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Free Ga Lottery Application Template in PDF

The Ga Lottery Application form serves as a comprehensive document needed by businesses in Georgia looking to become licensed retailers of lottery tickets. This application outlines a series of detailed steps and requirements, including a non-refundable fee, business information validation, and a rigorous background check for each principal owner. Designed to ensure that only reputable businesses can serve as lottery retailers, this form is pivotal for maintaining the integrity of the Georgia Lottery Corporation's operations.

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Free Ga Lottery Application Template in PDF

Table of Contents

The Georgia Lottery Application form is a comprehensive document designed to facilitate the process of becoming an authorized retailer of lottery tickets in the state of Georgia. This form, divided into several parts, addresses every vital aspect of the application process, ensuring thorough vetting and compliance with Georgia Lottery Corporation standards. A non-refundable fee of $125 per business location is required at the time of application submission, with $100 refunded if the application is not approved. Applicants must provide detailed business information, including business name, location, contact details, and operational hours. It also necessitates the disclosure of the primary stakeholders' personal information to ensure credibility and legal compliance. Additionally, the form includes a section for Electronic Funds Transfer Authorization, which is critical for the financial transactions involved in ticket sales. Prospective retailers must also agree to a contract outlining their responsibilities, including rules adherence, ticket sales promotion, and prize payments. This form is an essential step for any business looking to tap into the lucrative opportunity of selling Georgia lottery tickets, ensuring that they meet the corporation's standards for integrity, security, and compliance.

Form Sample

GEORGIA LOTTERY CORPORATION

Instructions for Retailer Application Packet 1-800-746-8546 - OPTION #4 & then #7 - Retailer Contracts Administration

Revised 4/1/18


	PART 1 - Business Information
	PART 1 - Business Information		PART 2 - Personal Information (Owner)

A Georgia Lottery Retailer application must be accompanied by a Cashier’s Check, Business Check or Money Order for $125 per business location. (In the event the application for a business location is not approved by the Georgia Lottery Corporation, $100 of the $125 will be refunded.)

This form must be completed for each owner, shareholder, member, and officer of the business. Make additional copies if necessary.

Lines 1 - 14 - List all information requested.

Line 1 - List the name of the entity which owns the business and files Income tax returns.

Line 2 - List the name of the business where tickets are to be sold.

Line 3 - 8 - List the business address, business telephone #, city, state, zip, & county

Lines 9 - 12 - List the mailing address, if different from #3 above: otherwise, please leave this blank.

Line 13 - List fax number, if applicable.

Line 14 - List each Principal of the Business. Please attach additional sheets as needed. EACH LISTED INDIVIDUAL MUST ALSO COMPLETE PART 2 OF THIS APPLICATION.

Line 15 - Complete, sign and have this statement notarized.

Line 16 - Business Contacts – Name, title, and phone number of the person(s) the Lottery should contact on all Lottery business.

Line 17 - COAM information - Complete all information requested for Coin Operated Amusement Machines.

Line 18 - Optional - If the majority ownership (more than 50%) of the business is held by a person or persons of a minority race, it is requested, but not mandatory, that this section be completed. Minority Business Ownership is defined in Georgia statutes as follows:

•For a proprietorship: A business owned by “an individual who is a member of a minority who reports as his personal income for

Georgia Income tax purposes the income of such business”; or

•For a partnership: “A partnership in which a majority of the ownership interest is owned by one or more members of a minority who report as their personal income for Georgia income tax purposes more than 50 percent of the income of the partnership”; or

•For a corporation: “A corporation organized under the laws of this state in which a majority of the common stock is owned by one or more members of a minority who report as their personal income for Georgia Income tax purposes more than 50 percent of the distributed earnings of the corporation.”

Line 19 - Business Hours - List business hours for Sunday through Saturday.

LOTTERY OFFICIAL TO COMPLETE ALL SHADED ENTRIES

Line 15 - If answering “yes” to any of these questions, please explain on a separate sheet and attach to this application.

Lines 16 - 21 - List all information requested.

Line 22 - Attach a copy of one of the following forms of identification (Driver's License, Georgia Identification Card, Identification Card issued by another state, U.S. Armed Forces Identification Card, U.S. Passport or U.S. Resident Alien Card).

Line 23 - Complete, sign and have this statement notarized.

PART 3 - Electronic Funds Transfer Authorization

Line 1 - List the name of the entity which owns the business and files Income tax returns.

Lines 2 - 4 - Obtain and list required licensing numbers from the Georgia Department of Revenue (State Tax Identifier, Sales Tax, & Alcohol).

Line 5 - The Federal Employers ID Number (FEIN) must be listed for partnerships and corporations. Sole proprietors must list the social security number only.

Line 6 - List all information requested and sign the authorization.

Line 7 - Must be completed and signed by Depository Institution Representative.

This verifies the establishment of an account “In Trust for the Georgia Lottery Corporation.” Attached is a letter to provide to your Bank Representative which provides an example of the account title requirements.

PART 4 - E-Verify Affidavit

The completed/executed affidavit is required of ALL GLC Retailer

Applicants. See the E-Verify Affidavit Instructions Letter for

important information regarding the completion of this affidavit.

PART 5 - Retailer Contract

A Contract must also be completed by each member of an LLC or Partnership. Make additional copies if necessary. Complete and sign page 2 of the Retailer Contract.

Business Trade Styles

Restaurant/Truck Stop

Auto Supply	Convenience	Home Improvement	Not Classified	Restaurants (Non-Fast Food)
Bar/Lounge/ Tavern	Convenience/Gas	Hotels & Other Lodging	Other Non-retail	Service/Gas Station
Bowling Center	Discount Department Stores	Independent/Grocery Store	Other Retail	Stationery/Gift/Newsstand
Check Cashing	Drug Store/Pharmacy	Major Supermarket Stores	Package Store	Value Stores
Coffee Houses	Fraternal Organizations	Mall Kiosk	Restaurant	Video Store

Retailer Application

GEORGIA LOTTERY CORPORATION

P.O. Box 56486 • Atlanta, GA 30343 1-800-746-8546 - OPTION #4 & then #7 - Retailer Contracts Administration

Please submit completed application with $125 fee per business location

(Cashier’s Check, Business Check, or Money Order only).

