Rothsay, MN · Wilkin County
Manufacturer and Distributor Gambling Devices License Application
This application requests a license for a business that manufactures or distributes gambling devices or parts, with supporting business and personal information for the Minnesota Department of Public Safety.
- 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
Businesses use this seven-page application to apply for a manufacturer or distributor license covering gambling devices or parts. It requests business classification, ownership and financial details, licensing history, and information about legal proceedings; applicants must also provide specified supporting documents and pay applicable fees. The form states that applicants will be billed for additional investigation costs when necessary. It is issued by the Minnesota Department of Public Safety, Alcohol and Gambling Enforcement Division, not identified in the form as a city filing.
Who needs it
A business applying to manufacture or distribute gambling devices or parts must complete the application and provide the requested business, ownership, and supporting information.
Why it needs a notary
The form ends with a jurat stating “Sworn and subscribed before me”; the signer completing the authority-to-release-information section signs before the notary.
How to get this notarized
- 1
Download The Application
Download the seven-page manufacturer and distributor gambling devices application.
- 2
Complete The Form
Fill in the applicable license type and requested business, ownership, financial, and history information.
- 3
Book An Online Notary
Schedule a video appointment with a commissioned online notary.
- 4
Sign On Video
Sign the section with the jurat while the notary observes and completes the notarial certificate.
- 5
Submit The Application
Include the required supporting documents and fees, then submit the application as directed by the Minnesota Department of Public Safety.
Preview the form
The blank PDF straight from Rothsay. Look it over, then upload your filled copy to start the notary session.
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 get this gambling device application notarized online?
- Complete the form, then book a commissioned online notary. Sign the portion bearing the jurat during your video session and follow the application’s instructions for supporting documents and fees.
- Do I need to notarize the entire application?
- The form includes a “Sworn and subscribed before me” jurat at the end. Ask the receiving agency whether it requires notarization of that section or any additional signature.
- Does Rothsay require this application?
- The form identifies the Minnesota Department of Public Safety, Alcohol and Gambling Enforcement Division, and does not state a Rothsay filing requirement. Confirm with the city if unsure.
- Can I sign this form with a commissioned online notary?
- Minnesota authorizes remote online notarization for its own notaries under the Remote Online Notarization Act, Minn. Stat. §358.645. Confirm that the receiving agency accepts a remotely notarized form.