FOR OFFICE USE ONLY
APPLICATION FOR TEXAS LOTTERY TICKET SALES LICENSE
TLC Pub #17380 AP-165-1 (Rev. 7/24) Application Page 1 of 6
ELIGIBILITY STANDARDS
An individual is not eligible for a sales license if:
a. The individual or the individual’s spouse has been convicted of a felony, criminal fraud, gambling or a gambling-related
offense, or a misdemeanor involving moral turpitude and less than 10 years have passed since the end of the sentence,
parole, mandatory supervision or probation served for the offense.
b. The individual or the individual’s spouse is or has been a professional gambler.
c. The individual or the individual’s spouse is delinquent in the payment of a tax or other money collected by the Texas
Comptroller of Public Accounts, the Texas Workforce Commission, or the Texas Alcoholic Beverage Commission.
d. The individual is an ofcer or employee of the Texas Lottery Commission or a Texas Lottery operator or the individual is
the spouse, child, brother. sister. or parent residing as a member of the same household in the principal place of
residence of an ofcer or employee of the Texas Lottery Commission or a Texas Lottery operator.
An entity is not eligible for a sales license if any of the following individuals would not be eligible for a sales license under
item a, b, c or d above:
• An officer or director of the entity;
• An individual who holds more than 10 percent of the stock in the entity;
• An individual who holds an equitable interest greater than 10 percent of the entity;
• A creditor of the entity who holds more than 10 percent of the entity’s outstanding debt;
• The owner or lessee of a business conducted by the entity or through which the entity will conduct a ticket sales agency;
• An individual who shares or will share in the profits, other than stock dividends, of the entity; or
• An individual who participates in managing the affairs of the entity.
An applicant is not eligible for a sales license if the proposed sales location is:
• A location licensed for games of bingo,
• A location for which a person holds a wine and malt beverage retailer’s permit, mixed beverage permit, mixed beverage
permit with a retailer late hours certicate, private club registration permit, or private club registration permit with a
retailer late hours certicate issued under Chapter 25, 28, 29, or 32, Alcoholic Beverage Code, other than a location for
which a person holds a wine and malt beverage retailer’s permit issued under Chapter 25, Alcoholic Beverage Code,
that derives less than 30 percent of the location’s gross receipts from the sale or service of alcoholic beverages; or
• On land that is owned by;
o This state, or
o A political subdivision of this state on which is located a public primary or secondary school, an institution of higher
education, or an agency of the state.
CERTIFICATION
By signing below, I certify, under penalty of law, that the information provided on this form is correct to the best of my knowledge
and that, to the best of my knowledge, the applicant is not ineligible for a sales license under the eligibility standards described
above. I understand that providing false or incomplete information may be grounds for denial of this application and revocation
or suspension of the license(s) issued as a result of this application.
I have read and agree to abide by the license terms and conditions stated in this application. I understand that the owners/
officers/partners/directors/members/managing members of a business applying for a Texas Lottery Ticket Sales License
must furnish a complete legible set of fingerprints, and that failure to do so will result in the denial of this application. I
authorize the Texas Lottery to obtain financial records, credit reports and criminal history records.
“I hereby authorize the release of information and records pursuant to Section 466.201(a)(1) of the Texas Government Code, to
the Texas Lottery Commission for the purpose of a background investigation to determine my eligibility for a Texas Lottery
Ticket Sales License.” “Such records may include, but are not limited to: 1. Law enforcement records, including offense or
arrest reports. 2. Court documents reflecting pending charges or final dispositions.”
Print name of authorized owner/officer/director/partner/member/managing member
Signature of authorized owner/officer/director/partner/member/managing member Title Date