SC Department of Revenue
2011 Forms & Instructions: Bingo Forms


Bingo Forms

Social Security Privacy Act
It is mandatory that you provide your social security number on this tax form. 42 U.S.C 405(c)(2)(C)(i) permits a state to use an individual's social security number as means of identification in administration of any tax. SC Regulation 117-201 mandates that any person required to make a return to the SC Department of Revenue shall provide identifying numbers, as prescribed, for securing proper identification. Your social security number is used for identification purposes.

Form Name Form Number
Bingo Card Refund Request FS-92
Bingo Card Refund Request (Class C) FS-92C
Application for Bingo Promoter's License L-2057
Application for Bingo License Nonprofit Organization L-2058
Application for a Class D Bingo License L-2060
Bingo Revenue Bond L-2066
Application for License to Manufacture or Distribute Bingo Game Cards L-2128
Fair Bingo Return L-2147
Application for License to Manufacture Electronic Bingo Tickets L-2168
Bingo Lawful Presence L-3003
Bingo Complaint Form L-3016
Bingo Financial Quarterly Report RD-9

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