Scel Retailer License Application - South Carolina Education Lottery Licensing Department Page 7
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8SCEL Retailer License Application
SCHEDULE C -
ADDITIONAL INFORMATION
NOTE: Use this form to provide additional information or for explanations for “yes” answers to questions contained
in the application package.
Additional Information / Explanation Section
Item
Schedule
Number
1
Application
Change of Ownership Section
Type
2
New License
Has this business sold lottery tickets before?
Y
N
UNKNOWN
Renewal
Changing
Owners
If the business changed ownership, please complete the following.
OLD owner/company name.
OLD owner contact person.
OLD owner phone number and ext.
OLD owner Lottery Retail ID.
NEW owner/company name.
Copy of Bill of Sale from OLD owner to NEW Owner Attached?
Y
N
NOTE: Bill of Sale required for Change of Ownership (COO)
Reason for change.
Rev. 010106 -- SC Education Lottery Application -- Page 4 of 5
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