1 of 4

Revised 4/1/18

PART 1 - Business Information

PLEASE PRINT

Lottery Retailer ID#:

1.Corporate or legal name (List the name of the legal entity which owns the business and files income tax returns):

2.Store Name or d/b/a (list the name of the business where tickets are to be sold):

3.	Business Location:	(Street Number and Name of the location where lottery tickets are to be sold)		4. Business Telephone Number:
5.	City:	6. State:	7. Zip Code:	8. County:

9. Mailing Address (if different) (P.O. Box Number or Street Number and Name) :

10. City:

11. State:

12. Zip Code:

13. Fax Number:

14.List each owner, shareholder, member and officer of the Business (for example, sole proprietors, general partners, corporate officers, directors and shareholders). EACH LISTED INDIVIDUAL MUST COMPLETE PART 2 OF THIS FORM. Please attach additional sheets as needed:

a.	Name:	Percent of Ownership:
b.	Name:	Percent of Ownership:
c.	Name:	Percent of Ownership:
d.	Name:	Percent of Ownership:

15.Applicant certifies that the information contained on this form or otherwise submitted to the Georgia Lottery Corporation (“GLC”) in connection with this application to become a Retailer is true and correct in every respect. The undersigned certifies that he is duly authorized to act on behalf of the Retailer Applicant. Applicant understands, agrees, and consents that the GLC may make any and all investigations necessary in order to satisfy the GLC requirements for qualification of the Applicant as a GLC Retailer. Applicant hereby authorizes GLC to request criminal history record information, a credit report, or conduct any other investigation as may be necessary to process Applicant’s request to become a GLC Retailer.

Applicant authorizes GLC to share any such information, privileged, confidential or otherwise, necessary to consider its application to become a GLC

Retailer. Applicant further consents to allow GLC to use and share such information in all manner consistent with all applicable laws and necessary to effectuate, administer or enforce all rights, orders and obligations arising out of the relationship between Applicant and GLC. Applicant understands that providing inaccurate or misleading information is grounds for rejection of this application or cancellation of the Retailer Contract, and may subject the Applicant to the penalties set forth in O.C.G.A. §50-27-28.

Signature of Owner or Principal

Print or Type Name

Title

Date

NOTARY

STATE OF:

COUNTY OF:

SEAL

SWORN TO AND SUBSCRIBED BEFORE ME ON THIS

DAY OF

(MONTH)

(YEAR)

Notary Public Seal and Signature:

My Commission Expires:

HERE

Personal Identification (ID) is required to be presented to and verified by Notary Public. Type of ID:

ID Number:

16. Business Contacts (Persons Authorized to Conduct On-Site Lottery Transactions):

Name

Title/Function

Cell Phone #

17. Is this business location licensed for Coin Operated Amusement Machines (COAM)? ___Yes

___No

If Yes, provide the following:

# of Class A Machines:_________

# of Class B Machines:_________

COAM Location License #_________________________

COAM Master License # __________________________

18. (OPTIONAL) Is Business Ownership more than 50% of a minority race?

 Yes

 No

If yes, Specify:  African American

 Native American

 Asian

 Hispanic 

Other (specify):

19. Business Hours:

 Sunday

 Monday

 Tuesday

 Wednesday

 Thursday

 Friday

 Saturday

Open

To be completed by Lottery Representative

Business Trade Style: (see Instruction Sheet)

Retailer Application

2 of 4

GEORGIA LOTTERY CORPORATION

Make additional

P.O. Box 56486 • Atlanta, GA 30343

copies if necessary.

1-800-746-8546 - OPTION

#4 & then #7 - Retailer Contracts Administration

This form must be completed for each owner, shareholder, member, and officer of the business.

Revised 4/1/18

PART 2 - Personal Information (Owner)

PLEASE PRINT

Lottery Retailer ID#:

1. Type of Ownership:

 Sole Proprietor  Partnership

Corporation

 Non-Profit

 LLC (Corporation)  LLC (Partnership)

 Other(specify):

First, Middle & Last Name of Owner or Principal (no initials):

M or F:

4. Place of Birth:

Title:

Race:

7. Percent of Ownership:

8. Date of Birth:

Home Street Address:

10. City/State/Zip Code:

11.

Home Phone Number:

12. Cell Phone Number:

13.

Social Security

Number:

14. E-mail Address:

(

)

(

)

15.

•Do you reside in the same

household as any officer or

employee of the Georgia Lottery Corporation?

 Yes

 No

•Are you a vendor, employee or agent of any vendor of the Georgia Lottery Corporation?

 Yes

 No

•Have you been convicted of a criminal offense related to the security or integrity of the lottery in this or any other jurisdiction? If yes,

where? and when?

 Yes

 No

•Have you been convicted of any illegal gambling activity, false statements, false swearing or perjury in this or any other jurisdiction or

convicted of any crime punishable by more than one year of imprisonment or a fine of more than $1,000.00 or both ? If yes, where?

and when?	 Yes	 No
•Are you delinquent in taxes, fees or other obligations owed to the State of Georgia?	 Yes	 No
•Have you filed bankruptcy in the last seven (7) years?	 Yes	 No
•Are you related to a COAM Class B Master Licensee?	 Yes	 No

Note: If you answered “Yes” to any of the above questions, please explain on a separate sheet and attach to this application.

16.List all other names you have used, including nicknames; if female, furnish 17. Citizenship

maiden names. If you have ever used any surnames other than your true name,

a. Present citizenship (Country):

during what period and what circumstances were these used? If you have ever legally

b. Citizenship acquired by:

 Birth  Marriage  Naturalization

changed your name, give date, place, and court. (Attach additional page as needed):

c. Naturalization Certificate Number:

d. Date and place Naturalized:

e. Resident Alien Number:

18.

Height:

19. Weight:

20.

Hair Color:

21. Eye Color:

22.Attach a copy of one of the following forms of identification for each owner. The following is a list of acceptable forms of identification: Driver's License, Georgia Identification Card, Identification Card issued by another state, U.S. Armed Forces Identification Card, U.S. Passport, or U.S. Resident Alien Card.

23.CONSENT AND AUTHORIZATION FOR RELEASE OF PERSONAL BACKGROUND INFORMATION:

I hereby certify that the information contained on this form or otherwise submitted by me to the Georgia Lottery Corporation (“GLC”) in connection with this application to become a GLC Retailer is true and correct in every respect. I understand, agree and consent that GLC may make any and all investigations of my background in order to satisfy the GLC requirements for qualification of the Applicant as a GLC Retailer, which investigations may include, without limitation, criminal history record information, credit history records, tax records, public records and other official records, and the investigation generally of any other matter relating to the Applicant being a GLC Retailer. As a potential Retailer or current Retailer for the Georgia Lottery Corporation (“GLC”), or as an owner of same, I am required to furnish certain information for use in determining my qualifications. I hereby authorize GLC to request a credit report, conduct a criminal background investigation, or conduct any other investigation as may be necessary to process my Retailer Application to become a GLC Retailer. I authorize GLC to share any such information, privileged, confidential or otherwise, necessary to consider the application to become a GLC Retailer. I further consent to allow GLC to use and share such information in all manner consistent with all applicable laws and necessary to effectuate, administer or enforce all rights, orders and obligations arising out of the relationship between the Retailer Applicant and GLC. A photocopy of this release will be valid as an original thereof, even though said photocopy does not contain an original writing of my signature. This release will expire upon the final termination of my Retailer’s contractual obligations with the GLC.


