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This version of the form is not currently in use and is provided for reference only. Download this version of
Form 105
for the current year.
Form 105 Paper Instant Bingo / Seal Cards / Pull-Tabs Reconciliation Form - Virginia
What Is Form 105?
This is a legal form that was released by the Virginia Department of Agriculture and Consumer Services - a government authority operating within Virginia. Check the official instructions before completing and submitting the form.
FAQ
Q: What is Form 105?
A: Form 105 is the Paper Instant Bingo/Seal Cards/Pull-Tabs Reconciliation Form in Virginia.
Q: What is the purpose of Form 105?
A: The purpose of Form 105 is to reconcile the sales and prizes for paper instant bingo, seal cards, and pull-tabs.
Q: Who needs to fill out Form 105?
A: Anyone who sells paper instant bingo, seal cards, or pull-tabs in Virginia needs to fill out Form 105.
Q: What information is required on Form 105?
A: Form 105 requires information about the organization, the games sold, the sales and expenses, and the prizes awarded.
Q: When is Form 105 due?
A: Form 105 is due on the 20th of each month following the month in which the sales occur.
Q: Are there any penalties for not submitting Form 105?
A: Yes, failure to submit Form 105 or submitting false information can result in penalties and the suspension of gaming activities.
Q: Is Form 105 required for electronic bingo or other electronic gaming devices?
A: No, Form 105 is specific to paper instant bingo, seal cards, and pull-tabs. Electronic bingo and electronic gaming devices have their own reporting requirements.
Form Details:
- Released on August 5, 2013;
- The latest edition provided by the Virginia Department of Agriculture and Consumer Services;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form 105 by clicking the link below or browse more documents and templates provided by the Virginia Department of Agriculture and Consumer Services.
