Form Das32 - Pari-Mutuel Wagering Tax Return

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DAS32 (11-06)
COMMONWEALTH OF PENNSYLVANIA
Official Use Only
DLN
PARI-MUTUEL WAGERING
DEPARTMENT OF REVENUE
TAX RETURN
BUREAU OF BUSINESS TRUST FUND TAXES
PO BOX 280906
Please Print or Type
HARRISBURG, PA 17128-0906
DATE
ASSOCIATION NAME
TYPE OF MEET (Check One)
THOROUGHBRED
HARNESS
MEETING AT
MEET MONTH
Total Wagered
Total Breakage
Association Commission
Win
Place
Show
Regular Pools
PARI-MUTUEL POOL SUMMARY
FOR THOROUGHBRED MEETS ONLY
FOR HARNESS MEETS ONLY
MULTIPLE AND EXOTIC POOL SUMMARY
MULTIPLE AND EXOTIC POOL SUMMARY
Total Thoroughbred Wagered
Total Harness Wagered
Type
Amount Wagered
Type
Amount Wagered
Daily Double
Daily Double
Exacta
Exacta
Triples
Triples
Other
Other
Pool Total
Pool Total
COMPUTATION OF TAX
Total Pool
x.01
$
Total Pool
x .01
$
=
=
005110-18000-102
005120-18000-102
Total Wagered
x .015
$
Total Wagered
x .015
$
=
=
005110-18000-103
005780-04602-101
Total Breakage
x.25
$
=
005110-18000-106
Total Tax Due
$
Total Tax Due
$
Total Tax Remitted
$
Total Tax Remitted
$
UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE EXAMINED THIS RETURN AND THAT TO THE BEST OF MY KNOWLEDGE AND
BELIEF, IT IS TRUE, CORRECT AND COMPLETE.
Name of Corporate Officer (Print)
Name of Preparer (Print)
Signature of Corporate Officer and Title
Signature of Preparer

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