Charitable Gambling Return

Need help or have questions about the return? Contact the City of Alexandria's Finance department at 320-763-6678.

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Name of Establishment(Required)

Mailing Address(Required)

Street Address Address Line 2 City State ZIP Code

Minnesota State License Number(Required)

Period End Date(Required)

Date Due(Required)

Net Profits After State Taxes(Required)

This is Line 26 State Form G1 or Sched A

Gambling Contribution Due(Required)

10% of Net Profits After State Taxes

Attach State Form G1 and/or Schedule A(Required)

Please attach a copy of State Form G1 and/or Schedule A

Max. file size: 2 GB.

Name of Preparer(Required)

First Last

Title(Required)

Email(Required)

Phone(Required)

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