ABCDEFGHIJKLMNOPQRSTUVWXYZ
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MONTH / YEARTAX TEMPLATE
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LICENSE #
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CASINO NAME
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PREPARED BY
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DATE COMPLETED
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REVIEWED BY (2nd Level Review)
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DATE REVIEWED
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RECONCILIATION OF SLOT MACHINE STATISTICAL REPORTS
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STEP 1: THE FOLLOWING WORKSHEET WILL ASSIST IN TYING OUT ALL STATISTICAL REPORTS. ENTER THE REQUESTED INFORMATION IN THE YELLOW BOXES. VARIANCES AND ERRORS WILL APPEAR IN RED. CORRECT ANY ERRORS. REMAINING VARIANCES MUST BE EXPLAINED. THE DATA WILL AUTOMATICALLY FLOW TO THE CALCULATION CHART.
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Drop
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Denomination Weighted Avg.
# of Units
Coin-InDrop (Bill & Coin)Ticket & Slot Coupon DropElectronic-In Slot Tournament AGP
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MSRSTheoretical HoldMSRSDrop
Comparison
Theoretical
Hold
General
Ledger
MSRSTicket-In
Comparison + Purchase Tickets
Theoretical
Hold
General
Ledger
Electronic-In
Comparison
General
Ledger
Slot Tournament
Summary
General
Ledger
17
1 Cent - 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
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5 Cent - 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
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10 Cent - 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
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25 Cent - 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
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50 Cent - 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
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1 Dollar - 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
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2 Dollar - 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
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5 Dollar - 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
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10 Dollar - 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
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25/50 Dollar - 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
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100 Dollar - 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
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Greater Than $100 - 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
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Multi-Denom - 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
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TOTAL - 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
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Investigate and correct all errors noted above and explain any remaining variances in the appropriate section.
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Payouts
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DenominationPayouts (JP, CC & Prog.)Tickets RedeemedFillsElectronic-OutJackpot Adjustments*Hopper Adj**
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MSRSJackpot
Comparison
Theoretical
Hold
General
Ledger
MSRSGeneral
Ledger
MSRSTheoretical
Hold
General
Ledger
Electronic-Out
Comparison
General
Ledger
Overpaid/ Unclaimed
Jackpots
Paid Unclaimed
Jackpots
Jackpot
Adjustments
Total
MSRS
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1 Cent 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
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5 Cent 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
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10 Cent 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
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25 Cent 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
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50 Cent 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
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1 Dollar 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
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2 Dollar 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
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5 Dollar 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
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10 Dollar 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
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25/50 Dollar 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
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100 Dollar 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
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Greater Than $100 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
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Multi-Denom 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
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TOTAL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
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Investigate and correct all errors noted above and explain any remaining variances in the appropriate section.* Jackpot Adjustments will only be completed if overpaid and/or unclaimed jackpots are included in drop period statistical reports.
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** If the hopper amount was MORE than the initial fill, enter the adjustment as a POSITIVE number. If the hopper amount was LESS than the initial fill, enter the adjustment as a NEGATIVE number.
