21760886 2026

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  1. Click ‘Get Form’ to open the Barcode Label Sheet in the editor.
  2. Begin by entering your Federal ID number (FEIN) and Minnesota tax ID in the designated fields at the top of the form.
  3. Next, input your license number and the name of the gambling site. Ensure that these details are accurate for proper identification.
  4. Fill in the site permit number along with the month and year reported. This information is crucial for record-keeping.
  5. In the 'Type of game' section, check one box corresponding to the type of game you are reporting, such as Tipboards or Paper pull-tabs.
  6. Indicate the game status by checking one of the options: Played, Reported as a fund loss, Missing, or Defective.
  7. Finally, enter the total number of barcodes on this page to complete your submission.

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2023 4.8 Satisfied (54 Votes)
2018 4.9 Satisfied (32 Votes)
2012 4.5 Satisfied (49 Votes)
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