Do I need a notary for the Coin-Operated Device License Application?

No. The application has a signature and date line but no notary block. Applicants attach a photo driver’s license copy, and non-ABC license holders must be fingerprinted.

Who uses the Coin-Operated Device License Application?

A commercial establishment open to the public with coin- or token-operated amusement devices, computer or video games, pool tables, cigarette machines, or music devices uses this application.

What information and attachments does the application request?

It requests business and owner information and a description and quantity of each device. Applicants must attach a copy of the owner's photo driver’s license.

Millville, MT · Cumberland County

No notary required

Coin-Operated Device License Application

Millville businesses use this application to seek a license for coin-operated amusement devices, music machines, pool tables, or cigarette machines on their premises.

What this form is

This application is for a commercial establishment open to the public that contains the listed coin- or token-operated machines. It collects business and owner details and asks applicants to describe each device and its quantity. The form states a $10 application fee and a $50 annual fee for each machine; establishments exceeding the listed device limits are directed to other licensing provisions.

Who needs it

A business open to the public with coin-operated amusement devices, music machines, pool tables, or cigarette machines needs to apply for a license.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details. The form states the $10 application fee is payable at the time of application.

About notarization

This document is signed without a notary; applicants attach a copy of their photo driver’s license, and non-ABC license holders must be fingerprinted by the Millville Police Department.

How to submit this form

1
Download The Application
Download the Coin-Operated Device License Application.
2
Complete The Application
Enter the business and owner information, then list each device, its quantity, and its amount.
3
Gather The Attachment
Attach a copy of the owner's photo driver’s license. Non-ABC license holders must be fingerprinted by the Millville Police Department.
4
Submit The Application
Submit it to the city department named on the form; check the city website for current contact details. Pay the $10 application fee at the time of application.

Frequently asked questions

Do I need a notary for the Coin-Operated Device License Application?: No. The application has a signature and date line but no notary block. Applicants attach a photo driver’s license copy, and non-ABC license holders must be fingerprinted.
Who uses the Coin-Operated Device License Application?: A commercial establishment open to the public with coin- or token-operated amusement devices, computer or video games, pool tables, cigarette machines, or music devices uses this application.
How do I submit the Coin-Operated Device License Application?: Submit it to the city department named on the form; check the city website for current contact details. The $10 application fee is payable at the time of application.
What information and attachments does the application request?: It requests business and owner information and a description and quantity of each device. Applicants must attach a copy of the owner's photo driver’s license.

Need something notarized?

This Coin-Operated Device License Application doesn’t need a notary — but if you have another Millville form that does, a commissioned online notary can help.