Signature			Print Name		Date

The foregoing authorization notwithstanding, for the limited purposes of initially qualifying a Georgia Lottery Retailer, the GLC will not order, as a routine business practice, credit reports or criminal record history reports for individuals owning 10% or less of the equity ownership interests in the Georgia Lottery Retailer applicant. The GLC does reserve the right in its sole discretion to order such reports in accordance with business exigencies.

NOTARY

SEAL

HERE

STATE OF:

COUNTY OF:

SWORN TO AND SUBSCRIBED BEFORE ME ON THIS

DAY OF

(MONTH)

(YEAR)

Notary Public Seal and Signature:

My Commission Expires:

Personal Identification (ID) is required to be presented to and verified by Notary Public. Type of ID:

ID Number:

Retailer Application		3 of 4
GEORGIA LOTTERY CORPORATION		3 of 4
P.O. Box 56486 • Atlanta, GA 30343
1-800-746-8546 - OPTION #4 then #7 - Retailer Contracts Administration		Revised 4/1/18

PART 3 - Lottery Retailer Electronic Funds Transfer Authorization	Lottery Retailer ID#:

1. Corporate or Legal Name (list the name of the legal entity which owns the business and files income tax returns):

2. Georgia State Tax Identifier Number (11

3. Georgia Alcohol License Number (if any, 7 digits):

4. Georgia Sales Tax Number (9

Service Business

Only

5.Federal Employers ID Number. 9 digit number used to file Federal business income tax return. (For Sole Proprietor use Social Security Number)

INSTRUCTIONS: The Retailer must establish a separate electronic funds transfer (EFT) bank account for the preservation and transfer of

lottery funds. The separate bank account must be specified “IN TRUST FOR THE GEORGIA LOTTERY CORPORATION.” The Retailer’s depository institution must confirm the establishment of the Georgia Lottery Corporation Trust Account by signing in the space below.

6.RETAILER AUTHORIZATION: I (we) hereby authorize the Georgia Lottery Corporation to initiate debit and credit entries in any available and appropriate amount to my (our) account indicated below and authorize the depository named below to debit or credit the same to such account. I (we) hereby further authorize and direct the depository institution named below to release any information regarding such account, including, but not limited to, account balance information, payment history, and overdraft information to the Georgia Lottery Corporation upon request by an authorized representative of the Georgia Lottery Corporation. My (our) authorization is given in accordance with subsection

(e)(2) of Section 502 of the “Gramm-Leach-Bliley Act of 1999” (15 U.S.C.A. § 6802) and shall remain in effect until expressly revoked by me

(us) in writing. Any such revocation shall be deemed to have been properly given if sent by hand delivery, or by overnight courier, to such depository institution at the address set forth below. Such revocation shall be deemed to have been delivered on the date of delivery if by hand delivery or if by overnight courier, on the next business day following the deposit of such communication with the overnight courier.

Bank Account Name:

/“IN TRUST FOR THE GEORGIA LOTTERY CORPORATION.”

Corporate or legal name of entity which owns the business and files income tax returns: (see attached example)

Bank Name (print):

Branch:

Bank Street Address:

City:

State:

EFT Bank Route Transit Number:

EFT Bank Account Number:

Signature of Owner or Principal:

Date:

Printed Name of Owner or Principal:

THE SECTION BELOW MUST BE COMPLETED BY DEPOSITORY INSTITUTION (BANK)

7.DEPOSITORY INSTITUTION ACKNOWLEDGMENT: The above account has been established “IN TRUST FOR THE GEORGIA LOTTERY CORPORATION.” We acknowledge that our customer, the Retailer, has directed us to provide information concerning the above referenced account to the Georgia Lottery Corporation upon request by an authorized representative of the Georgia Lottery Corporation. We further acknowledge that the Retailer has directed us to provide this information in accordance with subsection (e)(2) of Section 502 of the “Gramm- Leach-Bliley Act of 1999” (15 U.S.C.A. § 6802), and we will continue to provide such information as directed until receipt of Retailer’s written revocation in the manner set forth in Section 6 above.

Depository Institution Representative (print):	Telephone Number:
Signature of Depository Institution Representative:		Date:

		Retailer Application	4 of 4
	GEORGIA LOTTERY CORPORATION		4 of 4
	GEORGIA LOTTERY CORPORATION
	P.O. Box 56486 • Atlanta, GA 30343
1-800-746-8546 - OPTION #4 then #7 - Retailer Contracts Administration			Revised 4/1/18

Part 4 – Lottery Retailer E-Verify Affidavit		Lottery Retailer ID#:

The GLC Retailer, signed below, confirms and verifies its compliance with Georgia law (See OCGA §13-10-91, as amended), and affirmatively states that the business (Sole Proprietor, Partnership, Corporation, Non-Profit, LLC Corporation, or LLC Partnership) which sells GLC lottery tickets: (check and complete #1 or #2 below)

Legal Business Name of Georgia Lottery Retailer/Applicant:

____1. Has registered with, is authorized to use, and uses the federal work authorization program commonly

known as E-Verify, or any subsequent replacement program. Furthermore, the undersigned retailer will continue to use the federal work authorization program throughout the contract period. Retailer hereby attests that its federal work authorization user identification number and date of authorization are as follows:

_______________________________________________

Federal Work Authorization User Identification Number

This number is at least 4 or more digits in length, does not contain letters and is NOT your Federal Employer Identification Number (FEIN).

_______________________________________________

Date of Authorization

____2. Employs no employees, or otherwise does not fall within the requirements of OCGA §13-10-91.

I hereby declare under penalty of perjury that the foregoing is true and correct.

Executed on _______________ DAY OF __________, 20 in _________________(city) _____________(state).

_________________________________________________________

Signature of Authorized Owner/Officer

____________________________________________________

Printed Name and Title of Authorized Owner/Officer

SUBSCRIBED AND SWORN BEFORE ME ON THIS THE ______ DAY OF __________, 20___.

