This form is authorized as outlined by the Bingo License and Tax Act. Disclosure of this information is REQUIRED. Failure to provide information could result in this form not being processed. This form has been approved by the Forms Management Center. IL-492-1359 Step 3 continued Tell us about your bingo event 6 What day of the week will bingo be played 9 Estimate the number of people who will play bingo weekly. Use your mouse or Tab key to move through the fields. Use your mouse or space bar to enable check boxes. Illinois Department of Revenue RB-3 Bingo Application for License License no. License issued Do not write above this line. Read this information first To qualify for a license to conduct bingo games your organization must be not-for-profit have been organized and in existence in Illinois for at least the past five years or affiliated and chartered with a national organization for two years and have had members carrying out the organization s goals during either period not ha....
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How to fill out the IL DoR RB-3 online
The IL DoR RB-3 form is essential for organizations seeking a bingo license in Illinois. This guide will help you navigate the form seamlessly, providing clear instructions and support at each step.
Follow the steps to successfully complete the IL DoR RB-3 form online.
- Select the ‘Get Form’ button to access the IL DoR RB-3 form and open it for editing.
- Identify your organization by selecting the correct type and providing the federal employer identification number (FEIN) along with the organization name and primary address. Ensure the address is a street address and does not include a PO Box.
- If applicable, provide a mailing address different from the primary address. You may leave this section blank if the mailing address is the same.
- Designate a contact person for the organization, ensuring to include their name, title, phone number, fax number, and email address.
- List the officers of the organization, including the president, treasurer, secretary, and the person in charge. Provide their names, social security numbers, home addresses, phone numbers, and dates of birth.
- Select the type of license you are applying for (regular, special, or limited) and fill in the related information, including the bingo event location, date, and time.
- Indicate the fee payment based on the selected license type. Make sure to include the appropriate fee ($200 for regular and $50 for limited) and ensure the payment is made out to the 'Illinois Department of Revenue'.
- Sign and date the application, confirming that all information provided is accurate. Mail the completed form along with any required attachments and payment to the designated address.
Complete and submit your IL DoR RB-3 form online today to secure your organization's bingo license.
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