For individuals who frequent Graton Resort & Casino and engage in gaming activities, the Graton Win/Loss Statement Form serves as a crucial document for retracing one's gaming history. This form, specifically designed for requesting records from previous years, cannot cater to the current year's statement requests until the year concludes. Patrons must accurately fill in personal details such as name, address, date of birth, social security number, and rewards card number, alongside specifying the tax year(s) for which they seek their gaming activity statement. The process underscores the importance of accountability, allowing players to release The Graton Economic Development Authority from any related claims and acknowledging the casino's disclaimer regarding the data's accuracy. It is mandatory for the account holder to sign the form, a step that necessitates notarization unless completed in the presence of a Graton employee, underscoring the seriousness with which the casino treats these requests. A waiting period of two weeks is advised for processing, after which statements are mailed out, making the Graton Win/Loss Statement Form a pivotal tool for players needing documentation for personal records or tax purposes, all while navigating the legal and procedural safeguards put in place by the casino.
| Question | Answer |
|---|---|
| Form Name | Graton Win Loss Statement Form |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | win loss, win loss statements for taxes, la angels win loss record, win lost statement graton |
Gaming History Win/Loss Request Form
NOTE: Graton Resort & Casino is unable to provide current year statements of play until the end of the year. Please do not complete this form unless it is a request for a previous year’s statement of play.
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Rewards Card No.
Tax Year(s) Requested
I am requesting that The Graton Economic Development Authority (dba Graton Resort & Casino) provide my historical gaming activities for the year(s) listed above. I hereby release and hold harmless Graton Resort & Casino and its respective oficers, directors, employees and agents from any and all claims arising from or relating to the release of the above information. Graton Resort & Casino makes no warranty or representation, express or implied, as to the accuracy of the information or its effectiveness as proof of win/loss.
Player’s Signature
Only Account holder’s signature may receive or request a Win Loss Statement. Account holder must present valid government issued photo identi- fication acceptable to Graton Resort & Casino in its sole and absolute discretion. Win/Loss form must be notarized if it is not signed in the presence of a Graton employee. Management reserves all rights.
Please allow two weeks for processing. Statements will be mailed to the address listed above. If maIlIng In form, player’s sIgnature must be notarIzed.
maIl form to: Graton Resort & Casino, Attn: Finance Department, 630 Park Court, Rohnert Park CA 94928 for internal use — please print
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employee no. |