Capitola, CA · Santa Cruz County
Application for Bingo Permit
Capitola organizations use this application to request a bingo permit and provide information about their organization, games, operators, and premises.
What this form is
Organizations seeking a bingo permit in Capitola complete this application with details about their organization, officers, bingo games, operators, and the premises where games will be held. It also requests premises-owner consent when the applicant does not own the premises, a $71 application fee, and copies of tax-exemption certificates or letters. The authorized representative signs a declaration under penalty of perjury.
Who needs it
An organization seeking a Capitola bingo permit needs this application, with premises-owner consent if it does not own the location.
How to submit it
The form lists the Chief of Police at 422 Capitola Avenue, Capitola, California 95010, and says the $71 application fee must accompany the completed application.
About notarization
This application is signed without a notary; the authorized representative declares under penalty of perjury, and the form requests tax-exemption certificates or letters.
How to submit this form
- 1
Download The Application
Download the Capitola Application for Bingo Permit PDF.
- 2
Complete The Application
Fill in the organization, officer, bingo game, operator, and premises information.
- 3
Gather Attachments And Consent
Attach the requested tax-exemption certificates or letters; obtain the premises owner's consent if the applicant does not own the premises.
- 4
Submit The Application And Fee
Submit the completed application with the $71 fee to the Chief of Police at the address listed on the form.
Frequently asked questions
- Do I need a notary for the Bingo Permit Application?
- No. The form has no notary block; the authorized representative signs a declaration under penalty of perjury. It also requests tax-exemption certificates or letters.
- How do I submit the Bingo Permit Application?
- The form lists the Chief of Police at 422 Capitola Avenue, Capitola, California 95010. It says to submit the $71 application fee with the completed application.
- What information does the application ask for?
- It asks for organization and officer details, bingo schedules and operators, information about the premises, and consent from the property owner if the applicant does not own the premises.
- What attachments does the application request?
- Attach copies of certificates or letters evidencing exempt status under § 170(C)(2) of the Internal Revenue Code, received from the Franchise Tax Board and Internal Revenue Service.