Andover Township, NJ · Sussex County
Bingo License Application
This four-page application is for organizations seeking a bingo license and must be submitted to the Municipal Clerk in the municipality where the games will take place.
- 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 collects the organization’s details, proposed game dates and hours, venue information, expenses, intended use of proceeds, prizes, officers, and members who will conduct or assist with the games. The applicant and members in charge make sworn statements about the application and the organization’s purposes. Submit four copies to the Municipal Clerk in the municipality where the games will be conducted, along with the applicant’s registration slip; attach Form 10 if renting the premises.
Who needs it
An organization applying to conduct bingo games must complete this form and submit it to the Municipal Clerk where the games will take place.
Why it needs a notary
The officer and members in charge sign the sworn statement in Part I before a notary, who completes the “Sworn and subscribed to before me” jurat.
How to get this notarized
- 1
Download The Application
Download the Bingo License Application and review its parts and submission instructions.
- 2
Complete The Form
Enter the organization, game, venue, expense, purpose, prize, officer, and member information. Attach required schedules and Form 10 if applicable.
- 3
Book An Online Notary
Schedule a session with a commissioned online notary for the sworn statement in Part I.
- 4
Sign On Video
The officer and members in charge sign before the notary during the video session.
- 5
Submit To The Municipal Clerk
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 Andover 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
- Who signs the application before a notary?
- The officer and the members in charge listed in Part I make the statement under oath and sign before the notary.
- How do I submit the completed bingo license application?
- The form directs applicants to submit four copies to the Municipal Clerk in the municipality where the games will be conducted. Present the applicant’s registration slip with the application.
- Do I need to attach anything else?
- Attach a schedule of the games to be conducted. If the premises will be rented, the form also directs you to attach Form 10, “Statement of Landlord.”
- Can I sign this form with an online notary?
- New Jersey permanently authorizes remote online notarization and remote ink notarization for its own notaries. A commissioned online notary can notarize the sworn statement; confirm with the municipality if unsure.
Other forms in Andover Township
Bingo License Application in other Sussex County cities
Each city publishes its own version of this form. Pick the city where you’re filing.