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WIN / LOSS STATEMENT REQUEST FORM FIRST NAME MIDDLE NAME REWARDS CLUB ACCOUNT NUMBER BIRTHDATE (MM/DD/YYY) ADDRESS LAST NAME CITY EMAIL ADDRESS (OPTIONAL) STATE PHONE NUMBER (XXX-XXX-XXXX) ZIP CELL

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What is win loss statement request?

A win loss statement request is a document used to report gambling winnings and losses to the relevant tax authorities.

Who is required to file win loss statement request?

Any individual who has received gambling winnings and wants to report their losses for tax purposes is required to file a win loss statement request.

How to fill out win loss statement request?

To fill out a win loss statement request, you will need to provide detailed information about your gambling activity, including the date, location, and amount of winnings and losses.

What is the purpose of win loss statement request?

The purpose of a win loss statement request is to accurately report gambling winnings and losses to the tax authorities in order to calculate the individual's tax liability.

What information must be reported on win loss statement request?

The win loss statement request must include details of all gambling activity, such as the date, location, type of game, and amount won or lost.

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