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KS Lottery Winner Claim Form 2004 free printable template

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KANSAS LOTTERY WINNER CLAIM FORM For Of cial Use Only On-line and Instant Game Prizes Instant Ticket On-Line Ticket Back of ticket above barcode Front of ticket above barcode Prize Amount Claimed Last Name First Name Address City State Zip Home Phone - - Alternate Phone - - Sex M F Birth Date / / STAPLE WINNING TICKET HERE INSTRUCTIONS 1. Complete the back of your ticket. 2. Complete and sign the Winner Claim Form including W-9 Certi cation* 3. Staple your winning ticket above. 4. Make a...
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How to fill out KS Lottery Winner Claim Form

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How to fill out KS Lottery Winner Claim Form

01
Obtain the KS Lottery Winner Claim Form either online or at a local lottery office.
02
Enter your personal information such as your name, address, phone number, and Social Security number.
03
Indicate the date and amount of the winning ticket.
04
Sign the form to acknowledge the accuracy of the information provided.
05
Include any required identification, such as a government-issued ID.
06
Submit the completed form either in person at a lottery office or via mail to the designated address.

Who needs KS Lottery Winner Claim Form?

01
Anyone who has won a cash prize or a lottery drawing in Kansas and wishes to claim their winnings.

Instructions and Help about KS Lottery Winner Claim Form

All right IN#39’m back with three more tickets at Jason#39’s from the KansasLottery we're going to play the ultimate cash so if you can't afford to play the$50 Texas virgin you can get it for the low price of $20 in Kansas and thence#39’ve got the $20 oh that's a $20 one ours was 10 so a little more expensive in Kansas for the casino cash $20 ticket and then we#39’ve got the $$1075,000 hot cash pretty cool let#39’s find him some hot cash all right now on this one these four long tickets let's go down here now this is just a matching win if you get coin symbol you win the prize shown you get to 10 times symbol tint I'surprised a couple of bonus areas sole#39’s see if we can't give some bonuses going for a stack of cash for 50 Welland having a money bag a ring all rights let#39’s see we got here winning numbers Music you know some tickets is interesting some tickets work better with metal handsome tickets would work better with thelike a ceramic this one is better with the ceramic chip here all right so 14 1827 36 24 or a coin or ten-ton simple ICANN#39’t get this all-in-one screenshot soil#39’ll keep scrolling it down here alright so let#39’s say we got 15 1237 114019 4 + 44 2 30 2041 let#39’s roll let's get this get couple more lines before I get it out of the screenshot here okay17 32 35 29:4231 43:23 my lucky number and nine might find that ten times him perform see 21no eight thirty-nine thirty-six twenty-five so close twenty-six just right with someone off stair 2228 can we get it on the last one and a 38 I'm done#39’t think there's anything else down Herero all right, so I don't think this ticket is a winner so let#39’s go on to our casino — all right this one is a little different because in Texas we don't have these bonus chip areas which I do like that addition for kids oh it#39’s ticket number one all right so we#39’re looking for a little bonus areas but down here matching win a stack of coins is double prize and the stack of cash is triple the prize so let's see if pecan#39’t find quick money up here and find a chip symbol all right one chip the moment there get you with that orange all right let#39’s find something on this ticket all right got the three IN#39’m sorry13 3 33 22 and a 31 one of those great symbols kinds of nice 5037 23 28 21 4 89 1944 20 to 40 1748 36 39 1541 45:49 Music 27:35 724 and a 1 all right we busted on the casino cash let's see it's just interesting if not they're done#39’t think they have them back here cause this or one in2.86 pretty good odds almost like what the odds they have on the $50 ultimate cash here in Texas all right I'm done#39;play the sticker very often in Texas is just because it's so expensive all right, so this is a matching win and if you get a gift symbol when the prize automatically get two times five time sand ten times alright let#39’s find a big winner all right yea hall right 6:18 28:13 22 and the 34:44 333921:3833 163219 I think Jason I really appreciate you making all these stops, so...

