"Stable Name Application - Eldorado Scioto Downs" - Ohio

Stable Name Application - Eldorado Scioto Downs is a legal document that was released by the Ohio State Racing Commission - a government authority operating within Ohio.

Form Details:

  • Released on October 26, 2021;
  • The latest edition currently provided by the Ohio State Racing Commission;
  • Ready to use and print;
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  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Ohio State Racing Commission.

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ELDORADO SCIOTO DOWNS
STEWARD OR JUDGE INITIALS
LICENSE YEAR
LICENSE #
Stable Name Application
DATE ISSUED
6000 S. High St.
Columbus, Ohio 43207
LICENSE FEE
CHECK #
Attention: OSRC
INSPECTOR
RECAP #
Phone (614) 295-4700 • Fax (614) 295-8876
$50 Primary (Thoroughbred)
If the stable name has been registered with another state or any organizations listed in
$25 Secondary (Thoroughbred)
paragraphs 1, 2 or 3 for the current year, the fee is $25. For all others, the fee is $50.
$25 Primary (Harness)
I HEREBY APPLY TO REGISTER THE FOLLOWING STABLE NAME IN ACCORDANCE WITH THE RULES
AND REGULATIONS OF THE OHIO STATE RACING COMMISSION
STABLE NAME (PLEASE PRINT CLEARLY)
YEAR
REGISTRATION NUMBER
1
Year stable name above was registered for life with the Jockey Club
STATE
YEAR
REGISTRATION NUMBER
2
Stable name was registered in the state of
YES
NO
3
Stable name is registered with the United States Trotting Association for the current year
Federal identification number or social security number
FEDERAL IDENTIFICATION NUMBER (FID)
SOCIAL SECURITY NUMBER
4
of person or entity who will receive purse money
5
Provide the following information for every person having an interest in this stable. Attach additional sheets if necessary.
NAME
ADDRESS
PERCENTAGE
At the time of application, is an individual, corporation or partnership listed above under revocation or suspension, ruled off or ineligible
YES
NO
to be licensed in any North American jurisdiction? If YES, state where and by whom the ruling(s) was made and the offense(s) charged. If
necessary, submit additional page(s).
SIGNATURE
APPLICANT NAME (PRINT)
APPLICANT SIGNATURE
DATE
REVISED 10/26/2021
ELDORADO SCIOTO DOWNS
STEWARD OR JUDGE INITIALS
LICENSE YEAR
LICENSE #
Stable Name Application
DATE ISSUED
6000 S. High St.
Columbus, Ohio 43207
LICENSE FEE
CHECK #
Attention: OSRC
INSPECTOR
RECAP #
Phone (614) 295-4700 • Fax (614) 295-8876
$50 Primary (Thoroughbred)
If the stable name has been registered with another state or any organizations listed in
$25 Secondary (Thoroughbred)
paragraphs 1, 2 or 3 for the current year, the fee is $25. For all others, the fee is $50.
$25 Primary (Harness)
I HEREBY APPLY TO REGISTER THE FOLLOWING STABLE NAME IN ACCORDANCE WITH THE RULES
AND REGULATIONS OF THE OHIO STATE RACING COMMISSION
STABLE NAME (PLEASE PRINT CLEARLY)
YEAR
REGISTRATION NUMBER
1
Year stable name above was registered for life with the Jockey Club
STATE
YEAR
REGISTRATION NUMBER
2
Stable name was registered in the state of
YES
NO
3
Stable name is registered with the United States Trotting Association for the current year
Federal identification number or social security number
FEDERAL IDENTIFICATION NUMBER (FID)
SOCIAL SECURITY NUMBER
4
of person or entity who will receive purse money
5
Provide the following information for every person having an interest in this stable. Attach additional sheets if necessary.
NAME
ADDRESS
PERCENTAGE
At the time of application, is an individual, corporation or partnership listed above under revocation or suspension, ruled off or ineligible
YES
NO
to be licensed in any North American jurisdiction? If YES, state where and by whom the ruling(s) was made and the offense(s) charged. If
necessary, submit additional page(s).
SIGNATURE
APPLICANT NAME (PRINT)
APPLICANT SIGNATURE
DATE
REVISED 10/26/2021