Form 51C Addendum I "County/City Lottery Activity Report" - Nebraska

Form 51C Addendum I Printable Pdf
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What Is Form 51C Addendum I?

This is a legal form that was released by the Nebraska Department of Revenue - a government authority operating within Nebraska.The document is a supplement to Form 51C, Nebraska County/City Lottery Tax Return. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on February 1, 2008;
  • The latest edition provided by the Nebraska 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 51C Addendum I by clicking the link below or browse more documents and templates provided by the Nebraska Department of Revenue.

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Download Form 51C Addendum I "County/City Lottery Activity Report" - Nebraska

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NEBRASKA SCHEDULE I — County/City Lottery Activity Report
FORM
• Read instructions on reverse side
51C
RESET FORM
• Attach to Form 51C
Name as Shown on Form 51C
Name as Shown on Form 51C
Name as Shown on Form 51C
Nebraska Identification Number
Nebraska Identification Number
Nebraska Identification Number
Tax Period
Tax Period
Tax Period
Method of Accounting
Cash
Cash
Cash
Cash
Accrual
Accrual
Accrual
Accrual
Other ________________________________________________
Other ________________________________________________
Other ________________________________________________
Other ________________________________________________
INCOME AND PRIZES (From Monthly Summary Reports or Similar Record)
.00
5 Gross proceeds from lottery (Enter on line 1 of Form 51C) .....................................................
5 $ $
6 Prizes .......................................................................................................................................
6 6
7 Prize percentage paid (line 6 divided by line 5)
7 7 7
Prize percentage paid (line 6 divided by line 5) .......................................................................
%
EXPENSES/DISBURSEMENTS
8 Lottery operator commissions..................................................................................................
8 8 $ $
9 Other expenses/disbursements ...............................................................................................
9 9
Itemization of line 9:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
10 Total expenses/disbursements (line 8 plus line 9).................................................................... 10
10 $ $
11 Percentage of expenses/disbursements (line 10 divided by line 5) ......................................... 11
11
% %
12 State lottery taxes .................................................................................................................... 12
12 $ $
13 License fees ............................................................................................................................. 13
13
14 Audit and legal fees.................................................................................................................. 14
15 Transfers for community betterment......................................................................................... 15
15
DISBURSEMENTS FOR COMMUNITY BETTERMENT
DISBURSEMENTS FOR COMMUNITY BETTERMENT
DISBURSEMENTS FOR COMMUNITY BETTERMENT
16 Community betterment expenditures ....................................................................................... 16 $ $
Itemization of line 16:
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
2-2008
9-124-1996 Rev.
Supersedes 9-124-1996 Rev. 7-2005
NEBRASKA SCHEDULE I — County/City Lottery Activity Report
FORM
• Read instructions on reverse side
51C
RESET FORM
• Attach to Form 51C
Name as Shown on Form 51C
Name as Shown on Form 51C
Name as Shown on Form 51C
Nebraska Identification Number
Nebraska Identification Number
Nebraska Identification Number
Tax Period
Tax Period
Tax Period
Method of Accounting
Cash
Cash
Cash
Cash
Accrual
Accrual
Accrual
Accrual
Other ________________________________________________
Other ________________________________________________
Other ________________________________________________
Other ________________________________________________
INCOME AND PRIZES (From Monthly Summary Reports or Similar Record)
.00
5 Gross proceeds from lottery (Enter on line 1 of Form 51C) .....................................................
5 $ $
6 Prizes .......................................................................................................................................
6 6
7 Prize percentage paid (line 6 divided by line 5)
7 7 7
Prize percentage paid (line 6 divided by line 5) .......................................................................
%
EXPENSES/DISBURSEMENTS
8 Lottery operator commissions..................................................................................................
8 8 $ $
9 Other expenses/disbursements ...............................................................................................
9 9
