Beckemeyer, IL · Clinton County
Raffle License Application
This application requests a single or multiple raffle license and collects organization, officer, manager, prize, sales-area, and drawing details for submission to the Village.
- 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
The form collects information about the applicant organization, its presiding officer, secretary, raffle manager, and other members responsible for operating the raffle. Applicants specify whether they seek a single or multiple raffle license and provide prize values, ticket prices, sales areas, and drawing details. For a multiple raffle license, the form directs applicants to attach a separate sheet listing each raffle’s date, time, and location within the one-year license period. Application fees are nonrefundable, even if the Village Board rejects the application.
Who needs it
A not-for-profit organization seeking a single or multiple raffle license from the Village must provide the requested organization, responsible-member, and raffle details.
Why it needs a notary
The sworn-statement block has a jurat stating the application was signed and sworn to before a notary; the presiding officer and secretary sign before the notary.
How to get this notarized
- 1
Download The Application
Get the Village’s Raffle License Application and review its requested organization and raffle information.
- 2
Complete The Form
Enter organization, officer, manager, prize, sales-area, and drawing details. Attach the additional raffle schedule if requesting a multiple license.
- 3
Book An Online Notary
Arrange an online notarization for the application’s sworn-statement section.
- 4
Sign On Video
The presiding officer and secretary sign the sworn statement before the notary during the online session.
- 5
Submit To The Village
Submit the completed application and any required attachment to the Village, and account for the form’s nonrefundable application fee.
Preview the form
The blank PDF straight from Beckemeyer. 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 complete the sworn-statement section?
- The presiding officer and secretary sign the sworn statement before a notary, who completes the jurat. Follow the application’s instructions for organization and raffle details.
- Do I need a notary for this raffle application?
- Yes. The application includes a signed-and-sworn statement with a notary block for the presiding officer and secretary.
- Can I sign this form with a commissioned online notary?
- Illinois authorizes electronic and remote notarization for its own notaries under 5 ILCS 312 and recognizes notarial acts by officers authorized where performed under 765 ILCS 30. Confirm with the Village if unsure.
- What should I include for a multiple raffle license?
- Attach a separate sheet listing the date, time, and location of each raffle planned within the one-year period from the license’s issuance.
Raffle License Application in other Illinois cities
Each city publishes its own version of this form. Pick the city where you’re filing.