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  • Rev 1752 As 01 14 Form

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PAGE 1 REV-1752 AS 01-14 FOR LICENSING AUTHORITY USE ONLY ELIGIBLE ORGANIZATION GAMES OF CHANCE APPLICATION Licensing Authority Enter County Name or Governing Authority Name Address and Telephone Number Please Print or Type.

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How to fill out the Rev 1752 As 01 14 Form online

Filling out the Rev 1752 As 01 14 Form online can be a straightforward process when guided correctly. This document is designed for organizations applying for a Games of Chance License, outlining necessary information and steps required to complete the application accurately.

Follow the steps to successfully complete the Rev 1752 As 01 14 Form.

  1. Click ‘Get Form’ button to obtain the form and open it in your preferred online editor.
  2. Start by entering the licensing authority's name, address, and telephone number in the designated area at the top of the form.
  3. Indicate the type of application by checking the appropriate box: Initial Application, Annual Application, or Change of Data. Ensure you notify the licensing authority of any changes within 15 days.
  4. Submit the required application fee by including a check, cashier’s check, or money order made payable to the licensing authority listed above.
  5. Provide the name of the municipality where the organization operates, as well as the type of organization.
  6. Enter the name of the organization and its formation date.
  7. Fill in the normal business operations address, including street, city, county, and telephone number.
  8. Indicate whether the licensed premises are owned or leased by the organization, and provide relevant details.
  9. Certify under penalties of perjury that all provided information is accurate and true. This section must be signed by the executive officer or secretary of the organization.
  10. Complete the schedule sheets by listing types of games, officers, responsible persons, and distributors as required.
  11. Gather and attach any necessary documentation, such as articles of incorporation or IRS tax exemption letters, before submitting the application.
  12. Finally, save your changes, download the completed form, and print or share it with the relevant licensing authority.

Start filling out your Rev 1752 As 01 14 Form online today to ensure a smooth application process.

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Small Games of Chance licenses are issued through your County Treasurer's Office. Each eligible organization must complete and submit an Eligible Organization Games of Chance Application to the county in which the organization is based.

Cost. A non-refundable application fee of $20 is applied to the license fee. The balance of the license fee is due upon application approval. If you renew your license more than 60 days after the due date, you will be charged 1.5% of the license fee for each month since the license expired.

No more than $15,000 may be awarded in raffles during a calendar month. Limited exceptions to the prize limits exist: Raffles conducted under a special permit: Licensed eligible organizations can apply to the county treasurer for special permits.

All costs must be reimbursed to the Board. The application fee for a 5-year Gaming Employee Permit is $350.00. The renewal application fee is $200.00.

Tavern Gaming Licenses Taverns that obtain a tavern gaming license from the Pennsylvania Liquor Control Board (PLCB) are authorized to offer pull-tab games, tavern raffles and tavern daily drawings.

Small Games of Chance licenses are issued through your County Treasurer's Office. Each eligible organization must complete and submit an Eligible Organization Games of Chance Application to the county in which the organization is based.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232