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8315 Park Road I request a Win/Loss statement for tax year Win/Loss Statement Request I request a Win/Loss statement for tax year _____ to be mailed to me at the address below. All lines must be completed for form to be processed. Win/Loss statements will only be issued at the end of the year to assist in preparation of taxes. Patron Number: _____ Name: www.the-fairgrounds.com Win/loss information has been gathered using our Player Tracking System. It is intended to be used as an estimate of your win/loss and is provided as a courtesy and is not an official tax document. The information is based on our player-tracking data which includes only win/loss from slot play when a player’s club card is inserted, and Is a casino win/loss statement a valid document for
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