Engaging with the gameplay and financial dynamics of a casino encompasses not only the thrills of wins and the acceptance of losses but also involves the meticulous process of keeping accurate records for these transactions. This is where the significance of an Empire Casino Win/Loss Statement form comes into play. This document, specifically designed for players who have utilized their Empire Card throughout the year 2012, serves as a pivotal tool for transparent documentation of one's gaming outcomes. Patrons are required to provide detailed information, including their Name, Empire Card Account Number, Social Security Number, and more, to authenticate and process their request. The form goes further to imbue a sense of security and trust by obligating the account holder to certify the veracity of the provided information with their signature. Additionally, it simplifies the process of obtaining this vital record by offering multiple submission avenues, from in-person delivery to traditional mailing or even faxing the request, complemented by direct communication support via phone or email for any ensuing inquiries. This careful orchestration not only ensures a streamlined retrieval of win/loss data but also underscores the casino's commitment to maintaining a transparent and accountable gaming environment.
| Question | Answer |
|---|---|
| Form Name | Empire Casino Win Loss Statement Form |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | how to obtain win loss statement empire city, empire win statement, win statement, empire city loss statement |
Empire Card
2012 Win / Loss Statement Request Form
We mail to address on file
Name: |
Empire Card Account Number: |
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Social Security Number: |
Date of Birth: |
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Mailing Address: |
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City/State/Zip: |
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Telephone:
Email Address:
I do hereby certify the above information to be true and correct and I hereby authorize Empire City, its Affiliates and Agents to provide to me a Win/Loss Statement of my gaming activity derived from my Empire Card Account.
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Account Holder’s Signature |
Date |
Please bring this form to the Empire City Promotions Booth
Other methods to request a statement:
Win/Loss Department
2012 Win/Loss Request
Empire City Casino at Yonkers Raceway
810 Yonkers Avenue
Yonkers, NY 10704
Fax: 914.457.2419
For any questions or comments please call 914.457.2515 or winloss@yonkersraceway.com
DO NOT WRITE BELOW THE LINE. EMPIRE CITY USE ONLY.
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Statement Year: |
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810 YONKERS AVENUE YONKERS, NY 10704 PH: 914.968.4200 FAX: 914.457.2419