Itemization of line 9:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
10 Total expenses/disbursements (line 8 plus line 9).................................................................... 10
10 $ $
11 Percentage of expenses/disbursements (line 10 divided by line 5) ......................................... 11
11
% %
12 State lottery taxes .................................................................................................................... 12
12 $ $
13 License fees ............................................................................................................................. 13
13
14 Audit and legal fees.................................................................................................................. 14
15 Transfers for community betterment......................................................................................... 15
15
DISBURSEMENTS FOR COMMUNITY BETTERMENT
DISBURSEMENTS FOR COMMUNITY BETTERMENT
DISBURSEMENTS FOR COMMUNITY BETTERMENT
16 Community betterment expenditures ....................................................................................... 16 $ $
Itemization of line 16:
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
2-2008
9-124-1996 Rev.
Supersedes 9-124-1996 Rev. 7-2005
INSTRUCTIONS
WHO MUST FILE. Every county, city, or village
LINE 9. Enter the amount of any other county/city
licensed to conduct a lottery activity is required to fi le
lottery expenses paid or incurred by the county, city,
the Nebraska Schedule I-County/City Lottery Activity
or village for the reporting quarter. This includes all
Report. A report is required for every quarter, or portion
costs associated with the purchasing, printing, or
thereof that a county, city, or village is licensed.
manufacturing of any item to be used or distributed
in the lottery, all offi ce or clerical expenses connected
METHOD OF ACCOUNTING. The report is to be
with the lottery, and all salaries of persons employed to
prepared using the accounting basis of the county, city,
operate the lottery. Do not include state lottery taxes,
or village: cash, accrual, or other. Cash basis accounting
license fees, and audit and legal fees included in lines 12,
is the practice of recording income and expense only
13, and 14.
when received or paid out. Accrual basis of accounting
is a method of keeping accounts which shows expenses
LINE 12. Enter the amount of state lottery taxes paid or
incurred and income earned for a given period, although
incurred by the county, city, or village for the reporting
such expenses and income may not have been actually
quarter. Do not include any federal or local taxes.
paid or received.
LINE 13. Enter the amount of state license fees paid or
WHEN AND WHERE TO FILE. This report must
incurred by the county, city, or village for the reporting
accompany the Nebraska County/City Lottery Tax
quarter. Do not include any federal or local fees.
Return, Form 51C, and be fi led with the Department of
Revenue on or before the 30th of the month following
LINES 14. Enter the amount of audit and legal fees paid
the end of the tax period. Please make a copy for your
or incurred by the county, city, or village for the reporting
records.
quarter. Audit and legal fees include all expenses related
LINE 5. Enter the gross proceeds of the lottery for
to (a) the governmental organization of the lottery;
the reporting quarter without any reduction for prizes,
(b) government maintenance, monitoring, examination
discounts, taxes, or expenses. Include the value of any
of lottery records; and (c) enforcement, regulatory,
free tickets or plays used. This information may be
administrative, investigative, and litigation functions
obtained from the monthly summary reports generated
undertaken by government, but does not include the
by the computerized keno system or similar record
expenses of the actual conduct of the game.
maintained by the lottery operator.
LINE 15. Enter the amount of any transfers from the
Line 5 must agree to line 1 of the Nebraska County/City
keno operations bank account to the county, city, or
Lottery Tax Return, Form 51C.
village community betterment account (share of profi ts
LINE 6. Enter the total lottery prizes paid for the
realized by county, city, or village for the reporting
reporting quarter. This information may be obtained
quarter).
from the monthly summary reports generated by the
computerized keno system or similar record maintained
LINE 16. Enter the amount of disbursements by the
by the lottery operator.
county, city, or village for community betterment
purposes for the reporting quarter. Itemized each
LINE 8. Enter the amount of lottery operator commissions
paid or incurred by the county, city, or village for the
disbursement by amount and a description of the item
or activity funded.
reporting quarter.
Nebraska Department of Revenue Nebraska Legal Forms United States Legal Forms

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Form 51C Addendum I Printable Pdf
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