Form Das31 - Pari-Mutuel Admissions Tax Return

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DAS31 (11-06)
COMMONWEALTH OF PENNSYLVANIA
Official Use Only
DLN
PARI-MUTUEL ADMISSIONS
DEPARTMENT OF REVENUE
TAX RETURN
BUREAU OF IMAGING AND DOCUMENT MANAGEMENT
PO BOX 280408
HARRISBURG, PA 17128-0408
DATE
ASSOCIATION NAME
MEETING AT
MEET DATE
RACING DAY
OF
TYPE OF MEET (Check One)
THOROUGHBRED
HARNESS
OFF TRACK
IF HARNESS MEET REPORT IS FOR PERIOD
FROM
TO
CHECK IF FINAL RETURN
INDICATE AMOUNT DUE IN STATE TAX COLUMN BELOW
UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE
ADMISSION
NUMBER
TOTAL STATE
EXAMINED THIS RETURN AND THAT TO THE BEST OF MY
TYPE 1/
* PRICE *
PATRONS
TAX
KNOWLEDGE AND BELIEF, IT IS TRUE, CORRECT AND
COMPLETE.
Grandstand
Clubhouse
Name of Corporate Officer (Print)
Reserved
Box Seats
Signature of Corporate Officer and Title
Lounge
Taxable Promotion
Passes
Name of Preparer (Print)
Signature of Preparer
THIS TAX RETURN IS DUE:
Exempt Passes
THOROUGHBRED - TEN DAYS AFTER COLLECTION
HARNESS
- TEN DAYS AFTER MEET ENDS
TOTALS
OFFICIAL USE ONLY
TAX DUE THOROUGHBRED MEET
005110-018000-101
ALL CHECKS SHOULD BE MADE PAYABLE TO
THE PA DEPARTMENT OF REVENUE.
TAX DUE HARNESS MEET
005120-018000-101
TOTAL REMITTANCE
1/ INCLUDE ADMISSIONS TO NONPRIMARY LOCATIONS
*ADMISSION PRICE OF ALL PROMOTIONAL PASSES SHALL BE VALUED AT $.50 (MINIMUM TAX $.03 PER ADMISSION) OR THE AMOUNT
APPROVED BY THE COMMISSIONS, WHICHEVER IS GREATER.

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