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Get and Sign Wv Raffle License Form
Hold only one valid annual license. While it is valid, you may apply for and
receive one limited occasion license. All Raffle licenses are subject to the Rules & Regulations of the State Tax Commissioner and must be
conspicuously displayed at the location where the Raffle Occasion is held.
PLEASE NOTE: THIS APPLICATION MUST BE FILED AT LEAST 60 DAYS PRIOR TO THE DATE SCHEDULED FOR THE FIRST RAFFLE OCCASION
IS THIS A RENEWAL APPLICATION?
YES
NO
(Check One)
Phone Number of Requesting...
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