Sherman, IL · Sangamon County

No notary required

Video Gaming Establishment Permit Application

Sherman establishments use this application to request a village permit to conduct video gaming at a specified business location.

What this form is

The application requests a Village of Sherman permit for an establishment to conduct video gaming at a stated premises, contingent on approval from the Illinois State Gaming Board. It asks for applicant and business details, gaming eligibility information, terminal and operator details, and signatures. Applicants must attach a premises diagram; the form also identifies copies of Gaming Board and liquor-license materials that may be required.

Who needs it

A business establishment seeking a Village of Sherman permit to conduct video gaming at its premises should complete this application.

How to submit it

The form is addressed to the Village of Sherman at 401 St. John Drive, Sherman, IL 62684. It states that the permit fee is due at application; the form lists $250 per terminal and an invoice with additional fee lines.

About notarization

This document is signed and dated without a notary; its application and Section 45 certification contain statements made under penalties of law, but no attachment is identified as notarized.

How to submit this form

  1. 1

    Download The Application

    Download the Video Gaming Establishment Permit Application PDF.

  2. 2

    Complete The Application

    Provide applicant, business, premises, and video gaming details, then sign and date the application and Section 45 certification.

  3. 3

    Gather Attachments

    Attach a diagram showing the premises and proposed terminal locations, plus any Gaming Board or liquor-license materials required by your answers.

  4. 4

    Submit To The Village

    Submit the application to the Village of Sherman at 401 St. John Drive, Sherman, IL 62684; the form says the permit fee is due at application.

Frequently asked questions

What is the Video Gaming Establishment Permit Application for?
It requests a Village of Sherman permit to conduct video gaming at a specified business premises, contingent on approval from the Illinois State Gaming Board.
What attachments does the application identify?
The form asks for a diagram of the premises and proposed terminal locations. Depending on the applicant's answers, it also requests copies of Gaming Board application materials and a liquor license and application.
Do I need a notary for the Video Gaming Establishment Permit Application?
No. The application and Section 45 certification are signed and dated without a notary, although they contain statements made under penalties of law.
How do I submit the Video Gaming Establishment Permit Application?
The form is addressed to the Village of Sherman, 401 St. John Drive, Sherman, IL 62684. It says the permit fee is due at application.

Need something notarized?

This Video Gaming Establishment Permit Application doesn’t need a notary — but Illinois residents can notarize other documents online with a commissioned online notary.