Old Lyme, CT · New London County
Amusement and Recreation Bingo Registration
This application packet is for organizations seeking Old Lyme registration to operate amusement and recreation bingo, including the required sworn statement from the organization’s ranking officer.
At a glance
- Issued by
- City of Old Lyme · Old Lyme, New London County, Connecticut
- Notarization
- Required: sign this form in front of a notary before filing it.
- Official source
- oldlyme-ct.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
- licensed online notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
This three-part packet applies for registration to operate amusement and recreation bingo in Old Lyme. It collects the organization’s contact information, proposed bingo schedule and location, and statements from the ranking officer and member in charge; it also includes a notice and applicant statement about truthful disclosures and compliance. The town’s instructions say to print or type the forms, attach required material, and mail the completed application to the Office of the Selectmen.
Who needs it
An organization applying to register amusement and recreation bingo in Old Lyme should complete this packet and provide the requested information and attachments.
Why it needs a notary
The main application includes an oath jurat; the organization’s ranking officer signs its sworn statement before a commissioned online notary.
How to get this notarized
- 1
Download the Packet
Get the Amusement and Recreation Bingo Registration packet from the Town of Old Lyme.
- 2
Complete the Forms
Print or type the requested organization, schedule, location, and applicant information; attach required material.
- 3
Book an Online Notary
Schedule a remote session for the ranking officer’s sworn statement.
- 4
Sign on Video
Sign the sworn statement during the online notary session.
- 5
Submit to the Town
Mail the completed packet and attachments to the Old Lyme Office of the Selectmen.
Preview the form
The blank PDF straight from Old Lyme. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- How do I apply for bingo registration in Old Lyme?
- Complete the registration application and supplemental form, attach required material, and mail the packet to the Old Lyme Office of the Selectmen at the address printed on the form.
- Do I need to sign the application in front of a notary?
- Yes. The main application includes an oath stating that the signer appeared and made oath before a notary public. The ranking officer signs that sworn statement.
- Can I use online notarization for this bingo application?
- Connecticut authorizes remote online notarization for its own notaries under Public Act 23-28, codified at Conn. Gen. Stat. §3-95b. A commissioned online notary may notarize this sworn statement; check that the receiving office accepts the completed notarization.
- Where do I send the completed forms?
- The instructions direct applicants to mail the completed application to the Office of the Selectmen, 52 Lyme Street, Old Lyme, CT 06371. Confirm with the town clerk if unsure.
Other forms in Old Lyme
Amusement and Recreation Bingo Registration in other Connecticut cities
Each city publishes its own version of this form. Pick the city where you’re filing.