Lockport, IL · Will County

Video Gaming Terminal Distributor License Application

This application requests a City of Lockport video gaming terminal distributor license and is filed by distributors placing or supplying terminals at establishments in the city.

Standard form~15 min to notarize
  • 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 company and contact details, corporate officers and owners with more than 20% ownership, and the Lockport establishments where terminals will be placed or maintained. Applicants must submit the required fees, a copy of the approved State of Illinois video gaming license, and a signed lease agreement with each terminal operator establishment. The affidavit attests that the application is accurate and that the business will follow applicable laws and city ordinances.

Who needs it

A video gaming terminal distributor applying to license terminals placed, supplied, sold, leased, delivered, or maintained at an establishment in Lockport needs this form.

Why it needs a notary

The form includes a subscribed-and-sworn jurat; each applicant signing the affidavit must sign before the notary, who completes the date and commission-expiration details.

How to get this notarized

  1. 1

    Download the Application

    Get the City of Lockport Video Gaming Terminal Distributor License Application.

  2. 2

    Complete the Form

    Enter company, ownership, contact, and establishment details, then complete the affidavit.

  3. 3

    Book an Online Notary

    Arrange a remote notarization for the affidavit and ask the city if you are unsure whether it accepts remote notarization.

  4. 4

    Sign on Video

    Sign the affidavit in front of the notary during the online session.

  5. 5

    Submit to the City

    Include the required fees and supporting documents when submitting the completed application to the City Clerk.

Preview the form

The blank PDF straight from Lockport. Look it over, then upload your filled copy to start the notary session.

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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 apply for a video gaming distributor license?
Complete the application and affidavit, gather the required fees, approved state license copy, and signed terminal operator lease, then submit the materials to the City Clerk.
Do I need to sign the affidavit in front of a notary?
Yes. The application says the affidavit must be signed in front of a notary, and it includes a subscribed-and-sworn jurat.
Can I sign this application with a remote online notary?
Illinois law authorizes electronic and remote notarization by its notaries and recognizes acts by an officer authorized where performed. A commissioned online notary may be an option; confirm with the city or village if unsure.
What materials must accompany the application?
The form lists a non-refundable $500 application fee for first-time applicants, a $2,500 annual fee per licensed establishment, a copy of the approved state video gaming license, and a signed lease agreement with the terminal operator.

Ready to notarize your Video Gaming Terminal Distributor License Application?

Drop your email below — we’ll hand you straight to a licensed notary in the next session.