Win Loss Statement - Rhythm City Casino 2026

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  1. Click ‘Get Form’ to open the Win Loss Statement in the editor.
  2. Begin by entering your first name, middle initial, and last name in the designated fields. Ensure that all names are printed clearly.
  3. Fill in your street address, city, state, zip code, and phone number accurately to ensure proper delivery of your statement.
  4. Input your Player’s Card Number and the last four digits of your Social Security Number for verification purposes.
  5. Provide your date of birth to confirm your identity. This is crucial for processing your request.
  6. Select the tax year(s) you are requesting by circling the appropriate years listed on the form.
  7. Choose a method of delivery: either mail to your address on file or pick up at the Player’s Club. If picking up, remember to bring a photo ID.
  8. Review all entered information for accuracy before signing and dating the form at the bottom.

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