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Greektown Casino Win Loss Statement ERecord Copy Form

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Date. 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. Win/Loss Statement Request Printed Name Club Greektown Account Number Street Address City State Zip Home Phone Alternate Phone Social Security Number Birth date Request Win/Loss Statement for Tax...

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