
58a Rev 04/22/13 Date Won This receipt is required for each prize of $50.00 or more. Game Series (Game No./Name/Price) Amount Won This receipt is required for each prize of $50.00 or more. Game Series (Game No./Name/Price) Date Won Serial Number Amount Won Serial Number Date Won Serial Number Amount Won Name of Prize Winner $ Name of Prize Winner Mailing Address $ Name of Prize Winner Mailing Address City, State, Zip $ Mailing Address City, State, Zip X PULL-TAB PRIZE RECEIPT.
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How to fill out the AK 0405-858a online
Filling out the AK 0405-858a, also known as the Pull-Tab Prize Receipt, is necessary for claiming prizes of $50.00 or more. This guide will provide you with clear, step-by-step instructions on how to efficiently complete this form online.
Follow the steps to accurately complete your Pull-Tab Prize Receipt.
- Press the ‘Get Form’ button to access the Pull-Tab Prize Receipt and open it for editing.
- In the first section, provide the game series details including Game Number, Name, and Price. Make sure this information matches your winning ticket.
- Enter the date you won the prize in the designated field. This helps establish the timeline of your winnings.
- Next, input the amount you won. Ensure that this figure reflects the actual amount listed on your ticket.
- Record the serial number associated with the prize. This number is typically found on your winning ticket and is necessary for verification.
- Provide your name in the ‘Name of Prize Winner’ field. This should be your legal name as it appears on identification.
- Input your complete mailing address, including the city, state, and zip code. This will be used for sending any related documents or correspondence.
- Add your telephone number to the appropriate section. This is important for communication regarding your claim.
- Finally, sign the form in the designated area. Your signature confirms that the information provided is correct.
- Once completed, you can save your changes, download, print, or share the form as needed.
Complete your Pull-Tab Prize Receipt online today to ensure your prize claim is processed smoothly.
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