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Get Cg Ar R Application For Annual Raffle Renewal

For Official Use Only License Fee Paid Date Received Reviewed By Date Entered CG-AR R ANNUAL RAFFLE RENEWAL APPLICATION State Form XXXXX INDIANA GAMING COMMISSION INSTRUCTIONS Not for first time applicants. List the organization s separate and segregated charity gaming checking account information. Name of Bank Name of separate and segregated charity gaming checking account Account Number IMPORTANT You must attach Form CG-21 Annual License Gross .

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