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  • Ks Lottery Winner Claim Form 2014

Get Ks Lottery Winner Claim Form 2014-2025

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 copy of Claim Form for your records. 5. Present or mail to Kansas Lottery Claims 128 N Kansas Ave Topeka KS 66603-3638 INFORMATION The information herein and the prize won may be disclosed to various state and federal agencies and will be subject to appropriate federal and state withholdings. Winners of 600 or more will receive a Form W-2G* For more information call 1-800-322-5688 Monday Friday 8 a*m* 5 p*m* SIGNATURE REQUIRED PUBLIC DISCLOSURE AUTHORIZATION // Signature Date I authorize the Kansas Lot....

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232