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Print Form ARKANSAS DEPARTMENT OF FINANCE AND ADMINISTRATION Bingo and Raffle Registration Licensed Authorized Organization Supplemental Form Clear Form AR-1R-BRLAO SECTION A OWNERSHIP INFORMATION 1 Legal Name Enter full legal name of organization - 2 Federal Identification Number FEIN SECTION B EVENT LOCATION INFORMATION 3 Location of event s Address City State Zip Check the appropriate box Premises are owned by the organization Premises are leased/rented by the organization - Attach copy of lease agreement Other explain SECTION C LICENSE TYPE 4 Type of License Original Renewal A 100. 00 Annual fiscal license to operate games of bingo and raffle B 25. 00 Temporary license to conduct one bingo session C 25. 00 Class I temporary license to conduct one raffle D 10. 00 Class II temporary license to conduct one raffle Prize donated and has a value less than 5 000. 00 If renewal application supply existing 8 digit Account ID -BRR SECTION D NON-PROFIT CERTIFICATION AND EVENT INFORMATION 5 Is....

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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