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Congratulations on your recent win!
Due to the amount being $600 or more, we will need your
SSN
#
before we can process your prize money.
By law, we are required to
provide a 1099 form at the end of the year
for everyone winning/accumulating at least $600 (net) from us for the year.
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to save your progress.
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* Indicates required question
Email
*
Your email
Winner's Name
*
Your answer
Pay to Name (if different from winner's name)
Payments by check will have both the winner's and payee's names on the check.
Your answer
SSN # of Payee
*
Rest assured that your
number
is kept confidential.
Your answer
Payment Method
*
Choose
Check (by mail)
Zelle
Paypal
Pay To Details
*
This can be your mailing address (for check payment), email address or phone number depending on your selected payment method.
Your answer
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