Form RCG-9 Application for Permit or Annual Report for Charitable Games Equipment Ownership - Illinois

Form RCG-9 or the "Application For Permit Or Annual Report For Charitable Games Equipment Ownership" is a form issued by the Illinois Department of Revenue.

Download a PDF version of the Form RCG-9 down below or find it on the Illinois Department of Revenue Forms website.

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Illinois Department of Revenue
RCG-9
Application for Permit or Annual Report for
Charitable Games Equipment Ownership
Register faster using MyTax Illinois, our online account management program, available on our website at tax.illinois.gov. If you have
questions, visit our website or contact us weekdays between 8:00 a.m. and 4:30 p.m. at 217 785-5864 or email at rev.bptcg@illinois.gov.
Step 1: Identify your organization
Organization name: __________________________________
Charitable games license number: CG - ________________
Step 2: Tell us why you are completing this form -
Check one - (Note: The fee paid with your application is not refundable.)
A ___
I am applying for an equipment ownership permit, which has a one time fee of $50.
Mail the completed form with any required attachments and payment to:
OFFICE OF BINGO AND CHARITABLE GAMES 3-215
ILLINOIS DEPARTMENT OF REVENUE
PO BOX 19480
SPRINGFIELD IL 62794-9480
B ___
I am filing my equipment ownership annual report. Do not mail this report; however you must make it available to the Department upon
request.
Step 3: Tell us about your equipment
Enter all equipment your organization owns that is used in playing charitable games. Charitable games equipment is defined as “any supplies,
devices, equipment products, or materials designed for use or used in the playing of charitable games including, but not limited to cards, dice,
pull tabs, and any related type of gaming ticket, chips, representation of money, and wheels.” Attach additional sheets if necessary.
Equipment
Quantity
1 ________________________________________________________________
__________________________________
2 ________________________________________________________________
__________________________________
3 ________________________________________________________________
__________________________________
4 ________________________________________________________________
__________________________________
5 ________________________________________________________________
__________________________________
6 ________________________________________________________________
__________________________________
7 ________________________________________________________________
__________________________________
8 ________________________________________________________________
__________________________________
9 ________________________________________________________________
__________________________________
10 _______________________________________________________________
__________________________________
Step 4: Sign below
Under the penalties of perjury, I state that I have examined this application and all attachments and other information required and to the best of
my knowledge, it is true, correct, and complete.
________________________________________________________________________________________________________________
Signature
Printed name
Date
This form is authorized as outlined under the tax or fee Act imposing the tax or fee for which this form is filed. Disclosure of this information is
required. Failure to provide information may result in this form not being processed and may result in a penalty.
RCG-9 (R-06/15)
Reset
Print
Use your 'Mouse' or the 'Tab key' to move through the fields and 'Mouse' or 'Space bar' to enable the checkboxes.
Illinois Department of Revenue
RCG-9
Application for Permit or Annual Report for
Charitable Games Equipment Ownership
Register faster using MyTax Illinois, our online account management program, available on our website at tax.illinois.gov. If you have
questions, visit our website or contact us weekdays between 8:00 a.m. and 4:30 p.m. at 217 785-5864 or email at rev.bptcg@illinois.gov.
Step 1: Identify your organization
Organization name: __________________________________
Charitable games license number: CG - ________________
Step 2: Tell us why you are completing this form -
Check one - (Note: The fee paid with your application is not refundable.)
A ___
I am applying for an equipment ownership permit, which has a one time fee of $50.
Mail the completed form with any required attachments and payment to:
OFFICE OF BINGO AND CHARITABLE GAMES 3-215
ILLINOIS DEPARTMENT OF REVENUE
PO BOX 19480
SPRINGFIELD IL 62794-9480
B ___
I am filing my equipment ownership annual report. Do not mail this report; however you must make it available to the Department upon
request.
Step 3: Tell us about your equipment
Enter all equipment your organization owns that is used in playing charitable games. Charitable games equipment is defined as “any supplies,
devices, equipment products, or materials designed for use or used in the playing of charitable games including, but not limited to cards, dice,
pull tabs, and any related type of gaming ticket, chips, representation of money, and wheels.” Attach additional sheets if necessary.
Equipment
Quantity
1 ________________________________________________________________
__________________________________
2 ________________________________________________________________
__________________________________
3 ________________________________________________________________
__________________________________
4 ________________________________________________________________
__________________________________
5 ________________________________________________________________
__________________________________
6 ________________________________________________________________
__________________________________
7 ________________________________________________________________
__________________________________
8 ________________________________________________________________
__________________________________
9 ________________________________________________________________
__________________________________
10 _______________________________________________________________
__________________________________
Step 4: Sign below
Under the penalties of perjury, I state that I have examined this application and all attachments and other information required and to the best of
my knowledge, it is true, correct, and complete.
________________________________________________________________________________________________________________
Signature
Printed name
Date
This form is authorized as outlined under the tax or fee Act imposing the tax or fee for which this form is filed. Disclosure of this information is
required. Failure to provide information may result in this form not being processed and may result in a penalty.
RCG-9 (R-06/15)
Reset
Print

Download Form RCG-9 Application for Permit or Annual Report for Charitable Games Equipment Ownership - Illinois

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