Follow the steps to complete the authorization form effectively.

1. Click 'Get Form' button to obtain the form and open it in the editor.
2. Begin by entering the retailer name in the designated field. This identifies your business within the Hoosier Lottery system.
3. Provide the legal business name, which may differ from the retailer name. Ensure accuracy to avoid processing delays.
4. Fill in the complete street address, city, and zip code of the business location. This information is crucial for the installation process.
5. Enter the store owner's name in the specified section, as this person is responsible for the authorization.
6. Indicate whether a landlord owns the retailer’s business building by selecting 'Yes' or 'No'. If 'Yes', the landlord must complete additional fields.
7. If you selected 'Yes' for landlord ownership, fill in the landlord's name, street address, city, and zip code.
8. In the designated area, acknowledge ownership by entering the landlord's name and provide the address of the building as required.
9. Include the name of the business currently leased at the address - this may be the retailer's name or state 'N/A' if not applicable.
10. The landlord/owner must authorize the installation by signing in the provided space. Ensure the signature is complete and accurate.
11. Lastly, enter the date of signing and review the entire form for accuracy before submitting.
12. Once the form is complete, fax it to (317) 264-4911 or mail it to the Hoosier Lottery Licensing Department at the specified address.

Complete your OWNER/LANDLORD AUTHORIZATION FORM online today to ensure timely installation of your lottery terminal.