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., MINNESOTA. REVENUE 2002 Refund for Tax Paid on Unsold Pulltab and Tlpboard Tickets I , I I I G7430 Use this form to claim a tax refund on unsold tickets reported during the 2002 calendar year. File It with your February G1 retUrn due March 20: Read the Instructions on the back befOre completing. 0rpnlzlItI0n name IlJllense number I MIIlIlll80tB tBlllD \)G:Ao ~ S~..e. C&..v\\ 1>- O~~DO 111 ("1~'5" (Rev. 11/021 2. For each month. enter the January ~1. rZ.? July 11,L.5~ total dollar value of unsold February .blo\,~"1 August t,'l. 110 [ pulltab and tlpboard tickets ~cr ,5110 l.'. "1..<0' .~o reported on line 47 of March September Form G1.(Oo not Include April Lio , '\ 1"'1 October ii, <.\\ paddletlckets.) May 4~ ,51<<- November (,,0,<..,,", June ib,'11S' - December ~Iof I ~ "i <.. 2 Add amounts on line 1 ..,.........',..,.........,........................... 2 3 It you filed a fund loss report In 2002 (Form LG250) and reported the affected games at Ideal value. enter the value of any unsold tickets In your possession that are not Included on One 2 3 4 It-you flied a request to destroy games (Form G7420) and received approval In 2002, enter the value Of any unsold tickets destroyed that are not Included on line 2 ..... ~ .. .. ... . ..4 6 Add lines 2 through 4 ...................................................... 6 8 It you filed a defective game report In 2002 (Form 67410) and received a refund, enter the value of any unsold tickets from the game that are Included on line 2 . ~ . . . . . . . . . 8 7 ~ubtract line 6 from One 5 .............................. '0' . . . . . . . . . . . . . . . . . . 7 08 Multiply line 7 by 1.7% (.017) ................................................8 Enter this amount a~ a negative number on your February Form LG1010 Schedule C/O. and as a positive number on line 11b of Schedule F for February only. 9 Amount from line 13 Of February Form 61 ....................................... 9 2.0 It One 9 Is- more than line 8, subtract line 8 from One 9. ThIs Is the tax you owe for February minus your refund. Pay this amount Instead of the amount on One 13 of Form 61. Make check payable to MIMesota Revenue ............. 2.0 11. It One 8 Is more than line 9. subtract line 9 from line 8, You'll receive a check for this amount. Do not pay the amount on line 13 of Form 61 ...... 11. Enter this amount.on Sched\.lle F, One 11b. for March and each succeeding month until you receive your refund eheek. You must deposit the refund In your organlzatlon's gambling account no later than tour busIness days after receMng It. -Ilq.9~.~O .., \q, 9q\.50 "q, 4'\\.5'0 rz., 1. ';4:}. "10 \\,"Z.~', ~~ ''l4~.9o film Wtl~~ ~ 14-~ot.. Attach this form to the front of Y February Form G:I. and .....0 to: Minnesota Revenue. Mall StatIon 3350. St. Paul. MN 55146-3350