Sangamon County, IL · Sangamon County
Raffle License Prize Payment Report
Raffle organizers use this report to account for ticket receipts, expenses, net proceeds, and prize payments after a raffle concludes.
At a glance
- Issued by
- City of Sangamon County · Sangamon County, Sangamon County, Illinois
- Notarization
- Not required: file this form without a notary.
- Official source
- sangamondepartments.blob.core.windows.net
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
This report accounts for a completed raffle’s gross receipts, expenses, net proceeds, and prize distributions. The County Clerk’s Office requires it after the raffle concludes, and the form says the raffle license cannot be renewed until the report is completed and turned in. It asks for the raffle license number, organization name, financial details, prize recipients and payment dates, and a signature and date.
Who needs it
The raffle manager or presiding officer for an organization that has concluded a raffle completes and signs this report.
How to submit it
File the completed report with the County Clerk’s Office and your organization after the raffle concludes; the form gives no address, email, portal, or fee.
About notarization
This report is signed and dated without a notary; the form lists no notarized attachment or sworn step.
How to submit this form
- 1
Download the Report
Download the Raffle License Prize Payment Report for the completed raffle.
- 2
Complete the Financial Details
Enter the license number, organization name, gross receipts, expenses, and net proceeds.
- 3
List Prize Payments
Record each prize payee, payment date, and amount. Attach separate sheets if needed.
- 4
Sign and Submit
Sign and date the report, then file it with the County Clerk’s Office and your organization.
Frequently asked questions
- Do I need a notary for the Raffle License Prize Payment Report?
- No. The report is signed and dated without a notary, and it lists no notarized attachment or sworn step.
- How do I submit the Raffle License Prize Payment Report?
- File the completed report with the County Clerk’s Office and your organization after the raffle concludes. The form does not provide an address, email, or online submission portal.
- When is this report required?
- The form says to file the report once the raffle has concluded. It also says the raffle license cannot be renewed until the completed report is turned in to the County Clerk.
- What information does the report request?
- It asks for gross ticket-sale receipts, expenses, net proceeds, prize recipients, payment dates and amounts, and the raffle manager or presiding officer’s signature and date.