Laurie, MO · Morgan County

Coin-Operated Machine or Amusement Machine License Application

This application requests a City of Laurie license for coin-operated or amusement machines and is filed by the applicant installing machines at a business location.

Detailed form~25 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

Use this form to apply for a new, amended, or renewed license for coin-operated or amusement machines in Laurie. The applicant provides ownership, business, property, and machine details, completes a separate Exhibit 1 for each machine, and swears or affirms that the application information is true and the machines will comply with the statements listed in the affidavit. The form also includes testing-lab certification information and directs applicants to send the application and fee to the city.

Who needs it

An individual or entity applying for a new, amended, or renewed Laurie license for coin-operated or amusement machines should complete this application.

Why it needs a notary

The applicant signs the affidavit before a notary, who completes the jurat stating it was signed and sworn or affirmed before them.

How to get this notarized

  1. 1

    Download The Application

    Get the City of Laurie’s coin-operated or amusement machine license application.

  2. 2

    Complete The Application

    Provide applicant, ownership, business, property, and machine information; complete a separate Exhibit 1 for each machine.

  3. 3

    Book An Online Notary

    Arrange a remote online notarization for the applicant affidavit before signing.

  4. 4

    Sign On Video

    Sign and swear or affirm to the affidavit during the online notary session.

  5. 5

    Submit To The City

    Attach the fee and required certification materials, then send the application to the City of Laurie as directed on the form.

Preview the form

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

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Info

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 coin-operated or amusement machine license?
Complete the application, include a separate Exhibit 1 for each machine, attach the fee, and send the materials to the City of Laurie at the address shown on the form.
Do I need to notarize this application?
Yes. The application includes an affidavit that the applicant must sign and swear or affirm before a notary public.
Can I sign the affidavit with an online notary?
Missouri law authorizes remote online notarization by a commissioned online notary under RSMo §486.1100 to §486.1205. Confirm with the city or town if unsure whether it will accept the notarized application.
What information does Exhibit 1 request?
Exhibit 1 requests machine details, manufacturer and model information, serial numbers, testing-lab and certification details, and the applicant’s authorization for the city to verify certification.

Other forms in Laurie

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