Lewisburg, TN · Marshall County
Application for a Game Room Permit
This sworn application is for an owner seeking a City of Lewisburg permit to open and operate a game room at a specified location.
- 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 applicant’s identity and addresses, ownership interests, business location, manager and property-owner details, and information about criminal convictions and former permittees at the location. The applicant acknowledges the city’s game-room rules and signs under oath. The form states that a $25 non-refundable fee must accompany the application and that it must be submitted to the city manager at least 14 days before opening.
Who needs it
An owner applying to the City of Lewisburg for a permit to open and operate a game room must complete this application and provide the requested business and ownership information.
Why it needs a notary
The form carries a sworn-to-and-subscribed-before-me jurat; the applicant or owner must sign and swear to the application before the notary.
How to get this notarized
- 1
Download the Application
Get the City of Lewisburg Application for a Game Room Permit and review the application and included game-room rules.
- 2
Complete the Application
Enter the requested applicant, ownership, business, manager, property, and background information. Attach additional sheets or supporting documents when needed.
- 3
Book an Online Notary
Schedule an online notarization session with a commissioned online notary before signing the sworn application.
- 4
Sign and Swear on Video
Show identification and sign and swear to the application during the online video session, following the notary’s instructions.
- 5
Submit to the City
Submit the notarized application and $25 non-refundable fee to the city manager at least 14 days before opening.
Preview the form
The blank PDF straight from Lewisburg. 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 get the game room permit application notarized?
- Complete the application, then book an online session with a commissioned online notary. Sign and swear to it during the video session, and submit the notarized form and required fee to the city.
- Do I need to sign the application in front of a notary?
- Yes. The form includes a sworn-to-and-subscribed-before-me jurat, so the applicant must sign and swear to the application before the notary.
- Can I use online notarization for this form?
- Tennessee law authorizes remote online notarization by a commissioned online notary registered through the Secretary of State. Confirm with the city or town if unsure whether it will accept an online-notarized copy.
- What do I submit with the application?
- The form states that a non-refundable $25 fee must accompany the application. It also says approved applicants must provide sales tax registration documentation to the city within ten days of approval.