Form Au-212.1 - Schedule I - New York State Pari-Mutuel Betting Tax Return - Pari-Mutuel Betting Distribution

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AU-212.1
New York State Department of Taxation and Finance
New York State Pari-Mutuel Betting
(8/04)
Tax Return - Schedule
I
Pari-Mutuel Betting Distribution
Page
Reporting period: from
to
Organization name
(see instructions
Regular
Multiple
Exotic
Total
on back)
Handle
Break
Handle
Break
Handle
Break
Handle
Break
Total handle
Less: associations
Off-Track Betting
Nassau
Suffolk
New York City
Catskill
Capital
Western
Inter-track wagering
On-track totals
Tax computations
Special events
× rate
%
%
%
%
%
%
%
%
Amount due
Net track
× rate
%
%
%
%
%
%
%
%
Amount due
New York State pari-mutuel tax
....................
$
(include this amount in the total amount reported on Form AU-212, line 2)
New York State share of breakage
..............
$
(include this amount in the total amount reported on Form AU-212, line 3)

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