Indiana Schedule CGE-103-S is used to report detailed information about each sale of pull tabs, punchboards, and tip boards by distributors. This schedule must accompany the CGE-103 form when filed, detailing customer-specific information and the products sold.
How to Complete the Schedule CGE-103-S
- Schedule Type (1A, 1B, or 1C)
Indicate the type of transaction:- 1A: Distribution to a customer.
- 1B: Sale to a customer.
- 1C: Resale to a qualified organization.
- Customer TID Number
Enter the Taxpayer Identification Number (TID) of the customer. This number is provided by the Indiana Department of Revenue to all registered taxpayers. - Customer 3-Digit Location Number
Input the three-digit location number that corresponds to the customer’s specific location. - Customer Gaming Commission Permit Number
Provide the permit number issued by the Indiana Gaming Commission to the customer. - Customer Name
Write the full legal name of the customer receiving the products. - Customer Street Address
Enter the street address of the customer’s location. - Customer Street Address Line 2
If applicable, include a second line of the customer’s street address. - Customer City
Input the city of the customer’s location. - Customer State
Specify the state where the customer’s business is located. - Customer ZIP Code
Enter the ZIP code corresponding to the customer’s address. - Customer Telephone Number
Provide the contact telephone number of the customer. - Game Manufacturer
Input the name of the manufacturer of the gaming product being sold. - Game Form Number
Enter the form number associated with the game being sold. - Name of Game Sold
List the name of the game (e.g., pull tab, punchboard, tip board) sold to the customer. - Game Serial Number
Include the serial number of the specific game sold. - Invoice Date
Record the date of the invoice for the sale. - Invoice Amount
Enter the total amount shown on the invoice for the sale of the gaming products. - Quantity Sold
Indicate the quantity of items sold in this transaction.
Additional Notes
This schedule must be filled out with each individual sale or distribution. Ensure that all columns are completed accurately. If multiple transactions occurred, enter each sale on a new line.