LGCCC - Form 13

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New Jersey Office of the Attorney GeneralDivision of Consumer AffairsLegalized games of chance Control Commission124 Halsey Street, Box 46000Newark, 07101(973) 273-8000 LGCCC form 13Statement of Raffle Equipment Supplier Lessor(To be attached to each copy of the Raffles Application where equipment is leased.)Name of Organization to conduct raffles: ________________________________________ __________________________________Addres s: ________________________________________ _________________ Identification Number: _______________________State of: ________________________________________ __________County of: ________________________________________ ________I, ________________________________________ ________, being duly sworn on my oath depose and say that:1.

New Jersey Office of the Attorney General Division of Consumer Affairs Legalized Games of Chance Control Commission 124 Halsey Street, P.O. Box 46000

  Form, Games, Chance, Form 13, Legalized, Legalized games of chance