Lavallette, NJ · Ocean County

Application to Amend Bingo or Raffles License

This application requests an amendment to an existing bingo or raffles license and is filed by the applicant with the municipality that issued the license.

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 changes to an existing bingo or raffles license, identifying the license and explaining the requested amendment. The applicant must attach any additional proofs, signatures, and verifications required, prepare four copies, and have the statement on the reverse signed and notarized before submitting it to the municipality.

Who needs it

An applicant seeking to amend an existing bingo or raffles license must complete this application and provide the required statement and supporting materials.

Why it needs a notary

The form carries a sworn statement with a jurat; the applicant’s officer and members in charge sign the statement under oath before the notary.

How to get this notarized

  1. 1

    Download The Application

    Download the Application to Amend Bingo or Raffles License.

  2. 2

    Fill In The Application

    Enter the municipality, license and identification numbers, applicant details, and requested amendment.

  3. 3

    Book An Online Notary

    Arrange a commissioned online notary for the sworn statement on the reverse.

  4. 4

    Sign On Video

    The officer and members in charge sign the statement under oath before the notary.

  5. 5

    Submit To The Municipality

    Attach required proofs and verifications, prepare four copies, and submit the application.

Preview the form

The blank PDF straight from Lavallette. 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 an amendment to a bingo or raffles license?
Complete the application, attach any additional proofs, signatures, and verifications required, prepare four copies, and submit it to the municipality that issued the license.
Do I need to sign this form in front of a notary?
Yes. The statement on the reverse says it must be signed and notarized, and includes a sworn-to-and-subscribed jurat.
Can I complete the notarization remotely?
New Jersey permanently authorizes remote online notarization and remote ink notarization for its own notaries. Book a commissioned online notary to sign during a video session.
How many copies should I prepare?
The application instructs applicants to prepare four copies and says one copy will be returned. Confirm submission details with the municipality if unsure.

Ready to notarize your Application to Amend Bingo or Raffles License?

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