____________________________________________________________

NOTARY PUBLIC

My Commission Expires: ______________________________________

Important E-Verify Affidavit Instructions

Revised 4/1/18

Dear Valued GLC Lottery Retailer Applicant:

The Georgia Security and Immigration Compliance Act (OCGA §13-10-91) has been amended by the passage of Georgia Senate Bill 160, which implemented new retailer contract requirements for the Georgia Lottery Corporation (“GLC”).

As a result, all new GLC Retailers contracted after July 1, 2013 must submit an E-Verify affidavit to the GLC with their GLC Retailer application. The E-Verify affidavit provides proof of the retailer’s registration and participation in E-Verify, the current federal work authorization program.

Under the amended law, a new GLC retailer must submit an E-Verify affidavit with an E-Verify user number (Federal Work Authorization User Identification Number), unless the business has no employees (in which case it must present an approved state-issued identification card or driver's license, with an E-Verify affidavit that it has no employees).

The E-Verify Affidavit is attached:

a)Complete Section 1 of this affidavit to provide the GLC an E-Verify user number. If you are not currently registered in the E-Verify program and do not have an E-Verify number, one can be obtained on-line, for free, at http://www.dhs.gov/e-verify. For further information, visit the website or contact the U. S. Department of Homeland Security at 888-464-4218.

b)Your E-Verify number is at least 4 or more digits in length, does not contain letters and is NOT your

Federal Employer Identification Number (FEIN).

c)If your business has NO employees, place a check mark in section 2 and ensure a copy of an approved state-issued identification card or driver's license is provided with E-Verify affidavit.

d)Once an E-Verify user number is obtained for Section 1 or a copy of the state-issued identification card or driver’s license is obtained for Section 2, the business owner (or authorized representative of the business) on the original GLC contract must sign the affidavit, before a notary.

e)The notarized affidavit must be returned to the GLC with your completed GLC Retailer Application package.

If you have any questions, please contact your GLC Sales Representative, or the RCA (Retailer Contracts Administration) department at 1-800-746-8546 - option #4 then #7.

PART 5 - Retailer Contract

Lottery Retailer ID:

Revised 4/1/18

THIS RETAILER CONTRACT is between GEORGIA LOTTERY CORPORATION (GLC), a public corporation created pursuant to the Georgia Lottery for Education Act (Act), and the undersigned Retailer. Capitalized terms used herein shall have the meanings set forth in Appendix A to GLC's Retailer Rules and Regulations, unless otherwise defined in context. Subject to approval by GLC of Retailer’s application to sell lottery Tickets, Retailer and GLC hereby agree as follows:

1.Retailer Rules. Retailer agrees to comply with and be bound by the Act, the Rules and Regulations of GLC, and all other applicable laws, rules, regulations, ordinances and orders. Retailer agrees at all times to meet the minimum qualifications for a GLC Retailer and to notify GLC of any changes in its business, as specified in the Act and the Rules and Regulations. Copies of the Act and all

Rules and Regulations are always available upon request from GLC.

2.Term and Renewal, Unless earlier terminated, the term of this Retailer Contract shall begin as of the date it is executed by Retailer, as shown below, shall remain in effect for a period of one (1) year, and may be renewable annually at the sole discretion of

GLC. In the event that GLC and Retailer have entered into any Retailer Contract(s) dated prior to the date of this Retailer Contract, GLC and Retailer agree that from the beginning of the term hereof, this Retailer Contract shall amend, renew, replace, and restate any prior Retailer Contract in its entirety for each Retailer Business Location listed below.

3.Contract Termination. This Retailer Contract may be canceled by Retailer upon twenty (20) calendar days prior written notice to GLC. If the CEO determines, in her/his sole discretion, that cancellation, denial, revocation, suspension or termination of this Retailer Contract is in the best interest of GLC, the State of Georgia or the public welfare, the CEO may cancel, deny, revoke, suspend or terminate this Retailer Contract upon written notice to Retailer; provided, however, Retailer shall be entitled to a hearing on such cancellation, denial, revocation, suspension or termination in accordance with the Act and the Rules and Regulations; provided, further, that the CEO may temporarily suspend Retailer’s rights under this Retailer Contract without prior notice, pending any prosecution, hearing or investigation, in accordance with the Act. In addition to the foregoing, GLC may immediately cancel, deny, revoke, suspend, terminate, or refuse to renew this Retailer Contract for any of the reasons set forth in Exhibit A on the next page hereof.

4.Ticket Sales, Retailer agrees to sell lottery Tickets for all the games authorized by GLC, in GLC‘s sole discretion, and only at its

Retailer Business Locations listed below for which GLC has issued a Certificate of Authority under this Retailer Contract. Retailer agrees that it shall sell no other lottery Tickets in the State of Georgia, except those provided to it for sale by GLC. Retailer agrees that it shall adopt safeguards to assure that it will not sell lottery Tickets or pay prizes to persons under the age of 18 years. Retailer agrees that it shall sell lottery Tickets only at the prices, and only subject to the terms and conditions, fixed by GLC unless prior written authorization is received from the CEO in each instance. In accordance with the amounts specified in the Act and the Rules and Regulations, as full and complete compensation under this Retailer Contract, GLC will pay Retailer Commissions and other compensation for lottery Tickets sold and for winning lottery Tickets paid by Retailer.

5.Electronic Funds Transfer. Retailer shall have a fiduciary duty to preserve and account for all proceeds from the sale of lottery

Tickets collected by it and shall be responsible and liable for all such proceeds. All proceeds from the sale of lottery Tickets and all other funds due the GLC shall constitute a trust fund in favor of the GLC until paid to the GLC. Subject to the Act and the Rules and Regulations, Retailer agrees. (i) to maintain for the purpose of this Retailer Contract a separate bank account in the name of the Retailer as "Trustee for the Georgia Lottery Corporation”, with a bank acceptable to GLC which is a member of an automated clearing house association; (ii) to deposit daily into that bank account all proceeds from the sale of lottery Tickets and other funds due the GLC; (iii) to authorize GLC to initiate Electronic Funds Transfer (EFT) to and from that account for the net settlement due from the sales of GLC lottery Tickets; and (iv) that sufficient funds shall be available in the designated account on the dates specified by GLC to cover the amounts due GLC, as determined by GLC.

6.Prize Payments. During its normal business hours, Retailer agrees to immediately validate and pay all lottery Tickets winning prizes up to and including $600 for all lottery games that it is authorized by GLC to sell, in accordance with the Act and the Rules and Regulations. Such payment for winning Tickets shall not be in amounts greater or less than the amounts authorized by GLC, and shall never be subject to restrictions or conditions other than those imposed by GLC.

