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- Click ‘Get Form’ to open the Tachi Palace Win/Loss Statement in the editor.
- Begin by filling in your personal information. Enter your First Name, Last Name, and Membership Number in the designated fields.
- Provide your Date of Birth, Mailing Address, City, State, and Zip Code. Ensure all details are accurate for processing.
- Input your Social Security Number and Telephone Number. This information is crucial for identification purposes.
- Fill in your License/ID Number along with its Expiration date to complete the identification section.
- Specify whether you will pick up the report or if it should be mailed to you. Clearly indicate the year for which you are requesting the Win/Loss Statement.
- Sign and date the form at the bottom to validate your request before submission.
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