Get Mohegan Sun Request for W2G & Win/Loss Statement 2011

Attention Casino/Revenue Accounting 1 Mohegan Sun Blvd Uncasville CT 06382 Fax 860. 862. 8213 Request for W2G Win/Loss Statement Please note that submission of this form will ensure delivery of both W2G Win/Loss statements. Please allow time for delivery through the United States Postal Service 5 to 10 business days as we are not able to email or fax tax information* Requests are processed in the order they are received* If you are unsure of the status of your request or need further information please call our W2G and Win/Loss request line at 1-888-2267711 ext. 27320 or locally at 860 862-7320 and follow the prompts please note that this is an automated line and will offer you instructional options or you may leave a message for a representative to call you back during office hours. Calls will be returned in order received if you require after office hours call back please convey this on your message. Please state your name Player s Club number call back number and brief message. Please fill out the below Player Information and Address completely including your Signature and Date. Incomplete requests will be delayed pending missing info or rejected* For immediate on-line processing please go to www. mohegansun*com Tax Forms Account Number and Pin is required for processing Year s Requested If no year is specified we will send information for the last complete calendar year. A Process Today B Process End of Month C Process End of Year Check one Process selection only additional requests must be received separately Process Today by default* Player Information Last Name First Name Middle Initial Date of Birth mm/dd/yyyy / / Suffix Player s Club Account Number Social Security Number - - - Best Time s Available Optional Host Name Optional Member Level Telephone Number Address Apt Street Street P. Please allow time for delivery through the United States Postal Service 5 to 10 business days as we are not able to email or fax tax information* Requests are processed in the order they are received* If you are unsure of the status of your request or need further information please call our W2G and Win/Loss request line at 1-888-2267711 ext. 27320 or locally at 860 862-7320 and follow the prompts please note that this is an automated line and will offer you instructional options or you may leave a message for a representative to call you back during office hours. 27320 or locally at 860 862-7320 and follow the prompts please note that this is an automated line and will offer you instructional options or you may leave a message for a representative to call you back during office hours. Calls will be returned in order received if you require after office hours call back please convey this on your message. Calls will be returned in order received if you require after office hours call back please convey this on your message. Please state your name Player s Club number call back number and brief message. Please fill out the below Player Information and Address completely including your Signature and Date. .