Internet Resale of Admission Tickets Report
9-08 North Carolina Department of Revenue
Trade Name FEIN or SSN
City State Zip Code
Report for Period Ending
Contact Person Phone Number Fax Number
Use this form to report to the Department of Revenue the gross receipts from the resale of admission tickets on the Internet. The law, in
G.S. 14-344.1, requires the reseller to file a monthly report with the Department listing the gross receipts from reselling tickets and other
specified information. If you have questions about how to complete this form, please call the Department’s Policy Analysis and Statistics
Division at 919-733-4548.
Submit only one copy of the front page of Form TR-110. Part 1 contains the summary information for entries in Part 3. Additional pages
of Part 3 may be submitted and Part 1 should contain the summary for all entries in Part 3.
Part 3: In column A, enter the event name and the venue for each event for which tickets were resold. In Column B, enter the name of the
person or the venue from which tickets were purchased. Column D is the total amount of money that was paid for the tickets. Column E is
the total amount received from the sale of tickets. Column F is the total gross receipts: the amount received from the sale of tickets less
the sum of the prices printed on the face of the tickets. Fill in Columns G and H only if the person who bought the tickets is a reseller.
This report is due by the 10th day of each month and covers the gross receipts received during the previous month.
Part 1. Summary of Internet Resale of Admission Tickets Activity
1. Total Amount Received from Reselling Admission Tickets
From Reverse, Column E, Total
, , .00
2. Total Acquisition Cost of Admission Tickets
From Reverse, Column D, Total
, , .00
3. Net Proceeds From Reselling Admission Tickets
Line 1 minus Line 2
, , .00
Part 2. Authorized Signatures Place Notary Seal Below
I swear or affirm that, to the best of my knowledge, this report is accurate and complete.
Sworn and subscribed before me on
Notary Public Signature Date My Commission Expires
MAIL TO: North Carolina Department of Revenue, Policy Analysis and Statistics Division
PO Box 25000, Raleigh, North Carolina 27640-0003
TR-110 Reseller’s Name
Web (First 10 Characters)
FEIN or SSN
Part 3. Internet Resale of Admission Tickets Activity
A. B. C. D. E. F. G. H.
Person/Venue Number Total Amount Total Gross Reseller’s Name Reseller’s Address
Event/Venue from Whom of Acquisition Received Receipts for if Ticket Sold and Telephone
Tickets are Purchased Tickets Cost of Tickets By Reseller This Event/Venue to Reseller Number