Step 5 of 5: Review & Submit Application
Please review all information below carefully before submitting your application. Click Edit next to any section to make changes. Once submitted, changes require contacting GLC.
Business Information
EditJohn's Convenience Store #2, LLC
John's Quick Stop
Limited Liability Company (LLC)
12-3456789
GA-5584920
(404) 555-0100
john@example.com
Convenience Store
Store Location
Edit123 Peachtree St NE, Atlanta, GA 30303
Fulton
(404) 555-0200
6 AM – 10 PM daily
1,000–2,500 sq ft
✓ Verified via Melissa Data
Owners (2)
Edit
Owner 1: John A. Smith — Owner — 60%
ID Uploaded
DOB: 04/15/1978 · SSN ••••4721 · john@example.com
Owner 2: Maria E. Johnson — Co-Owner — 15%
Docs Pending
DOB: 11/22/1985 · SSN ••••8834 · maria@example.com
Missing documents for Owner 2. You may continue to payment, but your application may be delayed until all documents are uploaded. Upload now →
Documents
Edit
drivers_license_john_smith.pdf
1.2 MB
Owner 1
proof_of_address_utility_bill.pdf
890 KB
Owner 1
No documents uploaded for Owner 2 — application processing may be delayed.
Pre-Submission Checklist
- Business information complete
- Store address verified via Melissa Data
- At least one owner added
- Owner 1 — ID documents uploaded
- Owner 2 — Documents not uploaded (recommended before submission)
- Total ownership does not equal 100% (75% declared)
Declaration & Certification
By submitting this application, I certify that all information provided is true, complete, and accurate to the best of my knowledge. I understand that any false statement or omission may result in denial, revocation, or legal action as provided under the Georgia Lottery for Education Act (O.C.G.A. §§ 50-27-1 et seq.).