Michigan PDF Forms

Michigan PDF Forms

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Documents used along the form

The Michigan Win Loss Statement form is an important document for players at Grand Traverse Resort and Casinos. It allows members to request a summary of their gambling activity. Several other forms and documents are often used in conjunction with this statement to ensure a smooth and accurate process. Here are five common ones:

  • Player’s Club Card Application: This form is necessary for individuals who want to join the Player’s Club. It collects personal information and allows the casino to track play and rewards.
  • Identity Verification Form: This document may be required to confirm a player’s identity. It typically requests a copy of a government-issued ID or social security number for verification purposes.
  • Tax Form W-2G: If a player wins a significant amount, this tax form is issued by the casino. It reports gambling winnings to the IRS and may be needed for tax filing.
  • Nevada Promissory Note: This form serves as a crucial agreement for those involved in lending or borrowing money in Nevada, ensuring clear terms and conditions are understood by both parties. For more information, visit https://promissoryform.com/blank-nevada-promissory-note.
  • Request for Account Statement: This form allows players to request a detailed account of their transactions, including deposits and withdrawals. It provides a broader view of their financial activity at the casino.
  • Responsible Gaming Policy Acknowledgment: Players may be asked to sign this document to confirm their understanding of the casino's responsible gaming policies. It promotes awareness of gambling risks and available resources for help.

Understanding these related documents can help streamline the process of obtaining a Win Loss Statement. Each form serves a specific purpose and ensures that players have the necessary information and support for their gaming activities.

Michigan Win Loss Statement Preview

Win Loss Statement Request

In order for Grand Traverse Resort and Casinos to release this information each customer is required to submit a signed request. Husband and Wife may use one form. The win loss statements are only available for Player’s Club Card members. Grand Traverse Resort and Casinos does not track play that is not associated with a customers player’s card account

Please provide me with a Win/Loss Statement for Year (s) _________

Name _________________________________________________

Player’s Card Number: _______________________

SS# ___________________________________________________

Date of Birth: _______________________________

Mailing Address ______________________________________________________________________________________

City/State/Zip: ________________________________________________________________________________________

Phone Number (___) _______________________ Email statement to __________________________________________

By signing below the patron hereby releases Grand Traverse Resort and Casinos, its officers, directors, employees, agents from and against any loss, cost, expense (including attorney’s fees and costs, damages, liability or clams of any kind. Additionally, patron hereby agrees to indemnify Grand Traverse Resort and Casinos for, from and against any loss, cost, expense (including attorney’s fees and costs), damages, liability or claims of any kind related to releasing this information. The undersigned acknowledges that the information being provided is based on player tracking information which includes only the play when the undersigned’s players card was connected to the system, and may not accurately reflect the amount of the undersigned’s play since the undersigned can play when the card is not connected to the system and is derived from a system that does not verify the identity of the person using the player card and may include estimated amounts to correct human error in inputting information.

Account Holder’s Signature ______________________________ Date____________________

***********************************************************************************************

Please provide me with a Win/Loss Statement for Year (s) _________

Name _________________________________________________

Player’s Card Number: _______________________

SS# ___________________________________________________

Date of Birth: _______________________________

Mailing Address ______________________________________________________________________________________

City/State/Zip: ________________________________________________________________________________________

Phone Number (___) _______________________ Email statement to ___________________________________________

By signing below the patron hereby releases Grand Traverse Resort and Casinos, its officers, directors, employees, agents from and against any loss, cost, expense (including attorney’s fees and costs, damages, liability or clams of any kind. Additionally, patron hereby agrees to indemnify Grand Traverse Resort and Casinos for, from and against any loss, cost, expense (including attorney’s fees and costs), damages, liability or claims of any kind related to releasing this information. The undersigned acknowledges that the information being provided is based on player tracking information which includes only the play when the undersigned’s players card was connected to the system, and may not accurately reflect the amount of the undersigned’s play since the undersigned can play when the card is not connected to the system and is derived from a system that does not verify the identity of the person using the player card and may include estimated amounts to correct human error in inputting information.

Account Holder’s Signature ______________________________

Date____________________

Only complete official request forms will be accepted for processing. (Must include a copy of Driver’s License OR enter your social security number for verification purposes or request (s) will not be processed). Statements will be processed after the first of the New Year unless specifically requested. Return form via mail, email or drop off at either Casino.

