Request For W2g Or Win/loss Statement printable pdf download

Request For W2g Or Win/loss Statement

Please read the following:

In order for 7

Street Casino to release this information, you are required to submit a signed

“W2G, 1099, or Win/Loss Statement Request Form”. Only official request forms will be accepted

for processing. You are also required to show proper approved photo identification before

receiving the requested forms. You are required to obtain a notary public before mailing the form

back to 7

Street Casino for processing. It will take approximately 10 business days to submit

either walk-in or phone requests. (only during tax season)

Please note: The tax statement request is only for 7

Street Casino Players Club Card Members

and those individuals who had a W2G or 1099 gambling winnings. For more information

regarding the claiming and filing of gambling winnings, guests are encouraged to contact the IRS

or their tax advisor.

What information is needed to be completed on the form?

1. Name-First and Last name. Printed legibly. One form per customer

2. Social Security Number-the Social Security number of the person requesting the tax statement

(not-applicable if a 1042-S is being requested)

3. Mailing Address-to verify that the information in our system is correct

4. City/State/Zip Code

5. Telephone number

6. Players Club Account Number

7. Date of Birth-the birth date of the person requesting the form. This allows us to verify the correct

information

8. Tax Forms requested-W2G, Win/Loss Statement, 1099. Indicate the gaming year and the type of

tax statement you are requesting. The release statement must be signed by the account holder in

order to process

9. For mail in requested forms-You are required to obtain a notary public before m ailing

the form back to 7

Street Casino.

10. Copy of State/Gov’t Issued ID.

If you have any questions, please call 7

Street Casino at 913-344-7588.

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Request For W2g Or Win/loss Statement