My Choice Win Loss Statement 2020 Details

When you're playing casino games, it's always important to keep track of your wins and losses. The Win Loss Ameristar form is the perfect tool for doing just that. This form is used to record information about each of your casino gaming sessions, including the date, time, type of game played, and amount won or lost. It's a great way to track your progress and make sure you're being smart with your money while gambling.

Here is the details about the PDF you were looking for to fill in. It will tell you how long it will require to complete win loss ameristar, what fields you will have to fill in, and so on.

QuestionAnswer
Form NameWin Loss Ameristar
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesameristar win loss statement, get the my choice win loss statement form vicksburg mississippi, my choice rewards win loss statement, ameristar black hawk win loss statement

Form Preview Example

W-2G / WIN-LOSS REQUEST FORM

Please print clearly.

FIRST NAME

MIDDLE

LAST

 

 

 

 

 

STREET ADDRESS

CITY

STATE

ZIP CODE

 

 

 

SOCIAL SECURITY NUMBER (required for W-2G)

STAR AWARDS NUMBER

DATE OF BIRTH (mm/dd/yyyy)

 

 

 

PHONE NUMBER

E-MAIL ADDRESS

TAX YEAR REQUESTED

PLEASE CHECK ONE OR BOTH OF THE FOLLOWING:

Win-Loss Statement: A single page letter showing estimated play activity (wins or losses) based upon observable and/or carded gaming activity.

W-2G Data: If you have won one or more jackpots exceeding $1,200 a report summarizing these winnings is available.

Request Agreement

I certify that the statements contained herein are true and correct, and I hereby request that the Ameristar property indicated below provide me with the information requested above. I understand that it is my own responsibility to maintain accurate records of play, and that the information I am requesting consists of estimates only and may not be appropriate for income tax reporting. In consideration of my receipt of this information, I agree to indemnify and hold harmless Ameristar Casinos, Inc., its subsidiaries and affiliates (including the Ameristar property indicated below), and their respective officers, directors, employees and agents from any and all claims, suits, causes of action, liabilities, costs, losses, damages, and expenses (including attorney’s fees and costs) which I, or my administrators, executors, agents, successors, heirs or assigns, or any third party, might have or incur as a result of, or in any way relating to, my receipt and/or use of the information.

SIGNATURE (REQUIRED)TODAY’S DATE

If the Account Holder does not present this request in person, the Account Holder’s signature must be notarized.

SUBSCRIBED AND SWORN TO before me

the ______ day of ____________________, 20_____.

NOTARY PUBLIC

Please completely fill out the request form and return it to:

 

 

Cactus Petes / Horseshu

For Internal Use Only:

Attn: Finance Department-Win/Loss Request

Rec’d:______ / Comp: _______ By: __________

PO Box 508

F

M P

Jackpot NV, 89825

 

 

Fax to 775.755.2796 / For additional information call 800.821.1103, ext. 6709

CACTUS PETES / HORSESHU – CONFIDENTIAL