Free Form AU-212.1 - New York

New York State Department of Taxation and Finance

New York State Pari-Mutuel Betting Tax Return - Schedule I
Pari-Mutuel Betting Distribution
Reporting period: from
(see instructions on back)

AU-212.1
(8/04) Page

to

Organization name

Regular Handle Break

Multiple Handle Break

Exotic Handle Break Handle

Total Break

Total handle Less: associations Off-Track Betting Nassau Suffolk New York City Catskill Capital Western

Inter-track wagering

On-track totals

Tax computations Special events × rate Amount due % % % % % % % %

Net track × rate Amount due % % % % % % % %

New York State pari-mutuel tax (include this amount in the total amount reported on Form AU-212, line 2) .................... New York State share of breakage (include this amount in the total amount reported on Form AU-212, line 3) ..............

$ $

AU-212.1 (8/04) (back)

Instructions
Line instructions
Total handle -- Enter total handle and breakage by type of bet for the reported period in respective columns, extending sums to Total column. Off-track betting -- Enter handle input form each off-track region and breakage allocation in respective columns, extending sums to Total column. Inter-track wagering -- Enter handle input from other tracks and breakage allocation in respective columns, extending sums to Total column. On-track totals -- Subtract amounts on Off-track betting and Inter-track wagering lines from Total handle line. Add together the amount due entries in the Total column for Special events and Net track to determine the state pari-mutuel tax and state share of breakage. New York State pari-mutuel tax -- The amount shown as total pari-mutuel tax must be included in the amounts entered on Line 2 of Form AU-212, Pari-mutuel Betting Tax Return. New York State share of breakage -- The amount shown as total breakage must be included in the amounts entered on Line 3 of Form AU-212.

Tax computations
Special events -- Multiply the respective handle and breakage entries by the applicable tax rates. Add the results of each column together and enter in the Total column. Net track -- Subtract the handle and breakage entries on the Special events line from the On-track totals line and enter on the Net track line. Multiply the respective handle and breakage entries by the applicable tax rates and add the results of each column together and enter in the Total column.