Form Rd-9 - Bingo Financial Quarterly Report Page 3

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Bank Reconciliation For Bingo Checking Account
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(1) Beginning Bank Statement Balance (First Day of Quarter)
(2) Additions:
(b) Bingo Deposits (Sch. A, Col. L)
(c) Bingo Deposits in Transit from Previous Quarter's Sessions
(d) Other
+
(3) Total Additions
=
(4) Total Bingo Funds Available
(5) Deductions:
(a) Total Checks Cleared
(b) Total Outstanding Checks
(c) NSF Checks
(d) Service Charge
(e) Other
-
(6)
Total Deductions
=
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(7)
Ending Check Book Balance (Last Day of Quarter)
(8)
Other Information:
Total Accounts Payable End of Quarter
Total Accounts Payable Beginning of Quarter
Increase or (Decrease) in Accounts Payable
(9) Schedule of Excess Proceeds Tax.
Any excess proceeds tax must be paid with this quarterly report pursuant to SC Code 12-21-4000(12)(b). Attach
additional sheets if necessary.
Gross Sales
Prize Payout
Prize Payout X2
Excess Proceeds
100% Excess
Session Date
(1)
(2)
(3)
(1-3)
Proceeds Tax
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2
95083010

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