Millstone Township, NJ · Monmouth County
Application to Amend a Bingo or Raffle License
Organizations seeking to change an existing bingo or raffle license submit this application 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
Use this application to request an amendment to an existing bingo or raffle license. It asks the applicant to describe the requested change, attach any additional proofs and verifications, and provide the Legalized Games of Chance Control Commission registration slip. The form instructs applicants to submit four copies to the municipal clerk where the games will be conducted; if the amendment is permitted, the original license is exchanged for the amended license.
Who needs it
An organization with a bingo or raffle license should use this form when applying to amend that license for games conducted in the municipality.
Why it needs a notary
The statement of the applicant and members in charge has a sworn-and-subscribed jurat; the officer and listed members sign their statements before the notary.
How to get this notarized
- 1
Download The Application
Get the Application to Amend a License form and review its instructions.
- 2
Fill Out The Form
Enter the license and applicant details, describe the requested amendment, and attach required proofs and the registration slip.
- 3
Book An Online Notary
Arrange a notary appointment for the sworn statement signed by the officer and members in charge.
- 4
Sign On Video
Follow the notary’s instructions and sign the statement during your online notarization appointment.
- 5
Submit To The Municipality
Submit four copies to the municipal clerk where the games will be conducted.
Preview the form
The blank PDF straight from Millstone Township. 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 submit an application to amend a bingo or raffle license?
- Complete the application, attach any additional proofs and the applicant’s registration slip, and submit four copies to the municipal clerk where the games will be conducted.
- Do I need to sign this application before a notary?
- Yes. The statement on the reverse side must be signed and notarized. The form includes a sworn-and-subscribed jurat for the officer and members in charge.
- Can I sign the statement with a commissioned online notary?
- 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. Confirm the municipality’s submission requirements if using remote notarization.
- Where do I submit the application?
- The form directs applicants to submit four copies to the municipal clerk’s office in the municipality where the games will be conducted; confirm with the municipality if unsure.
Application to Amend a Bingo or Raffle License in other New Jersey cities
Each city publishes its own version of this form. Pick the city where you’re filing.