Greektown Casino Statement Form PDF Details

QuestionAnswer
Form NameGreektown Casino Statement Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other nameswin loss statement 2018, saratoga casion win loss sdtatement, greektown win and loss, four winds win loss statement

Form Preview Example

Win/Loss Statement Request

Printed Name

Club Greektown Account Number

Street Address

CityState Zip

Home Phone

Alternate Phone

Social Security Number

Birth date

Request Win/Loss Statement for Tax Year Ending

Signature

 

Date

REQUESTS MAY BE SENT TO:

GREEKTOWN CASINO ATT. AUDIT DEPARTMENT

555 E.LAFAYETTE AVE. DETROIT, MI 48226

OR FAXED TO 313-961-3007

FOR SECURITY PURPOSES, A COPY OF YOUR DRIVER’S LICENSE OR STATE ID MUST BE INCLUDED WITH ANY REQUEST.

All information requested on this form must be filled out completely. Forms not completely filled out will not be honored. Allow four weeks for processing. Signing this form expresses a formal request for this information. Requested information will be sent to the address shown on this request. Greektown Casino assumes no responsibility for the accuracy of the information provided. Greektown Casino assumes no responsibility for information lost in the mail.

Greektown Casino Audit Use Only

Date Received

Processed By

Processing Completed Date

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