SeamlessDocs

Type of Request
Voluntary Surrender of License - Sportswagering and Traditional
Surrender of Sports wagering License ONLY
Temporary Deactivation
If you are surrendering your license voluntarily, is it due to a change of ownership?
If you are surrendering your license voluntarily is it due to a change of ownership? YES
N/A
Signature HereClick to Sign
Signature HereFinance 2 Will Sign Here
Signature HereTel Sell Will Sign Here
Signature HereRacquel Marie Carmouche Will Sign Here
Signature HereProgram Specialist Will Sign Here
Signature HereNikki Mathis Will Sign Here
x

Additional Signatures Required