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8315 Park Road Batavia, NY 14020 (585) 343-3750-2026
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- Click ‘Get Form’ to open it in the editor.
- Begin by entering the tax year for which you are requesting the Win/Loss statement in the designated field.
- Fill in your Patron Number accurately to ensure proper identification.
- Complete your Name, Street Address, City/State/Zip fields. Make sure all information is correct and clearly written.
- Provide your Phone number in the specified format to facilitate communication.
- If you are requesting copies of W2-G’s, include your Social Security Number; otherwise, leave this blank.
- Enter your Date of Birth in the appropriate section to verify your identity.
- Sign and date the form at the bottom to validate your request before submission.
- Once completed, return the form as instructed or fax it to the provided number for processing.
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