Bingo Forms

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Printing Instructions

Many of the files below are in Adobe Acrobat format. Selecting a file will load it into the Acrobat Reader, which will allow you to print it. If you have trouble downloading or printing, you probably need to install or upgrade your Acrobat Reader.

Install the Acrobat Reader (Version 5.0 or higher is recommended) if you do not yet have it installed on your computer.

Some of these forms are available in a "Fill-able" format, meaning you can view, complete, and print the form on your computer. These forms use the features provided with Adobe Acrobat. Currently, there is no validation or verification of the information you enter, and you are responsible for entering and checking all required information. Instructions may require some information to be handwritten on the form (signatures, for example).

Note: The Acrobat Reader does not allow you to save your completed forms. You should print two copies --  one to mail, and one to keep for your records.

If you experience problems with downloading forms, it is recommended that you upgrade to Adobe Reader 5.0 or higher. Please note that the "Fill-able" forms are a larger file size and will take longer to download.

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Class I Bingo Class II Bingo Special Event Bingo Commercial Lessor Manufacturer & Distributor Miscellaneous

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Class I Bingo

Applications:

Checklist (Make Sure Your Application is Complete)  
Instructions for Completion of 2008-2010 BIENNIAL License Renewal Application
Form 50,  Nebraska Application for Bingo, Lottery, or Lottery by Pickle Card
[Fill-in Form 50]
Form 50C, Nebraska Application for Gaming Manager
[Fill-in Form 50C]
Form 50H, Nebraska Application for Utilization of Funds Member
[Fill-in Form 50H]
Form 50,  Schedule I, Bingo License
[Fill-in Form 50, Schedule I]

Reporting Forms:

Form 51B, Nebraska Bingo Tax Return
[Fill-in Form 51B]
Form 51B, Schedule I, Bingo Occasion Activity Report
[Fill-in Form 51B, Schedule I]
Form 35, 2007-2008 Nebraska Class I Bingo Annual Report
[Fill-in Form 35]
Sample Bingo Check Ledger

Class II Bingo

Applications:

Checklist (Make Sure Your Application is Complete)
Instructions for Completion of 2008-2010 BIENNIAL License Renewal Application
Form 50,  Nebraska Application for Bingo, Lottery, or Lottery by Pickle Card
[Fill-in Form 50]
Form 50H, Nebraska Application for Utilization of Funds Member
[Fill-in Form 50H]
Form 50,  Schedule I, Bingo License
[Fill-in Form 50, Schedule I]
Form 50C, Nebraska Application for Gaming Manager
[Fill-in Form 50C]
Instructions for Completing Fingerprint Application

Reporting Forms:

Form 51B, Nebraska Bingo Tax Return
[Fill-in Form 51B]
Form 51B, Schedule I, Bingo Occasion Activity Report
[Fill-in Form 51B, Schedule I]
Form 35C, Nebraska Class II Bingo Quarterly/Annual Report
[Fill-in Form 35C]
Sample Bingo Check Ledger

Special Event Bingo

Form 50J, Nebraska Application for Special Event Bingo Permit
[Fill-in Form 50J]

Commercial Lessor

Form 50B, Nebraska Application for Commercial Lessor of Bingo Premises
[Fill-in Form 50B]
Form 50B, Schedule I, Registration of Bingo Premises
[Fill-in Form 50B, Schedule I]

Manufacturer & Distributor

Form 50A, Nebraska Application for Manufacturers, Distributors, and Manufacturer-Distributors
[Fill-in Form 50A]
Personal History Record and Background Disclosure Form for Charitable Gaming Licensees and Nebraska (State) Lottery Vendors
A Summary of Your Rights Under the Fair Credit Reporting Act
[Fill-in Personal History Record]
Affidavit by Spouse for Waiver of Fingerprinting and/or Personal History Record and Background Disclosure Form for Charitable Gaming Licensees
[Fill-in Affidavit]
Instructions for Completing Fingerprint Application

Miscellaneous

Form 21, Application for Abatement of Penalty
[Fill-in Form 21]
Form 33CG, Power of Attorney for Charitable Gaming Use
[Fill-in Form 33CG]

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