Texas City, TX · Galveston County
Application for Coin Operated Amusement Redemption Machine
Business and machine owners use this application to provide information about coin-operated amusement redemption machines and request a permit or license.
What this form is
This application is for providing information about coin-operated amusement redemption machines at a business location. It asks for applicant and business details, machine and vending company information, owner details, and statements about the machines and their operation. The form includes signature lines for the store owner and machine owner and lists a charge of $115 per machine.
Who needs it
Applicants seeking a permit or license for amusement redemption machines provide this form, with store and machine owner signatures.
How to submit it
The form names the Texas City Police Department Records Department. It says payments must be made by check, cashier’s check, or money order and lists a charge of $115 per machine.
About notarization
This application is signed and dated by the store owner and machine owner without a notary; no notarized or sworn attachment or related step is mentioned.
How to submit this form
- 1
Download The Application
Download the application for coin-operated amusement redemption machines.
- 2
Complete The Application
Enter applicant, business, vending company, machine, and owner information, and complete the required statements.
- 3
Gather Additional Pages
Attach additional pages if there is more than one business owner who owns 25% or more, or if more machine listings are needed.
- 4
Sign And Date
Have the store owner and machine owner sign and date the application.
- 5
Submit To The Department
Submit it to the Texas City Police Department Records Department and use a listed payment method.
Frequently asked questions
- Do I need a notary for the amusement machine application?
- No. The application has signature and date lines for the store owner and machine owner, but no notary block or notarized attachment is indicated.
- How do I submit the amusement machine application?
- The form names the Texas City Police Department Records Department. It says payment must be by check, cashier’s check, or money order.
- What information does the application request?
- It requests applicant and business details, machine and vending company information, machine owners’ contact details, and statements about machine operation.
- What payment amount does the form list?
- The application lists a charge of $115 per machine and says payments must be made by check, cashier’s check, or money order.
