Breese, IL · Clinton County
Application for Raffle or Poker Run License
This application requests a single or multiple raffle license and is filed by an organization seeking to conduct raffles or poker runs in the City of Breese.
- 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 application collects the organization’s details, information about its officers and raffle manager, and the planned raffle dates, locations, prize values, and ticket sales. Organizations seeking a single or multiple raffle license submit it to the City of Breese, along with a sworn statement affirming the application’s facts and the organization’s eligibility. Multiple-license applicants must also provide details for each raffle on a separate sheet.
Who needs it
An organization seeking a single or multiple raffle license from the City of Breese must complete this application and provide the requested organization and raffle details.
Why it needs a notary
The form carries a sworn statement, signed by the organization’s presiding officer, secretary, and raffle manager before a notary public.
How to get this notarized
- 1
Download the Application
Get the Application for Raffle or Poker Run License from the City of Breese.
- 2
Fill In the Form
Provide the organization, officer, raffle manager, prize, ticket, and event details. Attach the requested information for additional responsible members or multiple raffles.
- 3
Book an Online Notary
Arrange a remote session with a commissioned online notary for the sworn statement.
- 4
Sign on Video
The presiding officer, secretary, and raffle manager sign the sworn statement before the notary during the video session.
- 5
Submit to the City
Send the completed application and attachments to the City of Breese and follow its instructions for the license application fee.
Preview the form
The blank PDF straight from Breese. 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 get the raffle application notarized online?
- Complete the application, then book with a commissioned online notary. The presiding officer, secretary, and raffle manager sign the sworn statement during the video session. Check with the City of Breese about submission requirements.
- Do I need to sign the sworn statement in front of a notary?
- Yes. The application includes a sworn statement with a notary block. The presiding officer, secretary, and raffle manager sign before the notary.
- Can a remote online notary notarize this form?
- Illinois authorizes its notaries to perform electronic and remote notarizations under the Illinois Notary Public Act (5 ILCS 312), and recognizes notarial acts performed elsewhere by an officer authorized there (765 ILCS 30). Confirm with the city or village if unsure.
- What information should I have ready for a multiple raffle license?
- The form asks for the organization’s details and, on a separate sheet, the date, time, and location for each raffle planned within the one-year license period.