Pala Win Loss Statement Form PDF Details

Are you tracking your taxable gambling winnings? If so, then you need to become familiar with the Pala Win Loss Statement Form. The form is an important tool for all gamblers who are required to submit records for their winnings and losses at casinos, racetracks, and other regulated gaming establishments located in California. Fortunately, understanding how the form works and what information it requires is simple enough. In this post we’ll take a closer look at one of California’s most important resources when it comes to documenting your taxable money earned (or lost) through gambling activities.

QuestionAnswer
Form NamePala Win Loss Statement Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesPalaCasinoSpaResort, 2013, Temecula, SSN

Form Preview Example

Pala Casino Spa Resort

PMB 40

35008 Pala Temecula Road

Pala, CA 92059

Delivery Options:

Mail

Email

Pick-up

Faxed

Dear Sir or Madam:

As required by Federal legislation, as well as considering our guests’ best interest, prior to releasing any financial information we must receive written approval from the owner of the account, which we maintain. This letter will serve to fulfill that requirement allowing us to send, in written form, the information requested by you on your account.

We will not provide information to you on a spouse, family member, relative, friend or other account, without written approval from the holder of that account.

Please complete the lower portion of this document, including information to be released, address to send the information to, signature and date. This form will serve as a waiver for the release of information, only to the person and address listed below, for a period of one year from the date of signature.

Information will not be provided over the phone. All information will be mailed, e‐mailed or faxed to:

Print Name:

 

 

 

 

 

 

Last 4 digits of SSN:

 

Address:

 

 

 

 

 

 

 

 

 

 

 

 

City:

 

 

 

State:

 

 

Zip:

 

 

Birth Date:

 

 

 

Privilege Player No:

 

 

E-mail:

 

 

 

 

 

 

 

 

 

 

 

 

Phone:

 

 

 

Fax:

 

 

 

 

 

 

*Signature:

 

 

 

 

 

 

 

Date:

 

 

Requested Information (Please check):

Win/Loss Statement (Specify year)

W2G Report (Specify year)

*Please allow up to 10 business days to process. Pala Casino Spa & Resort (PCSR) will not be held responsible for misdirected W‐2G reports. The signature above releases PCSR from all liability. Signatures can and will be verified prior to the release of any W‐2G information. If discrepancies are identified, PCSR has the right to require additional validation information from the requestor.

Please Return this Form to Pala Casino Spa Resort

Attn: Regulatory Compliance Department, at the address above

This form may also be FAXED to 760‐510‐5194

How to Edit Pala Win Loss Statement Form Online for Free

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This document requires particular details to be typed in, hence make sure to take whatever time to fill in what is expected:

1. You will need to fill out the Temecula properly, therefore be mindful while working with the sections comprising all these blank fields:

Part no. 1 of completing PCSR

2. Right after this part is completed, go on to enter the suitable information in all these: Email, Phone, Fax, Signature, Date, Requested Information Please check, WinLoss Statement Specify year, WG Report Specify year, Please allow up to business days, Please Return this Form to Pala, Attn Regulatory Compliance, and This form may also be FAXED to.

Part # 2 for filling out PCSR

Those who work with this PDF generally make errors while filling in Please Return this Form to Pala in this area. Ensure you read again what you type in right here.

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