Form online 2026

1. Click ‘Get Form’ to open the LG200B Organization Officers Affidavit in our editor.
2. Begin by entering your organization information. Fill in the 'Organization Name', 'License Number', and 'Business Address' fields accurately, ensuring that the address does not belong to the gambling manager or treasurer.
3. Next, check the appropriate box for your position—either Chief Executive Officer or Treasurer. This selection is crucial for processing your application correctly.
4. Provide the effective date of the officer change and fill in personal details such as first name, last name, date of birth, and any previous names if applicable.
5. Complete the address section with either the CEO's home address or the treasurer's mailing address, along with city, state, zip code, and county.
6. Enter your daytime phone number and email address for communication purposes.
7. Review the acknowledgment section carefully. By signing this document, you affirm that all provided information is accurate and consent to a background check.
8. Finally, sign and date the form. Ensure that only the designated officer signs according to their role before submitting via fax or mail as instructed.

Start filling out your LG200B Organization Officers Affidavit today for free using our platform!