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How to fill out the LA DPSSP 6653 online
Filling out the LA DPSSP 6653 form is a crucial process for individuals and businesses engaged in gaming activities in Louisiana. This guide will provide you with step-by-step instructions to help you complete the form accurately and efficiently online.
Follow the steps to successfully complete the LA DPSSP 6653 form.
- Click the ‘Get Form’ button to access the form and open it in your preferred editor.
- Begin by entering the legal name of the permittee in the designated field. Ensure that this matches your official documentation.
- Fill out the 'Doing business as (d/b/a)' field with the trade name under which the business operates, if applicable.
- Provide the physical address of your business, including street, city, state, and ZIP code.
- Enter the mailing address, if different from the physical address.
- Input your permit number and federal tax ID number, ensuring you have this information readily available.
- Indicate the parish or county where your business is located and enter your Louisiana state tax ID number as required.
- Answer the question regarding whether your business is within city limits by selecting 'yes' or 'no'.
- Provide your contact telephone number, ensuring the area code is included.
- If applicable, enter your Louisiana Alcohol and Tobacco Control (ATC) Permit number.
- Fill in the contact person's name for the permittee, along with their title or position held.
- Provide the contact person's social security number and date of birth in the specified format (MM/DD/YY).
- Include the website URL and email address for additional contact information.
- Complete any additional contact telephone or fax numbers as necessary.
- Review the annual fee schedule and ensure you select the appropriate fee for your business type.
- Sign and notarize the annual fee affidavit as indicated, ensuring all representatives of the business are included as necessary.
- Submit the completed LA DPSSP 6653 form, notarized affidavit, and the appropriate payment via certified or registered mail, or through a private carrier to the specified address.
- Once submitted, save a copy of your completed form for your records.
Complete your LA DPSSP 6653 form online today to ensure compliance with Louisiana gaming regulations.
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