Lottery/Raffle Forms
Printing Instructions
Most 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.
Applications
| Form Title | Form # | Document |
|---|---|---|
| Checklist (Make Sure Your Application is Complete) | ||
| Nebraska Application for Bingo, Lottery, or Lottery by Pickle Card | 50 | |
| Nebraska Application for Utilization of Funds Member | 50H | |
| Lottery and Raffle Supplemental Questionnaire | ||
| Registration of Progressive Lottery or Raffle | 50R | Registration of Progressive Lottery or Raffle |
Reporting Forms
| Form Title | Form # | Document |
|---|---|---|
| Nebraska Lottery/Raffle Tax Return | 51 | |
| Nebraska Lottery/Raffle Annual Report - View and Print Only | 35B | |
| Progressive Lottery/Raffle Activity Report | Progressive Lottery/Raffle Activity Report |
Miscellaneous Forms
| Form Title | Form # | Document |
|---|---|---|
| Request for Abatement of Penalty | 21 | |
| Power of Attorney | 33 |