New York State Department of Taxation and Finance
Return of Racing Admissions Tax
Under Sections 219, 306, 406, and 1009 of the Racing Pari-Mutuel Wagering and Breeding Law Association name Number and street City, state, and ZIP code
AU-207
(8/04)
Federal employer identification number (EIN)
Racing season
New York State tax rate:
4%
Local tax rate:
Number sold or issued Paid
%
Basic value of each unit Total basic value of admissions
Cash admission, admission ticket or badge
Complimentary
1 Total basic value of admissions (transfer to line 3 below)
Paid passes, boxes, reserved seats and other accommodations sold Number sold or issued Paid Complimentary
1.
Basic value of each unit Total basic value of boxes and seats sold and issued
2 Total basic value of boxes and seats sold and issued (transfer to line 4 below) 3 4 5 6 7
2.
Taxable basic value (from line 1 above) ............................................................. 3. Taxable basic value (from line 2 above) ............................................................. 4. Total taxable basic value (add lines 3 and 4) ..................................................................................................... State tax rate 4% (.04) ..................................................................................................................................... New York State racing admissions tax due (multiply line 5 by .04) (send this amount to the Tax Department, see below) ...
Title Date
5. 6. 7.
.04
Signature of authorized person
Signature of individual or name of firm preparing this return
Preparer's address
State of New York County of
I, , being duly sworn, deposes and says that he is the of the , a corporation or association duly authorized to conduct pari-mutuel betting under Chapter 865 of the laws of 1982, and that the foregoing report, made pursuant to section 232, 328, 426 and 529 of said chapter, contains a true and accurate statement of the total of all sums of unpaid money due on account of pari-mutuel tickets not presented for the year for which this return is made. Sworn to before me this day of
Notary Public
Make your check or money order payable to: Commissioner of Taxation and Finance. Mail this original return to: New York State Department of Taxation and Finance, PO Box 5048, Albany NY 12205-0048 Also send a copy of this return to: New York State Tax Office, Pari-Mutuel Revenue, PO Box 90, Jamaica NY 11417