Minnesota Gambling Control Board
1711 West County Road B, Suite 300 South
Roseville, Minnesota  55113
651-639-4000

The five forms of lawful gambling are
raffles, bingo, pull-tabs, tipboards, and paddlewheels.

Forms for Licensed Organizations.

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Forms on this site require Adobe Acrobat Reader 7.0.5.
Click on the Get Acrobat Reader icon to download a free copy.  

For non-numbered forms, schedules, worksheets, tax forms, and
miscellaneous forms, click here.

New Organization License Application. 

Organization Officers Affidavit. 

Internal Controls Worksheet.  

License Termination Plan. 

Registration/Termination of Paid Gambling Employee. 

Gambling Manager Application. 

 LG214

Lease for Lawful Gambling Activity.

Worksheet for Calculating Lawful Gambling Monthly Rent. Math Done Automatically.  Use Landscape Printing.

Financial report required:  Due within 30 days after the authorized gambling activity. 

Application to Conduct Excluded Bingo.

Application to Conduct Off-site Gambling.
 (NOTE:  This form is not used by exempt or excluded organizations.)

Fund Loss Request for Profit Carryover Adjustment.

Rule Variance Request.

Request to Replace Building Destroyed or Made Uninhabitable by Fire or Other Catastrophic Event.

Request to Replace Building Taken or Sold Under Eminent Domain Proceeding.

Request for Real Property or Capital Assets Used Exclusively for Lawful Purpose.

Guidelines for Real Property and Capital Assets Used Exclusively for Lawful Purpose.

Worksheet for Code A22 Real Property or Capital Assets. Optional form to track Code A22 expenditures, if any. Use Landscape print setting.  
 

Guidelines for organizations that own their own building.
 

Request for Replacement Building Meeting ADA Requirements.

Request to Exceed Annual Limit for Code A22.

Request to Contribute Gambling Funds to Another Licensed Gambling Organization.

Pull-tab Dispensing Device - Key Log.

Pull-Tab Dispensing Device Access Log.

Cash Register Cash Count Report.

Cash Register Discrepancy Report.

Cash Register Monthly Reconciliation Report.

Pull-Tab Dispensing Device Game Receipts Tracking.

Pull-tab Dispensing Device Cash Bank Reconciliation.

Progressive Pull-tab or Tipboard Jackpot Tracking Record.

Progressive Pull-tab or Tipboard Contact Information.

Progressive Pull-tab or Tipboard Jackpot Prize Receipt.

Progressive Pull-tab or Tipboard Audit Record.

Progressive Pull-tab or Tipboard Jackpot Monthly Worksheet.

City or County Annual Report, Lawful Gambling Regulatory Tax.

City or County Annual Report, 10% Lawful Gambling Contribution Fund.

Government Approval or Acknowledgment for Use of Gambling Funds.

Paddlewheel with Table - Daily Report.

Paddlewheel with Table - Daily Sales Report.

Paddlewheel with Table - Operator's Percentage of Hold.

Bingo Hard Card Sales.

Checker’s Record/Hard Cards.

Checker's Prize Winner Record/Hard Cards.

Caller Verification Form/Hard Cards.

Bingo Occasion Summary/Hard Cards.

Raffle Inventory and Sales Log.

Physical Inventory/Raffles.

Merchandise Prize Perpetual Inventory.

Perpetual Inventory/Pull-Tabs, Tipboards, and/or Paddletickets.

Physical Inventory/Pull-Tabs, Tipboards, and/or Paddletickets Monthly Report.

Current Site Inventory List.

Pull-tab Inspection Check List.

Pull-tab Dispensing Device Inspection Check List. 

Paddlewheel (Without Paddlewheel Table) Inspection Check List. 

Paddlewheel with Table Inspection Check List. 

Tipboard Inspection Check List. 

Bingo Inspection Check List.

Site Control/Tracking and Auditing of Pull-tab Game.

Daily Cash Bank Accounting for Electronic Pull-Tabs.

Daily Cash Bank Accounting for Electronic Pull-Tabs.

Electronic Pull-Tab Device Log.

Electronic Pull-Tab Device Log.

Perpetual Inventory Control/Bingo Paper.

Perpetual Inventory Control/Commingled Bingo Paper.

Perpetual Inventory Control/Bingo Paper Packages.

Physical Inventory Control/Bingo Paper Monthly Summary.

Admission Sales/Summary of Bingo Paper.

Floor Sales/Bingo Paper.

Bingo Game Prize Winner Sheet/Bingo Paper.

Caller Verification Form/Bingo Paper.

Bingo Occasion Summary/Bingo Paper.

Bingo Program Check List.

Bar Bingo Paper Sales.     LG920 instructions.

Linked Bingo Paper Perpetual Inventory.   LG930 instructions.

Monthly Gambling Report to Members. 

Request for Mentoring.

Worksheet for Lawful Purpose Rating. 
Optional form to track and monitor lawful purpose rating.  
Use Landscape print setting.

Organization Annual Report (financial summary).
Submit by September 1.

Reporting Organization Information Changes.

Reporting Gambling Manager Information Changes.

Reporting Premises Permit Changes.

ALPHABETICAL LIST OF NON-NUMBERED FORMS, SCHEDULES, WORKSHEETS, TAX FORMS, AND MISCELLANEOUS FORMS.

• G1 Lawful Gambling Monthly Tax Return

• G7430 Lawful Gambling Refund of Tax Paid on Unsold Pull-tab and Tipboard Tickets.
• Bar code label sheet
• CC Annual Certified Cash Count for Games in Play by Site
• CI Annual Certified Physical Inventory and Cash Count Summary
• INV Annual Certified Physical Inventory by Site.
• Schedule B2 Lawful Gambling Report of Barcoded Games
• Schedule ER Lawful Gambling Tax Credit for Exempt Raffles
• Schedule NRL Net Receipts Loss
• Worksheet E Lawful Gambling Combined Receipts Tax

Used in the conduct of paper pull-tabs,  bingo paper and bingo hard cards, paddlewheels, and tipboards.

Lawful Gambling Receipts and Expenses by Site. 

Lawful Purpose Expenditures.  

Lawful Gambling Fund Reconciliation.

Cash Shortages. 

Site Profitability.  Optional.  Use for July 2012 and after.

Site Profitability.  Optional.  Use for July 2012 and after Excel Version

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