Berkeley Heights, NJ · Union County
Application to Amend a License
This application requests an amendment to a bingo or raffle license and is submitted by the applicant to the municipal clerk 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 form to request an amendment to an existing bingo or raffle license, identify the requested changes, and attach any additional proofs, signatures, and verifications. The applicant submits four copies to the municipal clerk in the municipality where the games will be conducted and presents its registration slip. The form states that the original license will be exchanged for an amended license if the amendment is permitted.
Who needs it
An applicant seeking to amend a bingo or raffle license submits this form to the municipal clerk where the games will be conducted.
Why it needs a notary
The form has a sworn-and-subscribed jurat; the officer and member or members in charge who sign the statement must do so before the notary.
How to get this notarized
- 1
Download The Form
Download the Application to Amend a License and review the application and sworn statement.
- 2
Fill In The Application
Enter the municipality and applicant information, describe the requested amendment, check bingo or raffles, and attach required proofs and verifications.
- 3
Book An Online Notary
Arrange an online notarization for the sworn statement signed by the officer and member or members in charge.
- 4
Sign On Video
Follow the notary’s instructions and sign the sworn statement during the online notary 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 Berkeley Heights. 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 this license amendment application?
- Complete the application, attach any additional proofs, signatures, and verifications, and submit four copies to the municipal clerk where the games will be conducted. Present the applicant’s registration slip.
- Do I need to notarize the statement on this form?
- Yes. The form says the statement on the reverse must be signed and notarized. The officer and member or members in charge sign under oath before the notary.
- Can I sign the sworn statement 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 remotely; confirm with the municipality if unsure.
- What happens if the amendment is permitted?
- The form states that the original license will be returned in exchange for the amended license if the amendment is permitted.