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Break Open Ticket Information Package
What is a Break Open Ticket?
Break open ticket is a game of chance to win instant prizes by revealing a specified
arrangement of numbers or symbols. Prizes may be instant prizes or chances to win prizes determined by a subsequent event. Licence Application Checklist
These items must be enclosed with each Licence Application form (Do not send
separately):
 Licence fee – Set by Municipality. Must not exceed 3% of total prizes to be awarded (cheque payable to the Town of Tillsonburg)
 Completed application form
 Type and style of tickets to be sold with unique identifiers
 Number of deals approved, if applicable
 Name and address of the location at which tickets will be sold
 Duration of licensing period
 Name(s) of registered Gaming-Related Suppliers supplying the break open
tickets and any other gaming-related equipment or services to the licensee
 An agreement to lease/rent/maintain or purchase a Break Open Ticket dispenser, if applicable
 A copy of the Break Open Ticket Seller registration, where applicable
 The organization’s system for keeping track of sales and inventory
 A list of bona fide members assisting with the Break Open Ticket administration
and sales First-time applicants may be required to enclose copies of:
 Completed questionnaire
 Incorporation Papers (Letters Patent)
 Constitution and By-laws
 Copy of budget for the current year
 Copy of financial statements for the preceding year
 The current listing of the Board of Directors
 Latest Report to the Public Guardian and Trustee
 Charitable number for income tax purposes
 Copy of the Notification of Registration Letter (Canada Customs and Revenue Agency) with any supporting documentation, including the status and terms of registration
 Copies of its charitable returns to the Canada Revenue Agency for the previous
calendar year (audited, where applicable)
 A detailed description of its activities provided in the previous year and specific costs incurred in delivery
 Copy of annual report
 Any other information that will assist in determining the charitable nature of the
objects and purposes
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For more information please review the following documents and the AGCO website https://www.agco.ca/ :
• Quick Guide to Lottery Licence Applications
• Break Open Ticket Licence Application
• Break Open Ticket Lottery Report
• Schedule of Approved Break Open Ticket Types and Associated Expenses Maximums
• List of Approved Break Open Ticket Manufacturers
For more information please contact the Office of the Clerk at clerks@tillsonburg.ca