Form G1 "Lawful Gambling Monthly Tax Return" - Minnesota

What Is Form G1?

This is a legal form that was released by the Minnesota Department of Revenue - a government authority operating within Minnesota. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on July 1, 2018;
  • The latest edition provided by the Minnesota Department of Revenue;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form G1 by clicking the link below or browse more documents and templates provided by the Minnesota Department of Revenue.

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Download Form G1 "Lawful Gambling Monthly Tax Return" - Minnesota

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G1
Lawful Gambling Monthly Tax Return
Organization Name
Federal ID Number (FEIN)
Minnesota Tax ID Number
License Number
Address
Check if Address Changed
Email Address
Month/Year Reported
City
State
ZIP Code
Number of Sites
Number of barcoded games reported
Check all
Amended Return
Filing under Extension (see instructions)
on Schedule B2s for the month:
that apply:
Final Return (see instructions)
No Gambling Activity this Month
This return includes (check all that apply):
Schedule B2
Schedule NRL
Schedule ER
A
B
C
Gross Receipts
Prizes Paid
Net Receipts
1 Non-linked bingo . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
2 Raffles (if tax-exempt raffles were
conducted, complete Schedule ER) . . . . . . . . . . . . . . . . . . 2
3 Paddletickets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
4 Add lines 1 through 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
5 Interest and other income (including advertising or
sponsorship income; see instructions) . . . . . . . . . . . . . . . . 5
6 Linked bingo . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
7 Tipboards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
8 Paper pull-tabs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
9 Electronic pull-tabs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
10 Sports-themed tipboards . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
11 Add lines 4 through 10 . Line 11c is your
gross profits for the month . . . . . . . . . . . . . . . . . . . . . . . 11
12 Net receipts tax (multiply line 4C by 8.5% [0.085]; if negative, enter zero) . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
13 Combined net receipts tax (from Worksheet E, line 11; if negative, enter the amount on line 19). . . . . . . . . 13
14 Total tax before credits (add lines 12 and 13) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
15 Net receipts tax credit used (from Schedule NRL, column E) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
16 Exempt raffle tax credit (from Schedule ER, line 4) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
17 Total nonrefundable credits (add lines 15 and 16) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17
18 Total tax before refundable credit (subtract line 17 from line 14; if negative, enter zero) . . . . . . . . . . . . . . . .18
19 Combined net receipts tax credit (from Worksheet E, line 11; if negative) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
20 Monthly regulatory fee (multiply line 11a by 0.125% [.00125]) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
21 TOTAL TAX DUE OR REFUND (add lines 18, 19 and 20) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Continued
(Rev . 7/18)
G1
Lawful Gambling Monthly Tax Return
Organization Name
Federal ID Number (FEIN)
Minnesota Tax ID Number
License Number
Address
Check if Address Changed
Email Address
Month/Year Reported
City
State
ZIP Code
Number of Sites
Number of barcoded games reported
Check all
Amended Return
Filing under Extension (see instructions)
on Schedule B2s for the month:
that apply:
Final Return (see instructions)
No Gambling Activity this Month
This return includes (check all that apply):
Schedule B2
Schedule NRL
Schedule ER
A
B
C
Gross Receipts
Prizes Paid
Net Receipts
1 Non-linked bingo . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
2 Raffles (if tax-exempt raffles were
conducted, complete Schedule ER) . . . . . . . . . . . . . . . . . . 2
3 Paddletickets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
4 Add lines 1 through 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
5 Interest and other income (including advertising or
sponsorship income; see instructions) . . . . . . . . . . . . . . . . 5
6 Linked bingo . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
7 Tipboards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
8 Paper pull-tabs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
9 Electronic pull-tabs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
10 Sports-themed tipboards . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
11 Add lines 4 through 10 . Line 11c is your
gross profits for the month . . . . . . . . . . . . . . . . . . . . . . . 11
12 Net receipts tax (multiply line 4C by 8.5% [0.085]; if negative, enter zero) . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
13 Combined net receipts tax (from Worksheet E, line 11; if negative, enter the amount on line 19). . . . . . . . . 13
14 Total tax before credits (add lines 12 and 13) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
15 Net receipts tax credit used (from Schedule NRL, column E) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
16 Exempt raffle tax credit (from Schedule ER, line 4) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
17 Total nonrefundable credits (add lines 15 and 16) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17
18 Total tax before refundable credit (subtract line 17 from line 14; if negative, enter zero) . . . . . . . . . . . . . . . .18
19 Combined net receipts tax credit (from Worksheet E, line 11; if negative) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
20 Monthly regulatory fee (multiply line 11a by 0.125% [.00125]) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
21 TOTAL TAX DUE OR REFUND (add lines 18, 19 and 20) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Continued
(Rev . 7/18)
G1 P2
Lawful Gambling Monthly Tax Return (continued)
Organization Name
Federal ID Number (FEIN)
Minnesota Tax ID Number
License Number
22 Lawful purpose expenditures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
23 Total lawful purpose expenditures (add lines 21 and 22) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
24 Allowable expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
25 a Starting cash banks per books . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25a
b Unreimbursed starting cash banks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25b
End-of-month cash balance in starting banks (subtract line 25b from 25a) . . . . . . . . . . . . . . . . . . . . . . . . . . . .25
I declare that all information on this summary and tax return is true, correct and complete.
Chief Executive Officer (print)
Chief Executive Officer Signature
Date
Daytime Phone
Gambling Manager (print)
Gambling Manager Signature
Date
Daytime Phone
Preparer (print)
Name of Firm
Preparer Signature
Date
Daytime Phone
Mail Form G1, schedules and any required attachments to:
Minnesota Revenue, Mail Station 3350, St . Paul, MN 55146-3350
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