Get Pa Dor Rev-1752 2015

This guide provides clear, step-by-step instructions on how to complete the PA DoR REV-1752 form online. Designed for individuals with varying levels of experience, this document ensures that you can efficiently and accurately submit your application for a games of chance license.

Follow the steps to fill out the PA DoR REV-1752 form successfully

1. Click ‘Get Form’ button to access the document and open it in your online editor.
2. Begin by filling in the licensing authority details. Enter the county name or governing authority name, along with the address and telephone number in the designated space.
3. Evaluate and check the appropriate block to indicate the type of application: Initial Application, Annual Application, or Change of Data. Be aware that you must notify the licensing authority of any changes within 15 days.
4. Include a check, cashier’s check, or money order made payable to the licensing authority for the fee based on the type of application; $125 for a Games of Chance License or $25 for a Replacement License.
5. Provide the name of the municipality (city, borough, or township) where the organization operates.
6. Enter the Liquor Identification Number (LID) and Liquor License Number, if applicable. If your organization is incorporated, indicate this and attach a copy of the articles of incorporation.
7. Fill in the name of your organization and the date it was formed.
8. Detail the location of your organization and licensed premises. Include the street address, county, city, state, and ZIP code. Additionally, provide the telephone number and email address.
9. If the mailing address differs from the operational address, fill it in and check the box if they are the same.
10. Specify the organization’s operating day and week in the respective fields.
11. As an executive officer or secretary, certify the statements regarding age restrictions and previous convictions by providing your signature and personal details.
12. Ensure the application is notarized by having a notary public complete the required information.
13. Lastly, don't forget to complete any accompanying documents, including forms and schedules, and submit everything to the licensing authority.
14. Once your application is complete, you can save your changes, download, print, or share your completed form as needed.

Submit your application for the PA DoR REV-1752 online to ensure smooth processing.