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StatewideTickets IssuedAGPPrior Period AdjElectronic Promotional Credits:
Slots, Tables & Casino Games
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DenominationStatewide
Contributions
Statewide
Secondaries
Theoretical
Hold
Ticket-Out
Comparison
Tickets Issued section is for reconciliation purposes only, will not be used on Tax Return.AGPPPA***
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Vendor ReportPaid by Casino
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1 Cent 0.00 0.00 0.00 0.00 Slot EPC 0.00
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5 Cent 0.00 0.00 0.00 0.00 Prior Period Adj 0.00
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10 Cent 0.00 0.00 0.00 0.00 Total Slots EPC 0.00
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25 Cent 0.00 0.00 0.00 0.00
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50 Cent 0.00 0.00 0.00 0.00 Table EPC 0.00
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1 Dollar 0.00 0.00 0.00 0.00 Prior Period Adj 0.00
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2 Dollar 0.00 0.00 0.00 0.00 Total Table EPC 0.00
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5 Dollar 0.00 0.00 0.00 0.00
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10 Dollar 0.00 0.00 0.00 0.00 Casino Games EPC 0.00
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25/50 Dollar 0.00 0.00 0.00 0.00 Prior Period Adj 0.00
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100 Dollar 0.00 0.00 0.00 0.00 Total Casino Games EPC 0.00
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Greater Than $100 0.00 0.00 0.00 0.00
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Multi-Denom 0.00 0.00 0.00 0.00 0.00 0.00 Total EPC 0.00
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TOTAL 0.00 0.00 0.00 0.00 0.00 0.00
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Investigate and correct all errors noted above and explain any remaining variances in the appropriate section.The Adjusted Gross Proceeds (AGP) may be different on the MSRS, Theoretical Hold Report and the Tax Return. The different amounts may be a result of unredeemed tickets (liability), hopper adjustments, and statewide contributions.*** If an entry is made in this column, provide an explanation below. Be sure to contact the Division's Chief Auditor to obtain the amount of PPA Interest to be entered on the Tax Return (enter zero if reducing AGP).
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RECONCILIATION OF TABLE GAMES STATISTICAL REPORTS
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STEP 2: COMPLETE THE FOLLOWING WORKSHEET FOR TABLES GAMES. ENTER THE REQUESTED INFORMATION IN THE YELLOW BOXES. VARIANCES AND ERRORS WILL APPEAR IN RED. CORRECT ANY ERRORS. REMAINING VARIANCES MUST BE EXPLAINED. THE DATA WILL AUTOMATICALLY FLOW TO THE CALCULATION CHART.
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Game Type Weighted Avg.
# of Tables
Drop HandpaysPayouts (Total Fill/Credit Adj = Openers + Fills - Closers - Credits)AGPPPA***
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Master Games
Summary Report
Tournament AGPTotal DropGeneral
Ledger
Handpaid
Jackpots
General
Ledger
OpenersFillsClosersCreditsTotal Fill/Credit Adj.General
Ledger
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Blackjack - 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
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Player Banked Poker - 0.00 0.00 0.00 0.00 0.00 0.00
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House Banked Poker - 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
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Craps - 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
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Roulette - 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
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Baccarat - 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
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Pai Gow - 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
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Big 6 Wheel - 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
86
Casino War - 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
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Other - 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
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TOTAL - 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
89
Investigate and correct all errors noted above and explain any remaining variances in the appropriate section.*** If an entry is made in this column, provide an explanation below. Be sure to contact the Division's Chief Auditor to obtain the amount of PPA Interest to be entered on the Tax Return (enter zero if reducing AGP).
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RECONCILIATION OF CASINO GAMES STATISTICAL REPORTS
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STEP 3: COMPLETE THE FOLLOWING WORKSHEET FOR CASINO GAMES. ENTER THE REQUESTED INFORMATION IN THE YELLOW BOXES. VARIANCES AND ERRORS WILL APPEAR IN RED. CORRECT ANY ERRORS. REMAINING VARIANCES MUST BE EXPLAINED. THE DATA WILL AUTOMATICALLY FLOW TO THE CALCULATION CHART.
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Game TypeGame Offered?
(YES|NO)
Write | DropPayouts (Total Fill/Credit Adj = Openers + Fills - Closers - Credits)AGPPPA***
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Master Games Summary ReportGeneral LedgerOpenersFillsClosersCreditsTotal Fill/Credit AdjGeneral Ledger
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Keno 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
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Other 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
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TOTAL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
100
Investigate and correct all errors noted above and explain any remaining variances in the appropriate section.*** If an entry is made in this column, provide an explanation below. Be sure to contact the Division's Chief Auditor to obtain the amount of PPA Interest to be entered on the Tax Return (enter zero if reducing AGP).