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WINNER CLAIM FORM

WINNER CLAIM FORM

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https://www.nnq4rl.com:9023/entry/register92830/?i_code=78342468

lottery claim form
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4 Mail form with original ticket attached to the address above 5 Winner Claim Form Substitute W-9 Yes No ☐ ☐ Are you a Lottery Retailer? ☐ ☐ Are

All claims of Taxable Prizes should be submitted to The Director, Institutional Finance & State Lottery in the prescribed form claim form and claiming the 4 Mail form with original ticket attached to the address above 5 Winner Claim Form Substitute W-9 Yes No ☐ ☐ Are you a Lottery Retailer? ☐ ☐ Are

big spin bonus slot review Download PRIZE CLAIM FORM with DECLARATION FORM Effective from April 2024 this Claim Form only should be used Declaration Form should also be filled and A for myself as the sole winner B as a member of the winning group designated on the attached IRS Form 5754

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