Fillable Form 410 Maryland Slot Machine License Application (Page 4 of 4) in pdf

MARYLAND SLOT MACHINE

FORM

410

LICENSE APPLICATION

124100349

SECTION 7 - MARYLAND SLOT MACHINE

SECTION 8 - APPLICATION INSTRUCTIONS

LICENSE REQUIREMENTS

1. Submit a $50 license fee for each slot machine identified on

the application. License fees are not prorated.

Who may qualify?

Eligible organizations may apply for a Maryland slot machine

2. A renewal license must be issued prior to June 30. A slot

license.

machine operated without a license is contraband subject to

seizure .

An eligible organization is a nonprofit organization that has been

located in a county listed below for at least 5 years, and is a bona

3. Make check payable to the “Comptroller of Maryland.”

fide

4. Sign, date, and submit application to:

(a) fraternal organization;

COMPTROLLER OF MARYLAND

(b) religious organization;

REVENUE ADMINISTRATION DIVISION

LICENSING AND REGISTRATION

P.O. BOX 2999

An eligible organization may also be nonprofit organization that

ANNAPOLIS, MD 21404-2999

has been affiliated with a national fraternal organization for less

For information about the license application, contact:

than 5 years, and has been located in one of the counties listed

below for at least 50 years.

Licensing and Registration Unit

Phone: 410-260- 7315

What documents are required to verify that the applicant

Fax: 410-974-3201

is a nonprofit organization?

Email: att@comp.state.md.us

A §501(c) tax-exempt status determination letter from the IRS

For any other information contact:

as a fraternal organization, religious organization, war veterans’

Tony Hatcher, Administrator

organization, or nonprofit organization.

Comptroller of Maryland

In what local jurisdictions may a slot machine license be

Field Enforcement Division

issued?

P.O. Box 2397

Caroline, Cecil, Dorchester, Kent, Queen Anne’s, Somerset,

Annapolis, Maryland 21404-2397

Talbot, Wicomico, and Worcester Counties

Phone: 410-260-7388

Fax: 410-974-5564

What is the license year and fee?

Email: ahatcher@comp.state.md.us

The slot machine license is an annual license issued from July 1

to June 30 of the following year. A renewal application must be

submitted each license year with payment of the fee. If a license

is not renewed by June 30, the slot machine will be contraband

subject to seizure.

Each slot machine must obtain a license. The fee is $50 for each

slot machine license.

What is the annual report?

An annual report stating that at least 50% of the net after payout

proceeds were distributed to benefit a charity, and the remainder

for the organization’s purposes must be filed with the Comptroller

by August 1 each year.

What are the record requirements?

1. Weekly meter readings must be kept for meters on each

slot machine and be made available for inspection by the

Comptroller.

2. Records, including invoices for purchases and repairs, must

be maintained for 4 years.

Is a slot machine license transferable?

A slot machine license is not transferable, except when one of the

following events occurs:

1. act of God;

2. condemnation; or

3. abandonment of the primary business by the owner of a

business operating on the premises. A transfer application

must be submitted to the Comptroller for each slot machine.

A slot machine may be transferred to another premise in the

same county. There is no transfer fee.

COM/RAD-410

04/12

Page 4 of 4

Form 410 Maryland Slot Machine License Application Page 4

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