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Showing 85 - 96 of 121 results

Form Name	Number	Licensee	Entity	License
Oath/Signature of Applicant Oath/Signature of Applicant Form number Form GC4-101 Form Summary Use this form when requesting signature for an unsigned or signed by incorrect individual application. For licensee type Current licensee, New applicant Entity type Individual, Organization License Type Class III, Commercial, Nonprofit Cancel Download as PDF (111.25 KB)	GC4-101	Current licensee, New applicant	Individual, Organization	Class III, Commercial, Nonprofit
Ownership / Organization Disclosure Ownership / Organization Disclosure Form number Form GC4-021 Form Summary Use this form to Disclose your Ownership / Organization structure For licensee type Current licensee, New applicant Entity type Organization License Type Commercial Cancel Download as PDF (190.36 KB)	GC4-021	Current licensee, New applicant	Organization	Commercial
Permit for Charitable / Nonprofit Organization to Conduct Bingo at Agricultural Fairs ONLY Packet Permit for Charitable / Nonprofit Organization to Conduct Bingo at Agricultural Fairs ONLY Packet Form number Form GC4-010-pkt Form Summary Use these forms if you are a nonprofit organization wanting to Conduct Bingo at Agricultural Fairs only. This packet contains all forms needed for a complete application. For licensee type New applicant Entity type Organization License Type Nonprofit Cancel Download as PDF (309.08 KB)	GC4-010-pkt	New applicant	Organization	Nonprofit
Permit for Charitable / Nonprofit Organization to Conduct Bingo at Agricultural Fairs ONLY Permit Permit for Charitable / Nonprofit Organization to Conduct Bingo at Agricultural Fairs ONLY Permit Form number Form GC4-010 Form Summary Use this form if you are a nonprofit organization wanting to Conduct Bingo at Agricultural Fairs only For licensee type New applicant Entity type Organization License Type Nonprofit Cancel Download as PDF (190.55 KB)	GC4-010	New applicant	Organization	Nonprofit
Permit for Commercial Business to Conduct Bingo at Agricultural Fairs ONLY Permit for Commercial Business to Conduct Bingo at Agricultural Fairs ONLY Form number Form GC4-009a Form Summary Use this form if you are a Commercial Business wanting to Conduct Bingo at Agricultural Fairs only For licensee type New applicant Entity type Organization License Type Commercial Cancel Download as PDF (178.63 KB)	GC4-009a	New applicant	Organization	Commercial
Permit for Commercial Business to Conduct Bingo at Agricultural Fairs ONLY Packet Permit for Commercial Business to Conduct Bingo at Agricultural Fairs ONLY Packet Form number Form GC4-009-pkt Form Summary Use these forms if you are a Commercial Business wanting to Conduct Bingo at Agricultural Fairs only. This packet contains all forms needed for a complete application. For licensee type New applicant Entity type Organization License Type Commercial Cancel Download as PDF (550.98 KB)	GC4-009-pkt	New applicant	Organization	Commercial
Personal / Criminal History Statement Personal / Criminal History Statement Form number Form BLS-700-301 Form Summary Use this form to report your personal and criminal history information. For licensee type Current licensee, New applicant Entity type Organization License Type Commercial, Nonprofit Cancel Fill out online (SAW)	BLS-700-301	Current licensee, New applicant	Organization	Commercial, Nonprofit
Punch Board / Pull-Tab - Add an Activity to Charitable / Nonprofit Organization Application Packet Punch Board / Pull-Tab - Add an Activity to Charitable / Nonprofit Organization Application Packet Form number Form GC4-029a-pkt Form Summary Use these forms if you are adding a new activity to your current Charitable / Nonprofit Organization license. This packet contains all forms needed for a complete application. For licensee type Current licensee Entity type Organization License Type Nonprofit Cancel Download as PDF (633.16 KB)	GC4-029a-pkt	Current licensee	Organization	Nonprofit
Punch Board / Pull-Tab - Add an Activity to Commercial Business Application Packet Punch Board / Pull-Tab - Add an Activity to Commercial Business Application Packet Form number Form GC4-030a-pkt Form Summary Use these forms if you are adding a new activity to your current commercial business license. This packet contains all forms needed for a complete application. For licensee type Current licensee Entity type Organization License Type Commercial Cancel Download as PDF (871.1 KB)	GC4-030a-pkt	Current licensee	Organization	Commercial
Punch Board / Pull-Tab - Charitable / Nonprofit Organization Application Packet Punch Board / Pull-Tab - Charitable / Nonprofit Organization Application Packet Form number Form GC4-028e-pkt Form Summary Use these forms if you are applying for a Charitable / Nonprofit Organization Punch Board / Pull-Tab. This packet contains all forms needed for a complete application. For licensee type New applicant Entity type Organization License Type Nonprofit Cancel Download as PDF (570.9 KB)	GC4-028e-pkt	New applicant	Organization	Nonprofit
Punch Board / Pull-Tab - Commercial Business Application Packet Punch Board / Pull-Tab - Commercial Business Application Packet Form number Form GC4-025a3-pkt Form Summary Use these forms if you are applying for a Commercial Business Punch Board / Pull-Tab. This packet contains all forms needed for a complete application. For licensee type New applicant Entity type Organization License Type Commercial Cancel Download as PDF (1.14 MB)	GC4-025a3-pkt	New applicant	Organization	Commercial
Punch Board / Pull-Tab Application Addendum Punch Board / Pull-Tab Application Addendum Form number Form GC4-025a Form Summary Use this form, along with the Commercial Business Application, to add punch board / pull-tab activity to your license For licensee type Current licensee Entity type Organization License Type Commercial, Nonprofit Cancel Download as PDF (214.27 KB)	GC4-025a	Current licensee	Organization	Commercial, Nonprofit

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