Follow the steps to complete your request for a win/loss statement.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Fill in the account holder’s first name and last name clearly. Ensure you print the names as required to avoid issues with processing.
3. Include the middle initial (MI) if applicable, as this helps in accurately identifying your account.
4. Provide your complete mailing address, ensuring that city, state, and zip code are correctly filled out for delivery purposes.
5. Enter your Connect Card Number. This number is critical for retrieving your win/loss data.
6. Fill in your Social Security Number. This information is needed to authenticate your identity.
7. Provide your date of birth to confirm your legal age and identity.
8. Include your phone number for follow-up communication if necessary.
9. If you prefer your statement to be faxed, indicate your fax number in the designated field.
10. Select the tax year(s) for which you are requesting the statement. Ensure this matches the period you are interested in.
11. Sign and date the form at the bottom. Your signature indicates consent for processing your request.
12. After completing the form, save your changes and then print it or download it for submission.
13. Submit the completed form by mailing it to the address provided or faxing it to the number listed. Allow two weeks for processing.

Submit your request for a win/loss statement online today to ensure you receive the necessary documentation swiftly.