7.Promoting Sales. Retailer agrees to prominently display, in locations accessible to the public, point‑of‑sale advertising and other public information material and supplies provided from time to time by GLC and its Vendors and suppliers. Retailer agrees to attend all training sessions, as requested from time to time by GLC. In order to assist Retailer with sales of lottery Tickets, GLC and its Vendors and suppliers may provide certain equipment (such as Lottery Terminals, Ticket dispensers, Ticket vending machines, play stations, etc.) to be held in the custody and control of Retailer without any transfer of ownership of such equipment to Retailer; Retailer agrees to return any such equipment and supplies upon request of the owner and agrees to be financially liable and responsible for the use, preservation and protection of such equipment and supplies, normal wear and tear excepted.

8.Acceptance and Return of Instant Tickets, Subject to the conditions and reporting requirements more fully set forth in the

Rules and Regulations: (i) each Retailer shall have a fiduciary duty and responsibility to preserve and account for all Instant Tickets accepted from the GLC or its distributor, as well as cash proceeds from the sale of any lottery products; (ii) any Instant Tickets not properly accounted for by the Retailer upon termination of the Retailer Contract, upon demand by the GLC, or at the End of Game date for the corresponding Instant Game, regardless of the reason, shall be deemed to have been purchased by the Retailer; (iii)

Retailer shall be responsible for the full price of Instant Tickets, less any applicable Commissions, for all Instant Tickets which may be lost, stolen, or damaged after delivery to Retailer; and (iv) GLC will accept full and partial Instant Ticket Pack returns within (3) weeks of the termination, cancellation, suspension, revocation or non‑renewal of this Retailer Contract.

Page 1 of 2

Lottery Retailer ID:

Revised 4/1/18

9.Contract Changes. This Retailer Contract, including the Act and the Rules and Regulations, is the entire contract between GLC and

Retailer. This Retailer Contract may not be modified or amended except by a writing signed by both parties hereto or by amendment to the Act or the Rules and Regulations. To the extent of any conflict, the provisions of the Act shall govern the Rules and Regulations, and the Rules and Regulations shall govern the Retailer Contract.

IN WITNESS WHEREOF, GLC and the undersigned Retailer have executed, or caused their duly authorized representatives to execute, this Retailer Contract as of the date noted below.

1.Corporate or legal name (list the name of the legal entity which owns the business and files income tax returns):

2.Business Address where tickets are to be sold:

(Street)
(City, State & Zip)		GEORGIA LOTTERY CORPORATION
		GEORGIA LOTTERY CORPORATION

3. Printed Name and Title:		By:


4. By (signature):	5. Date:
		Gretchen Corbin, President and CEO
		Gretchen Corbin, President and CEO

EXHIBIT A to Retailer Contract

Notice of Specific Reasons for which a Retailer Contract may be Terminated

GLC may immediately cancel, deny, revoke, suspend, terminate, or refuse to renew any Retailer Contract if a Retailer or any of its owners:

a.violates a provision of the Act or of the Rules and Regulations; or

b.is or has been, or retains an employee involved in the sale of lottery Tickets who is or has been, convicted of a criminal offense related to the security or integrity of GLC or a lottery in any other jurisdiction; or

c.is or has been, or retains an employee involved in the sale of lottery Tickets who is, or has been, convicted of a gambling‑related offense, false statements, false swearing or perjury in this or any other jurisdiction or a crime punishable by more than one year of imprisonment or a fine of more than $1,000.00 or both unless the person’s civil rights have been restored and at least five (5) years have elapsed from the date of the completion of the sentence without a subsequent conviction of a crime described above; or

d.commits fraud, misrepresentation or deceit; or

e.provides false or misleading information to GLC; or

f.acts in a manner prejudicial to the security or integrity, or the public confidence in the security or integrity, of GLC; or

g.conducts business for the sole purpose of selling lottery Tickets; or

h.is delinquent in the payment of any federal, state or local taxes owed by it; or

i.changes any Retailer Business Location for which GLC has issued a Certificate of Authority under this Retailer Contract; or

j.fails to accurately or timely account for proceeds or prizes from the sale of lottery Tickets; or

k.fails to accurately or timely account for lottery Tickets received from GLC; or

l.fails to comply with any term of this Retailer Contract; or

m.fails to maintain a minimum level of sales, as established by GLC from time to time; or

n.substantially changes the ownership of Retailer without prior written notice to, or consent of, GLC; or,

o.files for or is placed in bankruptcy, receivership, insolvency or similar proceedings or fails to pay its debts as they become due; or

p.resides in the same household as any director, officer or employee of GLC; or

q.contracts with any other person or entity for lottery goods or services without the prior written approval of GLC; or

r.fails to meet any of the objective criteria established by GLC pursuant to the Act, or

s.is subjected to any material change, as determined to be material in the sole discretion of GLC, in any matter considered by GLC in entering this Retailer Contract; or

t.fails to maintain the designated account from which Electronic Funds Transfers (EFT) payments are to be made, fails to authorize GLC to initiate EFT transactions to and from such designated account, or fails to have sufficient funds available in such designated account on the dates specified by GLC.

Page 2 of 2

Revised 4/1/18

Dear Bank Representative:

Thank you for assisting our Retailer applicant. The Retailer must establish a separate electronic funds transfer (EFT) bank account in order to complete their Georgia Lottery Corporation application. This separate bank account must be specified “In Trust For the Georgia Lottery Corporation.”

Example:

XYZ, Inc.

D/B/A RCA Food Mart

In Trust for the Georgia Lottery Corporation

Please ensure that the account is not titled “Lottery Account.”

If you need any additional information, or have any questions, please contact Retailer Contracts Administration at 1-800-746-8546 option #4 then #7.

GEORGIA LOTTERY CORPORATION

Revised 4/1/18

Helpful Hints for completing the GLC Retailer Application Package

In order to facilitate the efficient processing of your GLC Retailer Application,

we’ve itemized some helpful hints for you.

Also, be sure to carefully read the Retailer Application instructions.

1.When making corrections, please use a single line to cross through the incorrect information. Then initial your correction.

Do not use white out. Applications with white out cannot be accepted.

2.Please ensure that all information on the application is accurate and complete before submitting to the Georgia Lottery

Corporation. An incomplete or inaccurate application will only slow down the processing of your application.

3.Please maintain a copy of the application for your reference during the application process.

