Pari-Mutuel Pool Privilege Tax Report - Alabama Department Of Revenue
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LABAMA
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USINESS
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IVISION
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OBACCO
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AX
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P.O. Box 327555 • Montgomery, AL 36132-7555 • (334) 353-7827
Pari-Mutuel Pool Privilege Tax Report
Online filing available at
Date Received
For the Month of ____________________________, _________
NAME (PERSON, FIRM, OR CORPORATION)
FEIN
OR
ADDRESS
SSN
CITY
STATE
ZIP
ACCOUNT NUMBER
CONTACT PERSON
TELEPHONE NUMBER
(
)
GREYHOUND
HORSE
TOTAL
1. Gross Receipts on all Pari-Mutuel Pools - Live Racing Events
2. Gross Receipts on all Pari-Mutuel Pools - Televised Racing Events
3. Total (Add Lines 1 and 2 of Each Column)
4. Gross Receipts on Pari-Mutuel Pools Requiring the Selection of
Three or More Racers - Live Racing Events
5. Gross Receipts on Pari-Mutuel Pools Requiring the Selection of
Three or More Racers - Televised Racing Events
6. Total (Add Lines 4 and 5 of Each Column)
7. TOTAL MEASURE OF TAX (Add Lines 3 and 6 of Each Column)
8. Rate of Tax
0.01
0.01
0.01
9. Tax Due (Line 8 Multiplied by Line 7 of Each Column)
10. Penalty for Failure to Timely File Return. The Greater of 10% of
Tax Due on Line 9 or $50.
11. Penalty for Failure to Timely Pay Tax (Line 9 Multiplied by 10%)
12. Interest Due at Current Rate (Line 9 Multiplied by Interest Rate*)
13. TOTAL TAX DUE (Add Lines 9, 10, 11 and 12)
Check here if amount remitted
through Electronic Funds Transfer (EFT) . . . . . . . . . . . .
*Contact the Department for interest rate.
Signature ________________________________________________ Title _____________________________________ Date __________________
This return must be filed no later than the 20th of the month for the preceding month’s activities. Returns and payments made after the due date are
subject to penalty and interest. A return is due regardless of activity.
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