Scel Retailer License Application - South Carolina Education Lottery Licensing Department Page 3

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Rev 010106
INSTRUCTIONS for SCHEDULE B
GENERAL INSTRUCTIONS - Please read each section carefully. The information requested on Schedule B pertains to each location for which
you are seeking a new or renewed license. Each location must have a separate license. Therefore, please fill out one Schedule B for each location for
which you are applying. If you need additional forms, call the SCEL Licensing Dept. at 1-803-737-2091 or toll free at 1-866-737-7235.
Who should fill out this form?
⌦ The Owner or the Operational Manager (person responsible for the day-to-day operations of the retail outlet) for that specific location
should complete and sign the form.
SECTION 1. RETAIL LOCATION INFORMATION
Indicate the following information.
⌦ Indicate the name (location name, store name, trade name, or DBA) of the actual retail location. List the store number, if applicable.
⌦ Indicate the physical street address of the business used for 911 emergencies, mailing address (if it is different from the street address), and county.
A correct address is essential for deliveries of instant tickets.
NOTE: Do not enter a PO Box or rural address or an address shared by other businesses with a different name. It makes delivery of
correspondence, license, or tickets difficult, and it causes penalties when mail carriers (UPS, etc.) cannot deliver based on incorrect information.
⌦ Indicate the phone number and the fax number (if applicable) for the location.
⌦ Indicate your SC Retail Business License Number.
⌦ Also, make a copy of your SC Retail License and send it in with your application. The information contained on this document helps us with our
verification process.
FAILURE to write the correct information will delay the processing of your application.
SECTION 2. BUSINESS HOURS
If you are applying for the first time, enter your normal business hours. If you are closed on any day, leave that box blank.
SECTION 3. 60/40 SALES CALCULATION (Applies to Renewal Applications Only)
The S.C. Lottery Act and ensuing regulation provides that an applicant for a lottery license may not be approved if:
⌦ The business is to be solely engaged in the sale of lottery products.
⌦ The sale of lottery tickets cannot exceed 60% of the gross revenue of the business.
⌦ Please note that during the processing of renewal applications, this percentage is verified for compliance.
SECTION 4. QUESTIONS ABOUT THE OPERATIONAL MANAGER
The questions in this section pertain to the Operational Manager. If any question results in a “yes” answer, you must submit a complete explanation of the
circumstances surrounding the situation on Schedule C. Enter the name of the person who is responsible for the day-to-day operation of the retail
location. This person may be the owner or Sole Proprietor. This individual will be required to undergo a criminal background investigation. The
Operational Manager is the employee who:
⌦ Has responsibility for day-to-day operational management of the business (retail) location.
⌦ Is designated by the owner as the employee responsible and accountable for the overall supervision of the lottery operation for the applicant that is
seeking licensure for one or more retail locations.
⌦ Has decision-making authority for transactions dealing with the Lottery including but not limited to the authority for placing ticket orders or the
authority to designate the employees to transact business with the Lottery.
APPLICATION FEE
New Applications
⌦ Please enclose a check or money order for $210 for each retail location for which you are making application.
⌦ If your license is not approved, $75 per location is refundable if the verifications have already been completed for taxes and the criminal background
investigation.
⌦ If the application is withdrawn before the verifications at the DOR and at SLED are performed, a full refund will be due the applicant.
Renewal Applications
⌦ Please DO NOT enclose a check or money order.
⌦ Your account will be drafted when your renewal application process begins.
$135 for each retail location that has an Extrema lottery terminal.
$100 for each retail location that has a SCIScan lottery terminal.
NOTE: ***** DO NOT SEND CASH *****
INSTRUCTIONS for SCHEDULE C
ADDITIONAL INFORMATION AND CHANGE OF OWNERSHIP INFORMATION
Use the top portion of this form to provide detailed explanations to any question that resulted in a “yes” answer on Schedule A page 2, or Schedule B or to
list additional owners from Schedule A page 1. Please be sure to indicate the schedule and item or question number for which you are providing an
explanation or additional information. Use the second section of this form if the business ownership or business structure type changed.
INSTRUCTIONS for SCHEDULE D
Fill out Schedule D if you are applying for a license for a new lottery location or if you are changing the banking information for an existing location.

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