4.Identification:

Please submit one of the following forms of valid identification. No other forms of identification can be accepted:

·Driver’s License

·Georgia Identification Card

·Identification Card issued by another state

·U.S. Armed Forces Identification Card

·U.S. Passport (must be signed)

·U.S. Resident Alien Card

5.Application Fee:

·The Application fee should be in the form of a cashier’s check, business check, or money order only.

·No personal checks or counter checks can be accepted.

·Please do not submit the application fee with a check from the Lottery EFT account.

6.Business Registration/Tax ID #s (Part 3 of the application):

·Federal Employers ID number: Obtain from the IRS by calling 1-800-829-0115. If you are a sole proprietorship, please use only your Social Security Number.

·All Corporations and Limited Liability Corporations must be properly registered with the Secretary of State.

·Further information can be obtained by contacting the Corporations Division of the Secretary of State at 404-656-2817 or by visiting their website at http://www.sos.ga.gov/index.php/corporations.

·All businesses must be registered with the Georgia Department of Revenue. Please call (404) 417-4445 to obtain registration information.

·Georgia State Tax Identifier Number & Georgia Sales Tax Number:

If already registered, this number can be found on your Georgia Department of Revenue registration certificate.

7.Legal Business Name/Ownership Type:

·Corporate or Legal Name: The legal entity which owns the business and files income tax returns.

·Store Name or DBA Name: The name of the business where tickets are sold. This name should match the Georgia Department of Revenue registration.

·Sole Proprietor: Your legally given name.

·Partnership: Partnership name should match the name on the Internal Revenue Service notification of the Federal Employers Identification Number.

·Corporation and Limited Liability Corporation: Please ensure that the legal business name and Secretary of

State registered name match.

↓ PDF File

File Overview

Fact Name	Detail
Application Fee	An application fee of $125 per business location is required, with $100 refundable if the application is not approved.
Business Information Requirement	The application must include detailed business information, including the legal entity name, business name (DBA), address, and contact information.
Owner Information	Information about each principal of the business, including a list of owners, shareholders, members, and officers, must be provided.
Notarization	Certain sections of the application require a notarized signature of the owner or principal.
Minority Business Ownership	An optional section allows businesses with majority ownership by minority individuals to identify as such, in accordance with Georgia statutes.
Electronic Funds Transfer Authorization	Applicants must authorize EFT for lottery transactions and provide related banking information.
Retailer Contract	Applicants agree to a retailer contract which outlines the terms and conditions of selling lottery tickets, including compliance with laws and regulations.
Personal Background Information	Each owner or principal must undergo background checks, including a review of criminal history, credit reports, and other personal background information.
Governing Law(s)	The application form and retailer operation are governed by the Georgia Lottery for Education Act and related statutes and regulations.

Guide to Using Ga Lottery Application

Filling out the Georgia Lottery Application form involves a seamless process designed to ensure that all the required information is accurately provided. The form is broken down into four parts: Business Information, Personal Information (Owner), Electronic Funds Transfer Authorization, and the Retailer Contract. Prospective retailers must furnish detailed information about their business, personal background of the owners, and financial setup to facilitate lottery ticket transactions. Completing this form meticulously is essential for a successful submission.

Start by obtaining a Cashier's Check, Business Check, or Money Order for $125 per business location and prepare it for submission with your application.
Part 1 - Business Information:
1. Enter the corporate or legal name of the entity that owns the business and files income tax returns.
2. Provide the store name or the name under which the business operates (d/b/a).
3. Fill in the complete business address, including street number and name, city, state, zip code, and county.
4. If applicable, provide a different mailing address in the space provided.
5. Enter the business fax number if available.
6. List each principal owner, shareholder, or officer of the business, including their percentage of ownership. Attach additional sheets if necessary.
7. Sign the application to certify the accuracy and completeness of the information provided. This must be notarized.
8. Indicate the business contact information, including cell phone numbers for individuals authorized to conduct on-site lottery transactions.
9. If applicable, indicate whether the business ownership is more than 50% of a minority race and specify which one.
10. List the business hours for each day of the week.
Part 2 - Personal Information (Owner): This part must be completed for each owner, shareholder, member, and officer.
1. Enter the type of ownership.
2. Provide the full name, title, and personal contact information of the owner or principal.
3. Answer questions relating to any associations with the Georgia Lottery Corporation, criminal history, and financial obligations to the State of Georgia.
4. Attach a copy of a valid ID as listed in the form options.
5. Sign the consent and authorization for the release of personal background information, which also needs to be notarized.
Part 3 - Electronic Funds Transfer Authorization:
1. Enter the corporate or legal name again as it appears in Part 1.
2. Obtain and list the required licensing numbers from the Georgia Department of Revenue.
3. For partnerships and corporations, list the Federal Employer ID Number; sole proprietors must list their social security number only.
4. Authorize the Georgia Lottery Corporation to initiate debit and credit entries by signing the authorization section. This must also be confirmed and signed by a Depository Institution Representative.
Part 4 - Retailer Contract: Review, complete, and sign page 2 of the Retailer Contract. If this section applies to your business model, ensure all information is consistent with previous sections and that the contract is fully understood before signing.
Finally, double-check all entered information for accuracy and completeness before submitting the application along with the $125 fee per business location to the address provided on the form.

Upon completion and submission of your application, it will be reviewed by the Georgia Lottery Corporation. They will assess your application based on the provided information, and you may be contacted for additional details or clarification. It's crucial to provide accurate information to facilitate a smooth review process. Should your application be approved, you will be guided through the next steps to become an authorized retailer of lottery tickets in Georgia.

Obtain Clarifications on Ga Lottery Application

What is the application fee to become a Georgia Lottery Retailer and is it refundable?
To apply to become a Georgia Lottery Retailer, a fee of $125 per business location is required. The fee must be paid via Cashier's Check, Business Check, or Money Order. If the application for a business location is not approved, $100 of the $125 application fee will be refunded.
What information is needed in Part 1 of the application?
In Part 1 of the application, information about the business is collected. This includes the corporate or legal name of the entity owning the business, the store name or d/b/a, business location address, primary business telephone number, city, state, zip, county, and if different, the mailing address. Additionally, a fax number should be provided if applicable, and details about each business principal, including a signed statement that must be notarized.
Who needs to complete Part 2 of the application?
Part 2 of the application must be completed for each owner, shareholder, member, and officer of the business. It requires detailed personal information, including name, gender, place of birth, title, race, percent of ownership, and contact information. It also includes questions about any criminal history, bankruptcy, or delinquency in taxes owed to the State of Georgia. A form of identification is required to be attached.
What is required for the Electronic Funds Transfer Authorization in Part 3?
For the Electronic Funds Transfer (EFT) Authorization, the applicant must list the corporate or legal name, obtain and list relevant Georgia licenses and Federal Employer Identification Number (FEIN) or Social Security Number (SSN) for sole proprietors. The section requires the retailer to authorize the Georgia Lottery Corporation to initiate debit and credit entries to a specified account, which must be established "In Trust for the Georgia Lottery Corporation." This section must also be signed by the Depository Institution Representative.
What information is covered in the Retailer Contract in Part 4?
The Retailer Contract outlines the agreement between the Georgia Lottery Corporation (GLC) and the retailer. This includes compliance with GLC regulations, a term of agreement, conditions for termination, responsibilities about ticket sales, prize payments, promoting sales, and the acceptance and return of instant tickets. Also, it details the retailer's responsibilities regarding electronic funds transfers and the handling of lottery proceeds.
How does the process address the ownership percentage for retailers?
The application requires listing each individual's ownership percentage in the business in Part 1. Additionally, it addresses minority ownership in the business for those who hold more than a 50% stake in the business. This definition varies based on the type of business structure and is aimed at identifying businesses owned by minority individuals.
What types of identification are accepted for the application?
For identification, applicants can attach a copy of a Driver's License, Georgia Identification Card, Identification Card issued by another state, U.S. Armed Forces Identification Card, U.S. Passport, or U.S. Resident Alien Card. This is a necessary step for verifying the identity of each person listed in Part 2 of the application.
Can more than one business location apply on a single application?
Each business location must submit a separate application along with the $125 fee. Part 1 of the application specifies this requirement, ensuring that each location is evaluated separately for approval to sell Georgia Lottery tickets.

Common mistakes

Filling out a Ga Lottery Application form seems straightforward, but common oversights can delay or impact the approval process. Let's pinpoint nine frequent mistakes applicants make, aiming for greater attention to detail and insight into the process.

Not including the non-refundable fee of $125 per business location, or submitting an incorrect form of payment, can lead to immediate rejection. Remember, the Georgia Lottery Corporation (GLC) specifies acceptable payment methods as Cashier’s Check, Business Check, or Money Order.
Leaving mandatory fields incomplete, such as the entity name or business information including the address and phone number. Every detail matters to ensure the GLC has all the necessary information for your application.
Misunderstanding the difference between the physical business address and the mailing address, if they happen to be different, could cause communication issues.
Failing to list all principals of the business and not ensuring that each listed individual also completes Part 2 of the application. This oversight can significantly slow down the application process.
Not having the statement in line 15 notarized – this is a critical step to validate the authenticity of the application.
Incorrectly filling in or leaving blank the minority business ownership section. Even though this is optional, providing accurate information can benefit qualifying businesses.
Forgetting to list the business hours or providing incomplete information for this section can result in delays. Business hours are necessary for GLC's operational requirements.
Incomplete details in Part 2 for each owner, shareholder, member, and officer—especially crucial elements like personal identification and consent for background checks—can lead to application suspension.
Inaccurately completing or omitting the Electronic Funds Transfer Authorization information, including bank details and acknowledgment from the depository institution, could prevent financial transactions necessary for lottery operations.

Being meticulous in filling out each part of the Ga Lottery Application form is crucial for a smooth process. Businesses are encouraged to review each section carefully, ensuring all information is accurate and complete before submission. This prudent approach can lead to a successful and swift approval, allowing businesses to start benefitting from being a Georgia Lottery retailer.

Documents used along the form

Applying to become a Georgia Lottery Retailer involves thorough documentation to ensure compliance with the Georgia Lottery Corporation’s requirements. Aside from the primary Lottery Application form, applicants often need to provide additional information through various forms and documents to complete their application. Understanding these documents can help streamline the application process.

Personal Information Form for Each Principal: This form is necessary for every owner, shareholder, member, and officer of the business seeking to sell lottery tickets. It collects detailed personal information to conduct background checks.
Electronic Funds Transfer Authorization: This document facilitates the transfer of funds between the retailer’s bank account and the Georgia Lottery Corporation, ensuring seamless transactions for sales and commissions.
Sample Bank Letter: Accompanies the Electronic Funds Transfer Authorization, providing a template for the retailer to instruct their bank on setting up an account “In Trust for the Georgia Lottery Corporation.”
Retailer Contract: A legal agreement between the retailer and the Georgia Lottery Corporation outlining the terms, conditions, and expectations of selling lottery tickets.
Proof of Identity Documents: Required for all individuals listed in the Personal Information Form, such as a Driver’s License or Passport, to verify the identity of the applicants.
Business License or Permit Documents: Depending on the location and nature of the business, additional local or state business licenses or permits may be needed to legally operate and sell lottery tickets.

Each of these documents plays a vital role in the retailer application process for the Georgia Lottery, ensuring that all participants meet the legal and operational standards set forth by the Georgia Lottery Corporation. By understanding and accurately completing these forms and documents, applicants can efficiently navigate the application process.

Similar forms

Alcohol License Application: Similar to the Georgia Lottery Application in that it requires detailed business information and is subject to state regulation and approval. Both forms necessitate providing ownership details, business location, and operating hours. They also involve a process for background checks and financial integrity verifications.
Business License Registration Form: This document also collects comprehensive business information, including the legal name, trade name, business address, owner/principal information, and contact details. Both applications facilitate a legal operating status under respective state laws.
Vendor Application Form: These forms are quite alike because they gather details on the business and its owners or principals for the purpose of entering into a contractual relationship. Vendor applications, like the lottery application, often require financial information to establish trustworthiness and reliability.
Food Service Establishment Permit Application: Similar in that both require detailed business descriptions, owner information, and adherence to specific operational regulations to ensure public safety and compliance. Additionally, they might necessitate health and safety inspections or financial audits.
Franchise Application Form: This form shares similarities with the lottery application as it requires detailed disclosure of business operations, ownership structure, financial information, and the commitment to comply with the franchisor's (or in the case of the lottery, the state's) operational guidelines and regulations.
Bank Account Opening Form for Business: Both documents necessitate providing detailed business and owner/principal information, including tax IDs and financial records. The EFT authorization part of the lottery application mirrors the financial information disclosure required for opening a business bank account.
Corporate Credit Application: Like the lottery application, the corporate credit application requires detailed business information, financial stability proofs, and owner/principal identification to assess creditworthiness and risk factors.
State Tax Registration Form: These forms require detailed business information, ownership details, and an outline of business operations similar to the lottery application, aiming to ensure compliance with state tax laws and regulations.
Minority-Owned Business Certification Application: This application requires businesses to detail their ownership structure and prove majority ownership by minority individuals, echoing the minority ownership section in the lottery application which seeks similar information for potential benefits or considerations under state law.
Employment Eligibility Verification (Form I-9): While primarily for employment purposes, it similarly requires identification verification and legal status information, akin to the personal information and identification documentation requirements found in the lottery application.

