LESSEE INFORMATION FORM - Oregon Lottery - oregonlottery 2026

1. Click ‘Get Form’ to open the LESSEE INFORMATION FORM in the editor.
2. Begin by entering your Business Name at the top of the form. This is essential for identification.
3. In Section A, provide your Applicant Entity Name, Assumed Business Name (if applicable), and both Location and Mailing Addresses. Ensure all addresses are accurate for correspondence.
4. Fill in your contact information, including Phone Number and City, along with State and Zip Code for both addresses.
5. In Section B, select the Type of Business Entity that applies to you by marking the appropriate box. If applicable, list the full name of your business entity.
6. Enter your Taxpayer Identification Number (TIN) and Federal Taxpayer Identification Number. Include effective dates where required.
7. Complete Section C by listing all Key Persons involved in your business ownership. Provide their names, titles, and interests held as specified.
8. Review all sections for accuracy before signing at the bottom of the form. Ensure that you declare the truthfulness of your information.

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