Application For Enrollment As An Agent {19} | Pdf Fpdf Docx | Nevada

 Nevada   Statewide    Nevada Gaming Commission And State Gaming Control   Investigations Division 
Application For Enrollment As An Agent {19} | Pdf Fpdf Docx | Nevada

Last updated: 1/19/2023

Application For Enrollment As An Agent {19}

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Description

Form 10, AFFIDAVIT OF FULL DISCLOSURE, That, except as reflected on an application filed with the Nevada Gaming Control Board, he/she is or will be the sole beneficial owner of any direct or indirect interest in or to a licensed gaming operation or any portion thereof for which he/she has made application to the Nevada Gaming Control Board and Nevada Gaming Commission, to be licensed or found suitable to own;%0D%0A%0D%0AThat, except such as have been reported in writing to the Nevada Gaming Control Board, he/she has no agreements or understandings with any other person and no present intent to hold as agent, nominee or otherwise any direct or indirect interest whatsoever in or to the licensed gaming operation or any portion thereof for which he/she seeks licensing or a finding of suitability by the Nevada Gaming Commission;%0D%0A%0D%0Awww.FormsWorkflow.com%0D%0A

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