Raffle Permit

Raffle Permit
FOR PERMIT in accordance with Maryland Annotated Code, Criminal Law §§ 13-902, 909.
Application of
Name of Organization
To the County Commissioners of Carroll County: Application is hereby made on behalf of
Name of Organization
For a permit under the provisions of Maryland Annotated Code, Criminal Law §§ 13-902,909 as follows: The Applicant is a Qualified (Non-Profit) Organization pursuant to Maryland Annotated Code, Criminal Law § 13-903 (b) located in Carroll County.
Address of Organization
The Permit desired is for conducting a
See Examples Below*
at
(Where event is being held)
on the following dates

MonthDayYear
Date
Approximate Value of Prizes
The Applicant obligates itself to see that the limitations as to number of raffles, number and value of prizes contained in the referenced statutes shall be observed, and that no individual or individuals shall benefit financially from the operation of the games for which permit is hereby applied. The Applicant obligates itself to see that participants in events involving alcoholic products must be 21 years old to participate in the event and no alcoholic products shall be opened at the event. Application may be faxed to 410-386-2770.
Signature of Applicant

Clear
Print Name of Applicant
Mailing Address
Telephone Number
Email
example@example.com
*Examples: Prize Raffle, Basket Raffle/Bingo, Gun Raffle-list of make and model of prizes must accompany application.
Should be Empty: