Mount Arlington, NJ · Morris County

Application to Amend a License

This application amends a bingo or raffle license and is filed by the applicant with the Municipal Clerk in the municipality where the games will be conducted.

Standard form~15 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 request an amendment to a bingo or raffle license, identify the proposed change, and provide additional proofs, signatures, and verifications. The applicant submits four copies to the Municipal Clerk in the municipality where the games will be conducted, along with its registration slip from the Legalized Games of Chance Control Commission. The applicant’s officer and members-in-charge must complete the sworn statement on the reverse side; if approved, the original license is exchanged for the amended license.

Who needs it

An applicant seeking to amend a bingo or raffle license must submit this application to the Municipal Clerk where the games will be conducted.

Why it needs a notary

The reverse side has a sworn-and-subscribed jurat; the applicant’s officer and listed members-in-charge sign the statement under oath before the notary.

How to get this notarized

  1. 1

    Download the Application

    Get the Application to Amend a License form and review both pages, including the sworn statement on the reverse.

  2. 2

    Complete the Form

    Enter the license and applicant details, describe the amendment, and gather the required proofs, signatures, verifications, and registration slip.

  3. 3

    Book an Online Notary

    Arrange an online notarization for the sworn statement and confirm that each required signer can attend.

  4. 4

    Sign on Video

    Each required signer completes the oath and signs the statement during the online notarization.

  5. 5

    Submit to the Municipality

    Submit four copies and the applicant’s registration slip to the Municipal Clerk where the games will be conducted.

Preview the form

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

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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 this license amendment application?
Complete the application, attach any required proofs, signatures, and verifications, and submit four copies with the applicant’s registration slip to the Municipal Clerk where the games will be conducted.
Do I need to notarize the statement on this form?
Yes. The statement on the reverse side says it must be signed and notarized. The applicant’s officer and members-in-charge make the statements under oath before a notary.
Can I sign this application with an online notary?
New Jersey permanently authorized remote online notarization and remote ink notarization for its notaries in October 2021 (P.L. 2021, c.179; N.J.S.A. 52:7-10.9 et seq.). You can sign before a commissioned online notary.
Where do I file the completed 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 License in other New Jersey cities

Each city publishes its own version of this form. Pick the city where you’re filing.

Ready to notarize your Application to Amend a License?

Drop your email below — we’ll hand you straight to a licensed notary in the next session.