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SFN 933S trey. 12-97) Page 2 <br /> <br />THIS VALUE I,,~ PART OF THE ACCUMULATED $6,000. TOTAL ALLOWED (see number 2 under RESTRICTIONS/ <br /> <br />*RESTRICTIONS: <br />1) The value of a single cash or merchandise prize cannot exceed one thousand dollars ($1,000.). <br /> <br />2) The total value of al..~ the cash and merchandise prizes for raffles and/or bingo and/or professional sports pools <br /> cannot exceed six thousand dollars ($6,000,) in a fiscal year (July 1 through June 30) or, for a calendar raffle, ir, a <br /> calenoar year. <br /> <br />3) <br /> <br />Total cash prizes for a raffle cannot exceed three thousand ($3,000) in one day. <br /> <br />If an organization's planned prizes will exceed the above allowed amounts, either the prizes will need to be reduced <br />to stay within the limits provided by law *o__r discOnt hue the "local permit" process and contac', the Office of <br /> <br />AtTorney General (701-328-2329) for instructions on applying for a STATE GAMING LICENSE. <br /> <br />AFFIDAVIT: <br />iNem. e of res~3ons,ble par~v -- Telephone Number Ti%Id <br /> <br /> I declare that I am responsible for the conduct of games of chance and disbursement of gaming net proceeds. <br /> <br /> I c~eclare that the information contained in this application is true, correct, and complete. <br /> Date Signature -. <br /> <br />I A ND college or umvers~ty fraternity or sorority must use state application form, SFN 17927, Sorority Or Fraternitv <br />I ~.~01ication For Local Permit To Conduct Bingo/Raffles/Professional Soot, s Pools. <br /> <br />INFORMATION REQUIRED TO BE PRINTED ON RAFFLE TICKETS {ND Administration Code 99-01.£-05-04) <br /> 1. Name of organization; <br /> <br /> 2. Ticket number; <br /> <br /> 3. Price of the ticket, including any discounted price; <br /> <br /> 4. Prize, clescripuon of an optional prize selectable by a winning player, and or option to convert a merchandise , <br /> ;)rize to a cash prize. However, if there is insufficient space on a ticket to list each minor prize that has a retai, <br /> pnce not exceeding ten dollars, an organizauon may state the total number of minor prizes and their total <br /> retail price; <br /> <br /> 5. For a hcensed organizatior,, print "office of the attorney general" and license number. For an organization that <br /> has a local permit, pnnt the c~ty or county and local permit number. <br /> <br /> 6. A statement :hat a person is not required to be present at a drawing to win; <br /> <br /> 7. Date and time of the drawing and, if the winning player is announced later, date and time of that announcement. <br /> For a calendar raffle, if M~e arawlngs are on a same day of the week or month, print the day and time of the <br /> drawing; <br /> <br /> 8. Location aqd address of the drawing; and <br /> <br /> 9. If a merchandise prize requires a title transfer involving the department of transportation, a statement that a <br /> winning player is or is not liable for sales or use tax. <br /> <br /> 10..!f a purc.nase of a ticket is restricted to a person of minimum age, a statement that a person, must be at leas; <br /> years of age to purchase a ticket. <br /> <br /> 1 ;. A statement that a purchase of the ticket is not a charitable donation. <br /> <br /> <br />