Get Massachusetts State Lottery Commission License Application Booklet Supporting The 351 Cities And

This guide provides comprehensive instructions on completing the Massachusetts State Lottery Commission License Application Booklet. Whether you are a new applicant or a current agent seeking to make changes, this resource will ensure you understand each section and field of the form.

Follow the steps to successfully complete your application.

1. Click the ‘Get Form’ button to obtain the form and open it for editing.
2. Begin filling out the application by clearly indicating if you are a new applicant or changing your business structure. Check the respective box at the top of the application.
3. Indicate your business structure by checking the appropriate box for sole proprietorship, partnership, corporation, or limited liability company.
4. Provide your Taxpayer Identification Number (TIN) and ensure that an official verification from the IRS or Department of Revenue is attached.
5. Complete the business location information, including business name, street address, city, zip code, and phone number.
6. Specify the type of business by selecting from the provided list, such as convenience store, restaurant, or liquor store.
7. If applying for Keno or Pull-Tab licenses, indicate your intention and attach a copy of your liquor-pouring license if applicable.
8. List the current owners, partners, members, managers, or officers of your business structure. Each individual must sign a personal data form and release authorization form.
9. Authorize the application by having an authorized person complete and sign the certification section, confirming the accuracy of the information provided.
10. Attach a check for the $200 non-refundable application fee, made payable to the Massachusetts State Lottery Commission, and ensure all required documents are included.
11. Once completed, submit the application via mail to the Massachusetts State Lottery Commission at the specified address.
12. After submission, keep a copy of the application for your records and monitor for communication from the Licensing Department regarding the status of your application.

Start your application now by filling out the Massachusetts State Lottery Commission License Application Booklet online.