Internet Resale of Admission Tickets Report

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					TR-110
   Web
                                  Internet Resale of Admission Tickets Report
   9-08                                         North Carolina Department of Revenue
Reseller’s Name



Trade Name                                                                                                              FEIN or SSN

Street Address



City                                                             State         Zip Code
                                                                                                                Report for Period Ending

Contact Person                               Phone Number                      Fax Number
                                                                                                                          (MM-DD-YY)




General Instructions
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
                                                                                                               1.
                                                                                                                         ,        ,     .00
2. Total Acquisition Cost of Admission Tickets
   From Reverse, Column D, Total
                                                                                                               2.
                                                                                                                         ,        ,     .00
3. Net Proceeds From Reselling Admission Tickets
   Line 1 minus Line 2
                                                                                                               3.
                                                                                                                         ,        ,     .00

  Part 2. Authorized Signatures                                                                                     Place Notary Seal Below
  Reseller
  I swear or affirm that, to the best of my knowledge, this report is accurate and complete.



  Signature                                                                        Date

  Notary
  Sworn and subscribed before me on
                                                     Date


  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
Page 2
 TR-110        Reseller’s Name
  Web          (First 10 Characters)
                                                                                                                     FEIN or SSN	
  9-08

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

            EVENT

            VENUE

            EVENT

            VENUE

            EVENT

            VENUE

            EVENT

            VENUE

            EVENT

            VENUE

            EVENT

            VENUE

            EVENT

            VENUE

            EVENT

            VENUE

            EVENT

            VENUE

            EVENT

            VENUE

                         Total