Dos and Don'ts

When seeking to join the ranks of Georgia Lottery retailers, attention to detail and adherence to protocol can significantly influence the outcome of your application process. To navigate this procedure effectively, here are ten dos and don'ts to consider:

Do ensure that the application fee is paid with a Cashier’s Check, Business Check or Money Order for the precise amount required.
Do meticulously fill out every line of Part 1 with accurate business information, ensuring that the name listed matches the entity's legal documentation.
Do not leave sections blank that require a response; if a section does not apply, mark it appropriately as "N/A" or "None".
Do attach additional sheets if more space is needed when listing the principals of the business in Line 14, ensuring that each individual completes Part 2 of the application.
Do not overlook the notarization requirement for the statements in Lines 15 and 23; this is a crucial step for validating your application.
Do include accurate and current contact information for business contacts the Lottery should reach regarding lottery business, as requested in Line 16.
Do consider accurately completing the optional section regarding minority business ownership if it applies, as it can provide additional context about your business.
Do not forget to list your business hours accurately in Line 18 as this information is critical for potential lottery customers and the Georgia Lottery Corporation alike.
Do ensure that the Electronic Funds Transfer Authorization in Part 3 is completed correctly, including obtaining the necessary confirmation from your depository institution.
Do not rush through the Retailer Contract in Part 4; understand the terms thoroughly before signing, as it outlines the obligations and commitments of being a Georgia Lottery Retailer.

By adhering to these guidelines, applicants can enhance their chances of a smooth and successful application process to become a Georgia Lottery Retailer.

Misconceptions

When examining the Georgia Lottery Corporation Retailer Application process, several common misconceptions arise. Understanding these misunderstandings can help applicants navigate the process more effectively, potentially increasing their chances of becoming successful lottery retailers. Below are six such misconceptions explained in detail.

Every applicant pays a non-refundable application fee.

This is partially incorrect. While applicants are required to submit a fee of $125 per business location when applying to become a Georgia Lottery Retailer, it is not entirely non-refundable. If the application for a business location is not approved, the Georgia Lottery Corporation refunds $100 of the $125 fee. This distinction clarifies that the application process does involve some financial risk, but not to the extent some might fear.

Submitting an application guarantees approval.

There is no guarantee of approval upon submitting the application to become a Georgia Lottery Retailer. The application process is rigorous, requiring a background check, a credit report evaluation, and other assessments to ensure that the applicant meets all the necessary qualifications set by the Georgia Lottery Corporation. Approval is contingent upon satisfying these requirements comprehensively.

The application process discriminates against minority-owned businesses.

Contrary to this belief, the Georgia Lottery Corporation encourages minority business ownership. Although it is optional, the application form requests information about whether a majority ownership of the business is held by persons of a minority race. This information can help the Corporation in its efforts to support diversity among its retailers, although it does not influence the approval process.

Individuals with any criminal history are automatically disqualified.

This misconception oversimplifies the evaluation process. The application does inquire about criminal history, particularly concerning offenses related to lottery security or integrity, illegal gambling, and other specific crimes. However, not all types of criminal history will automatically lead to disqualification. Each case is reviewed in context, taking into consideration the nature of the offense, the time that has elapsed since the conviction, and its relevance to the responsibilities of a lottery retailer.

Owners do not need to provide personal information if their ownership percentage is minor.

Even if an individual's ownership interest in the applying business is less than 10%, they must still complete Part 2 of the application, which requests personal information. This section is crucial for conducting background checks and ensuring the integrity of all individuals associated with Georgia Lottery operations, regardless of their ownership percentage.

Electronic Funds Transfer (EFT) authorization is optional.

In fact, EFT authorization is a mandatory part of the application process for becoming a Georgia Lottery Retailer. Applicants must authorize the Georgia Lottery Corporation to initiate debit and credit entries as necessary, to and from a designated account. This requirement is part of the Corporation's measures to ensure financial accountability and the secure, timely transfer of funds associated with lottery sales and prize payouts.

In conclusion, demystifying these misconceptions can better prepare applicants for the process of becoming a Georgia Lottery Retailer, ensuring they understand the requirements and obligations involved. Being well-informed can lead to a more straightforward and less stressful application process.

Key takeaways

Filling out and using the Georgia Lottery Application form is an important process for businesses aiming to sell lottery tickets. Below are nine key takeaways to guide you through this process:

The initial application fee for each business location is $125, of which $100 is refundable if the application is not approved. This underscores the importance of thoroughly completing the application to increase your chances of approval.
Applicants must provide comprehensive business information, including the legal name of the entity that owns the business, the trade name (d/b/a), and detailed contact information. This ensures the Georgia Lottery Corporation (GLC) can effectively communicate with you and understand your business operations.
Each principal of the business, such as owners, shareholders, members, and officers, must complete a detailed personal information section. This part of the application highlights the need for transparency and allows the GLC to conduct necessary background checks.
A notarized statement by the applicant certifying the accuracy of the information provided is required. This legal acknowledgment is crucial as it verifies the legitimacy of the information and the authority of the individual submitting the application.
The application asks for Minority Business Ownership information, which is optional. This section highlights the GLC's interest in promoting diversity and inclusion within its network of retailers. However, providing this information is not mandatory.
Business hours must be listed, indicating the GLC's intent to understand your business operations better and ensure they align with potential ticket sales opportunities.
An Electronic Funds Transfer Authorization section is included, requiring banking details to set up the financial transactions for ticket sales and remittance of proceeds. This is a critical operational aspect of selling lottery tickets, emphasizing the need for secure and efficient financial handling.
The retailer contract, which every applicant must sign, outlines the terms and conditions of selling lottery tickets, including compliance with laws and regulations, sales promotion, prize payments, and handling of lottery equipment and tickets. This contract is foundational to the business relationship with the GLC.
Throughout the application, the emphasis on accurate and truthful information, from business details to personal information of the principals, underscores the GLC's commitment to integrity and legal compliance in its operations. It is important for applicants to approach this application seriously and with thorough attention to detail.

Understanding these key takeaways can streamline the application process, setting the foundation for a successful partnership with the Georgia Lottery Corporation.

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