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Click ‘Get Form’ to open it in the editor.
Begin by entering your organization name and license number at the top of the form.
In the section for paddlewheel operator’s name, ensure that this is filled out by someone other than the operator.
For each activity, enter the date and site on the first line. Skip columns A and B, then input net receipts in column C and gross receipts in column D.
Calculate the percentage by dividing net receipts (column C) by gross receipts (column D) and enter this value in column E.
For subsequent activities, repeat step 4, ensuring to carry over cumulative figures from previous lines into columns C and D as instructed.
Remember not to add any percentage figures from column E; keep this form with your organization's records for future reference.

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