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)

 

Form

Nebraska Application for Bingo, Lottery, or Lottery by Pickle Card

50

Form

Nebraska Application for Utilization of Funds Member

50H

Form

Lottery and Raffle Supplemental Questionnaire

 

Form

Reporting Forms

Form Title

Form #

Document

Nebraska Lottery/Raffle Tax Return

51

Form

Nebraska Lottery/Raffle Annual Report - View and Print Only

35B

Form

Miscellaneous Forms

Form Title

Form #

Document

Request for Abatement of Penalty

21

Form

Power of Attorney

33

Form

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