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MaiiaC jeltl State lottery Co <br /> mmimion <br /> BEANO DIVISION <br /> P.O.Box 800 : <br /> Braintree,Massachusetts•02184 <br /> Tel.617-848-7755 <br /> ROBER <br /> T Q.CRANE ETR,WILLIAM E.PERRAULT <br /> Chairman Executive Director <br /> RAFFLE AND/OR BAZAAR TAX RETURN <br /> TTENTION: FOR MASSACHUSETTS STAIF LOTJ LAY rcWASSION WIL ONLY <br /> Received <br /> LE RETURN AND PAYMENT IDENTIFICATION NUMBER <br /> (THIN 10 DAYS AFTER OCCASION <br /> ABOVE ADDRESS <br /> EE PENALTIES PAGE 2—PAR.A.THROUGH E.) - - <br /> HECK(V) <br /> PE OF ACTIVITY: RAFFLE E3AZAAR ❑ OTHER (SPECIFY) <br /> EASE TYPE OR PRINT IN INK <br /> NAME OF ORGANIZATION' - _- <br /> -- ---- - - - _ <br /> AREA <br /> TF=LE k"R'i++91L€Imo' . <br /> STREET AJ£JR,£�O£CJRu.AM1111ZA7ION _ _ <br /> iq 41 r <br /> 4 _ ANq=`L t <br /> ITITF-1- <br /> — <br /> C] <br /> SCHEDULE 1 <br /> COMPUTATION OF TAX- <br /> 1. <br /> A 1. Receipts From Sal6e's <br /> ----- <br /> No, of Tickets or Cost Per Ticket <br /> Chances Slop' or Chance <br /> i <br /> 2 Other Recempts... ...... ......................... <br /> �u <br /> and 2) .._.. ... . <br /> 4. TAX 5 ._y sdd Liines 'I <br /> 3. OROS'�E���S ��, ..05 <br /> ....... ..... . .. . . .. ... . . . .. . .. . . . .. <br /> Amrllcuni of Eiiilne:3 <br /> 5. Penalty and Interest(See Pair.D-Page 2) .......................... . . . ., . .r. . ...,. . � <br /> 6. TOTAL TALC DUE(Add Lames 4 and 5) .... ............., ,...... . , .-:.. .. .,... �F <br /> r. <br /> L <br /> SCR ED''D''LE 2 <br /> COMPUTATION OF NET PROFIT OR(LOSS):: <br /> w1'7 , <br /> 11. GROSS RECEIPTS (From Large 3—Schledulla 1� ..::... .;. . ..:.:....:...,:. ... � <br /> 2. LESS EXPENSES: <br /> A., TofakPnizes Awarded(Cash or Vallue) ..:...r;::......:.... <br /> B. OlbeTExpenses <br /> . . <br /> O. Tax IPaad�Liiine E®Srhe Iairle 1), <br /> f <br /> O_ TOTAL EXPENSES(Add'berms 2A-B-C) <br /> 3. NET PROFIT OR(LOSS)#SIobtract Laine 2D Froin <br /> r"R1r I I pla_, ..s�' LVp' *jg�F u*hT <br /> �R1fE�HMI�D k'�,IEa..�llha'" � [pTT <br /> I 9I4'{V I a <br /> 40 <br /> .10M waw 1 P" <br /> I I <br />