Mount Holly, NJ · Burlington County
Application for a Bingo License
This four-copy application is for an organization seeking a bingo license and is submitted to the Municipal Clerk in the municipality where the games will be conducted.
- 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 records the organization’s details, proposed game dates and location, expenses, intended use of proceeds, prizes, officers, and members involved in conducting the games. The applicant and members in charge make sworn statements about the application and the organization’s activities. Submit four copies to the Municipal Clerk, along with the applicant’s registration slip from the Legalized Games of Chance Control Commission; attach a landlord statement if the premises will be rented.
Who needs it
An organization seeking a license to conduct bingo games must complete this application and submit it to the Municipal Clerk where the games will take place.
Why it needs a notary
Part I contains a sworn statement and a “Sworn and subscribed to before me” jurat; the officer and listed members in charge sign before the notary.
How to get this notarized
- 1
Download the Application
Get the Application for a Bingo License and review its instructions and required attachments.
- 2
Fill Out the Application
Enter the organization, game schedule, expenses, purposes, prizes, officers, and participating members. Gather any required attachments.
- 3
Book an Online Notary
Arrange a remote notarization for the officer and members in charge who must sign the sworn statement.
- 4
Sign on Video
Appear before the commissioned online notary and sign the statement as directed during the session.
- 5
Submit to the City
Submit four copies and the registration slip to the Municipal Clerk where the games will be conducted.
Preview the form
The blank PDF straight from Mount Holly. 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 the bingo license application notarized?
- Complete the application, then book a commissioned online notary. The officer and members in charge who sign the sworn statement appear on video and sign as directed during the notarization.
- Do I need to submit four copies of the application?
- Yes. The form instructs applicants to submit four copies to the Municipal Clerk in the municipality where the games will be conducted. It also says to present the applicant’s registration slip with the application.
- Can I notarize this application online in New Jersey?
- New Jersey permanently authorizes remote online notarization and remote ink notarization for its notaries under P.L. 2021, c.179, N.J.S.A. 52:7-10.9 et seq. Check with the receiving municipality about its submission preferences.
- What attachments may be required with the application?
- The form says to attach Form 10, “Statement of Landlord,” if the premises will be rented. It also requests a schedule of the games to be conducted and allows extra sheets if more space is needed. Confirm with the municipality if unsure.
Application for a Bingo License in other Burlington County cities
Each city publishes its own version of this form. Pick the city where you’re filing.