Do I need a notary for the Video Gaming Terminal Permit Application?

No. The application is signed and dated without a notary. Include a copy of the Illinois Gaming Board license or registration.

How do I submit the Video Gaming Terminal Permit Application?

File the completed and signed application with the City Clerk at 3 West Main Street, Mascoutah, IL 62258, and include a copy of the Illinois Gaming Board license or registration.

What information does the application ask for?

It asks for the applicant and business names, business address, telephone, IBT number, liquor license number, number of terminals, and the applicant's signature, title, and date.

Mascoutah, IL · St. Clair County

No notary required

Video Gaming Terminal Permit Application

Mascoutah businesses use this application to request a permit for video gaming terminals at their establishment and provide business and applicant details.

What this form is

This application requests a City of Mascoutah permit for video gaming terminals at a listed establishment. Applicants provide their name, business name and address, contact number, IBT number, liquor license number, and the number of terminals requested. The completed, signed application must be filed with the City Clerk and accompanied by a copy of the license or registration issued by the Illinois Gaming Board.

Who needs it

A business seeking a City of Mascoutah permit for video gaming terminals at its establishment needs to submit this application.

How to submit it

File the properly completed and signed application with the City Clerk, City of Mascoutah, at 3 West Main Street, Mascoutah, IL 62258. Include a copy of the license or registration issued by the Illinois Gaming Board; the form lists a fee of $50 per terminal.

About notarization

This application is signed and dated without a notary; the form asks for no notarized or sworn attachment, only a copy of the Illinois Gaming Board license or registration.

How to submit this form

1
Download The Application
Download the Video Gaming Terminal Permit Application PDF.
2
Complete The Application
Type or print plainly and provide the requested applicant, business, license, and terminal information.
3
Gather The Required Attachment
Include a copy of the license or registration issued by the Illinois Gaming Board.
4
Sign And Date
Sign and date the application, including the applicant's title.
5
File With The City Clerk
File the completed application and attachment with the City Clerk at 3 West Main Street, Mascoutah, IL 62258.

Frequently asked questions

Do I need a notary for the Video Gaming Terminal Permit Application?: No. The application is signed and dated without a notary. Include a copy of the Illinois Gaming Board license or registration.
How do I submit the Video Gaming Terminal Permit Application?: File the completed and signed application with the City Clerk at 3 West Main Street, Mascoutah, IL 62258, and include a copy of the Illinois Gaming Board license or registration.
What information does the application ask for?: It asks for the applicant and business names, business address, telephone, IBT number, liquor license number, number of terminals, and the applicant's signature, title, and date.
What attachment and fee are listed on the form?: The form requires a copy of the license or registration issued by the Illinois Gaming Board and lists a fee of $50 per terminal.

Need something notarized?

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