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Section 80-5. The Cigarette Machine Operators' Occupation Tax Act is amended by changing Sections 1-15, 1-20, 1-40, and 1-105 as follows: (35 ILCS 128/1-15) Sec. 1-15. Cigarette machine operator license. No person may engage in the business of operating a cigarette machine in this State on or after August 1, 2012 without first having obtained a license from the Department. Application for a license shall be made to the Department, by electronic means, in on a form furnished and prescribed by the Department. Each applicant for a license under this Section shall furnish the following information to the Department in on a form signed and verified by the applicant under penalty of perjury, in an electronic format established by the Department, the following: (1) a statement that the applicant will fully comply with the Tobacco Products Manufacturers' Escrow Enforcement Act of 2003; and (2) the following information: (A) the name and address of the applicant; (B) (2) the address of the location at which the applicant proposes to engage in the business of operating a cigarette machine in this State; and (C) (3) any other additional information the SB3019 Enrolled LRB104 20255 HLH 33706 b Public Act 104-0468