Grand Traverse Resort and Casinos

 

Attn: Shirley Shananaquet, CMP Administrator

 

7741 M-72 East, Williamsburg, MI 49690

 

Office 231-534-8840

email: Shirley.Shananaquet@gtbindians.com

Similar forms

The Michigan Win Loss Statement form shares similarities with several other documents that serve various purposes in the context of gaming and financial accountability. Here are six documents that are comparable:

  • Tax Return Statements: Just like the Win Loss Statement, tax return statements summarize financial activities over a specific period. They often include income and deductions, providing a clear picture of financial standing for tax purposes.
  • Bank Statements: Bank statements detail transactions made within a specific timeframe. Similar to the Win Loss Statement, they reflect deposits and withdrawals, giving account holders a comprehensive overview of their financial activity.
  • Last Will and Testament Form - Similar to other legal documents, the Georgia Last Will and Testament form delineates how an individual's affairs and assets will be managed posthumously. This form ensures that personal wishes concerning property distribution and guardianship of minor children are documented. It’s essential for individuals to understand the implications and requirements of this form, and to facilitate this process, you can refer to Forms Georgia.
  • Player Club Membership Agreements: These agreements outline the terms and conditions of membership, much like the Win Loss Statement requires player identification and acknowledgment of terms. Both documents ensure that the rights and responsibilities of players are clear.
  • W-2G Forms: Issued for gambling winnings, W-2G forms report income to the IRS, similar to how the Win Loss Statement tracks gambling activity. Both documents are essential for accurate tax reporting and reflect financial gains from gaming.
  • Financial Disclosure Statements: Often required for various financial transactions, these statements disclose income and expenses. Like the Win Loss Statement, they provide transparency about financial activities, aiding in accountability.
  • Credit Card Statements: These statements summarize purchases and payments made on credit cards. They serve a similar purpose to the Win Loss Statement by tracking financial behavior and providing a record of spending over time.

Each of these documents plays a crucial role in maintaining accurate records and ensuring financial responsibility, much like the Michigan Win Loss Statement does for players at the Grand Traverse Resort and Casinos.

Misconceptions

  • Misconception 1: Anyone can request a Win Loss Statement.
  • Only members of the Player’s Club Card can request a Win Loss Statement. If you do not have a Player’s Card, you will not be able to obtain this information.

  • Misconception 2: You can submit a request without signing the form.
  • A signed request is mandatory for the release of the Win Loss Statement. Without your signature, the request will not be processed.

  • Misconception 3: The statement includes all gambling activity.
  • The Win Loss Statement only reflects play associated with your Player’s Card. Any gambling done without the card will not be included in the statement.

  • Misconception 4: You can request a statement for any year.
  • The request must specify the year or years for which you want the Win Loss Statement. Be sure to indicate the correct year(s) on the form.

  • Misconception 5: You can submit the form without any identification.
  • To process your request, you must include a copy of your Driver’s License or provide your Social Security number for verification. Requests lacking this information will not be processed.

Detailed Instructions for Using Michigan Win Loss Statement

Once the Michigan Win Loss Statement form is completed, it should be submitted to Grand Traverse Resort and Casinos for processing. Ensure that all required information is accurate and that a copy of your driver's license or social security number is included for verification. Processing typically occurs after the first of the New Year unless a specific request is made.

  1. Obtain the Michigan Win Loss Statement form from the Grand Traverse Resort and Casinos website or at their location.
  2. Fill in the year(s) for which you are requesting the win/loss statement in the designated space.
  3. Provide your full name as it appears on your Player’s Club Card.
  4. Enter your Player’s Card Number in the appropriate field.
  5. Input your Social Security Number (SS#) for verification purposes.
  6. Include your date of birth in the specified area.
  7. Write your complete mailing address, including city, state, and zip code.
  8. Provide your phone number, including area code.
  9. Indicate the email address where you would like the statement to be sent.
  10. Sign and date the form to authorize the release of your information.
  11. Attach a copy of your driver’s license or ensure your Social Security Number is entered for verification.
  12. Submit the completed form via mail, email, or in person at the casino.

Dos and Don'ts

When filling out the Michigan Win Loss Statement form, it is essential to follow certain guidelines to ensure a smooth process. Here are six important dos and don’ts to consider:

  • Do ensure that you are a Player’s Club Card member, as only members can request a Win/Loss Statement.
  • Do fill in all required fields accurately, including your name, Player’s Card number, and contact information.
  • Do sign the form to authorize the release of your information.
  • Do provide a copy of your Driver’s License or your Social Security number for verification purposes.
  • Don’t submit the form without completing all necessary sections; incomplete forms will not be processed.
  • Don’t forget to specify the year(s) for which you are requesting the Win/Loss Statement.

Following these guidelines will help ensure that your request is processed efficiently and accurately. Remember that all information provided is based on your Player’s Club Card activity, and any play not associated with the card will not be reflected in the statement.