Form Inv - Annual Certified Physical Inventory And Cash Count By Site Page 3
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1
2
3Form INV Instructions
How to File
Signatures
All organizations must annually
complete and submit a separate
Part 1
The two individuals or the CPA who con-
Form INV to record the certified
ducted the inventory must sign the form
Part 1 must be completed by two individu-
certifying the information is correct.
als of the organization who are not directly
physical inventory and cash count
involved with the gambling operation or by
The individual who completes Parts 2 and 3
for each site.
an independent CPA.
does not need to sign this form.
Record all paper pull-tab games, tipboard
A certified physical inventory of all sites
Questions?
games, raffle board games, and paddleticket
must be taken within 30 days of the organi-
pads in your possession at the time the in-
Website:
zation’s fiscal year-end.
ventory is taken that have not been reported
Email:
lawfulgambling.taxes@state.mn.us
as played on Form G1, Lawful Gambling
The certified physical inventory must be
Phone:
651-297-1772
Monthly Tax Return. This includes games
completed by:
weekdays 8 a.m. to 4:30 p.m.
in play. Report each game by barcode data
• two members, officers or employees of
(manufacturer ID, part number and serial
This information is available in alternate
the organization who are not directly
number).
formats.
involved in the organization’s gambling
Note: You do not need to record electronic
activities, and have been appointed by the
pull-tab games.
organization’s board; or
• an independent certified public accoun-
Part 2
tant (CPA).
Part 2 may be completed by a member of
the organization directly involved with the
The individuals who conduct the physical
gambling operation.
inventory must certify that the information
is correct.
Record the total cash count for all forms of
gambling at each site.
Submit the completed Form INV, Annual
Certified Inventory and Cash Count by
Part 3
Site, to the chief executive officer (CEO) or
Part 3 may also be completed by a member
gambling manager as soon as possible after
of the organization directly involved with
the form has been completed. The organi-
the gambling operation.
zation has 30 days from its fiscal year-end
to complete and submit to the Department
Check the box to indicate if you conducted
of Revenue the necessary reporting forms,
paper bingo at the site.
including Form INV for each site.
If you conduct paper bingo, attach a copy
of the LG903 (Physical Inventory/Bingo
Paper Monthly Summary) for the fiscal
year-end, for each site. LG903s are used to
record the physical inventory at the end of
the month.
Note: You must include Form INVs for
each site and Form LG903s for each site
that conducted paper bingo in order for
the Annual Certified Physical Inventory
and Cash Count Summary to be com-
plete.
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Parent category: Financial