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People Also Ask about

Can I remain anonymous if I win a big prize? The Kansas Lottery is one of only a handful of lotteries that is not required to release the name and city of residence of a winner to anyone who asks. Therefore, you may ask to have your identity kept a secret, and the Kansas Lottery is happy to honor that request.
Federal and State taxes are withheld on all lottery prizes in excess of $5,000. Federal tax is withheld at the rate of 25 percent and 5 percent is withheld for State tax. When taxes are withheld from a Kansas Lottery ticket, the player/winner will receive a W-2G tax form from the Kansas Lottery in January.
Kansas: Winners in Kansas can request to remain anonymous. Maryland: In most cases, winners can remain anonymous. Mississippi: The state lottery won't identify a winner unless they have given written consent.
10 Largest U.S. Jackpots Buy your ticket in a state that doesn't require you to come forward. Don't tell anyone. Delete social media accounts (and change your phone number and address, too). Wear a disguise. Disconnect all phones. Get out of town. Set up an LLC or trust. Don't make any big purchases for a year.
An electronic deposit is typically faster than a mailed check, but could also take as long as 7-10 business days. What do I need from the Lottery to file my tax return? As a Kansas Lottery winner, an Internal Revenue Service (IRS) W2-G form will be mailed to you by January 31 for the previous tax year.
Players must complete a claim form for prizes of $600 or more. Bring or mail the signed ticket and completed claim form to the Kansas Lottery office. Prizes of up to $5,000 can be claimed and a check received the same day.
LOTTO PAYOUTS: STEP-BY-STEP GUIDE. LOG INTO YOUR ACCOUNT. VERIFY YOUR ACCOUNT. SELECT/CREATE A WITHDRAWAL ACCOUNT.Payout Request Choose your payout account. Enter the desired payout amount. Click on the green button to withdraw your funds.
You should receive your check within two weeks of claiming your ticket. You may also request an electronic deposit directly into your bank account. A voided check is required with the electronic deposit option. Taxes are withheld on all Kansas Lottery prizes of more than $5,000.
Bring or mail your ticket and a completed claim form to the Lottery office in Topeka. A check will be mailed to you for the prize amount, less mandatory withholdings of 24 percent Federal tax and 5 percent State tax. You should receive your check within two weeks of claiming your ticket.
Anyone who wins a lottery in Kansas will be subjected to a 5% flat tax. This is in addition to a 24% federal tax.

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The Kansas Lottery Claim Form is a document that must be completed by a lottery winner in order to claim their prize. It includes personal information such as name, address, and contact details. The form also requires the winner to provide specific details about the winning ticket, such as the game and ticket number. Additionally, the form includes a section for the winner to choose their preferred method of receiving the prize money, whether it be through a check, direct deposit, or other options. Overall, the claim form is necessary in order for the lottery winner to officially claim their prize from the Kansas Lottery.
In Kansas, anyone who wins a prize of $600 or more from the state lottery is required to file a Kansas Lottery Claim Form.
To fill out a Kansas Lottery claim form, follow these steps: 1. Gather the necessary documents: You will need the original ticket(s) you are claiming, a completed claim form, and a valid government-issued photo identification (such as a driver's license or passport). 2. Download the claim form: Visit the official Kansas Lottery website and download the claim form. It is available in a printable PDF format. 3. Complete the personal information section: Provide your full name, mailing address, phone number, and email address. 4. Fill in the prize details: Enter the game name, drawing date, winning numbers, and the amount of your prize. 5. Choose your payment option: Indicate whether you want to receive a check or have the winnings deposited directly into your bank account. Provide the necessary account information if choosing the latter. 6. Sign and date the form: Sign and date the claim form to verify that all information provided is accurate. 7. Double-check everything: Review the form to ensure all details are correct and that no section has been left blank. 8. Make a copy: Before submitting the claim form, make a copy of it for your records. 9. Submit the claim: Mail the completed claim form, along with the original winning ticket(s) and a copy of your identification, to the address provided on the form. It is advisable to send it via certified mail or use a secure courier service for tracking purposes. Note: It is always recommended to consult the official Kansas Lottery website or contact the Kansas Lottery directly for the most up-to-date information and instructions on how to claim your prize.
The purpose of the Kansas lottery claim form is to provide a way for lottery winners to claim their prizes. When someone wins a prize through the Kansas lottery, they are required to complete the claim form in order to receive their winnings. This form ensures that the prize is awarded to the correct individual and that all necessary information is provided for payment processing.
The information that must be reported on the Kansas Lottery claim form includes: 1. Full legal name of the claimant 2. Social Security number or taxpayer identification number 3. Date of birth 4. Current address and phone number 5. Email address (optional) 6. Prize amount being claimed 7. Game name and ticket number 8. Date and location of ticket purchase 9. Whether the ticket was purchased individually or as part of a group 10. Signature of the claimant.
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The KS Lottery Winner Claim Form is an official document used by lottery winners in Kansas to claim their lottery winnings.
Anyone who wins a lottery prize in Kansas and wishes to collect their winnings is required to file the KS Lottery Winner Claim Form.
To fill out the KS Lottery Winner Claim Form, winners need to provide their personal information, ticket details, and any required identification before submitting it to the Kansas Lottery.
The purpose of the KS Lottery Winner Claim Form is to officially record the claim for lottery winnings and to verify the identity of the winner.
The KS Lottery Winner Claim Form must report the winner's name, address, social security number, phone number, ticket number, and the amount won.
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