South Roxana, IL · Madison County
Raffle License Application
Organizations use this application to request an annual Village of South Roxana raffle license and provide details about the raffle, manager, and financial compliance.
What this form is
The Village of South Roxana uses this application for organizations seeking a raffle license. It requests applicant and organization information, raffle details, the raffle manager’s name, and financial compliance acknowledgments. The application states that a non-refundable $100 fee, payable to the Village, must accompany each annual raffle license application.
Who needs it
An organization planning a raffle in South Roxana should complete this application and provide the requested organization, raffle, and financial information.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This application is signed and dated without a notary; it lists no notarized attachment or sworn step.
How to submit this form
- 1
Download The Application
Download the Raffle License Application PDF.
- 2
Complete The Application
Provide the applicant and organization information, raffle details, manager name, and financial compliance acknowledgments.
- 3
Prepare The Application Fee
The application states that a non-refundable $100 fee payable to the Village is required annually for each raffle license.
- 4
Submit To The Village
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- Do I need a notary for the Raffle License Application?
- No. The application has a signature and date line but no notary block, and it lists no notarized attachment or sworn step.
- How do I submit the Raffle License Application?
- Submit it to the city department named on the form; check the city website for current contact details. The application lists a non-refundable $100 fee payable to the Village.
- What information does the raffle application request?
- It asks for applicant and organization details, raffle and prize information, ticket-sale and drawing details, the raffle manager’s name, and financial compliance acknowledgments.
- What fee does the application list?
- The application states that a non-refundable $100 fee, payable to the Village of South Roxana, is required annually for each raffle license.