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Get Indian Head Casino W-2G/Win-Loss Request Form

/dd/yyyy) TAX YEAR REQUESTED PLEASE CHECK ONE OR BOTH OF THE FOLLOWING: Win-Loss Statement: A single page letter showing estimated annual play activity (win or loss) based upon observable and/or carded gaming activity. W-2G Data: If you have won one or more jackpots exceeding $1,200.00 a report summarizing these winnings is available. Request Agreement I certify that the statements contained herein are true and correct, and I hereby request Indian Head Casino provide me with the information req.

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