Page 7
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7Instructions for 2013 Alaska Mulitple-Beneficiary
Permittee Quarterly Report
Line 2, Purchase of bingo cards. Report the cost of all
proceeds for the current quarter to permittee members.
bingo cards purchased during the current quarter.
Enter the name of the permittee member, check number
and date, and amount of each check issued for gaming
activities reported in the current quarter. Enter the total
Line 4, Cost of inventory of bingo cards at the end of
the quarter. Enter the cost of bingo cards that are unused
payments to all permittees members on the Schedule A that
(bingo sheets not sold) at the end of the quarter on line 4.
reports the total activity of the MBP. Enter the total paid to
each permittee member on Schedule A for each permittee.
Line 6, Cost of Bingo Cards. Subtract line 4 from line 3.
This is the cost of bingo cards. Enter the result on line 6 and
record on Schedule C, line 15.
SCHEDULE D:
PULL-TAB ATTACHMENT
Note: It is not necessary to prepare a separate Schedule D
for each permittee member.
Complete a separate Schedule D for pull-tab sales by
the MBP and for sales by vendor(s). Report only pull-tab
games that were closed during the quarter. Pull-tab games
delivered to the vendor are considered opened and closed
on delivery.
General Information. Enter the MBP’s name, etc., in the
spaces provided.
Check the box for the quarter being
Report Quarter.
reported.
Enter the license number of the
License Number.
distributor selling the game in this column.
State ID Stamp Label. Attach the pull-tab state ID stamp
labels in this column. If the label is not available, write in the
ID number and attach an explanation to the return.
Game Serial Number and Form Number. Enter the serial
number and form number for each game in the space
provided.
Gross Receipts, Prize Payout and Ideal Net. Enter the
ideal gross receipts, ideal prize payout and ideal net in the
applicable columns.
Enter the 3% tax paid when the game was
3% Tax.
purchased.
Date In/Date Out. Enter the dates the game was placed in
play (date in) and completed (date out) in this column.
SCHEDULE E:
PAYMENTS TO PERMITTEE MEMBERS
MBPs are required to pay net proceeds to member permittees
each quarter. Use Schedule E to report payments of net
0405-867i Rev 09/12 - page 7
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