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Outline

The Michigan Win Loss Statement form is an essential document for players seeking to obtain their gaming activity records from Grand Traverse Resort and Casinos. This form allows Player’s Club Card members to request a detailed report of their wins and losses for specific years. To initiate the process, customers must submit a signed request, and couples can conveniently use a single form. It’s important to note that only play associated with a Player’s Club Card account is tracked, meaning any activity without the card will not be included in the statement. The form requires personal details such as the player’s name, card number, Social Security number, date of birth, and mailing address. Additionally, patrons must provide a signature, releasing the casino from any claims related to the information provided. The casino emphasizes that the data is based solely on player tracking and may not fully reflect actual gaming activity. For processing, a copy of the driver’s license or Social Security number is necessary. Completed forms can be submitted via mail, email, or in person, ensuring a straightforward way for players to access their gaming history.

Sample - Michigan Win Loss Statement Form

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: [email protected]

Form Information

Fact Name Details
Request Requirement Customers must submit a signed request to obtain their Win Loss Statement.
Joint Requests Husbands and wives can use a single form to request their statements.
Eligibility Only members of the Player’s Club Card can request a Win Loss Statement.
Tracking Limitations Grand Traverse Resort and Casinos does not track play that is not linked to a customer’s player card account.
Information Basis The provided information relies on player tracking data, which may not fully reflect actual play.
Verification Process A copy of the driver's license or social security number is required for verification.
Processing Time Statements are processed after the first of the New Year unless otherwise specified.
Submission Methods Forms can be submitted via mail, email, or dropped off at the casino.
Governing Law Michigan gambling laws govern the issuance and processing of Win Loss Statements.

Detailed Guide for Filling Out Michigan Win Loss Statement

Filling out the Michigan Win Loss Statement form is straightforward, but it’s essential to provide accurate information to ensure your request is processed smoothly. Once you've completed the form, you can submit it via mail, email, or in person at the casino. Below are the steps to guide you through the process.

  1. Begin by entering the year or years for which you are requesting the Win/Loss Statement in the designated space.
  2. Write your full name in the space provided. Make sure it matches the name on your Player’s Club Card.
  3. Fill in your Player’s Card Number. This is crucial as the statement is only available for card members.
  4. Provide your Social Security Number (SS#) for verification purposes. If you prefer, you can also include a copy of your Driver’s License instead.
  5. Enter your Date of Birth to further confirm your identity.
  6. Complete your Mailing Address, ensuring all parts (street, city, state, and zip code) are accurate.
  7. Include your Phone Number, formatted as (___) ___-____.
  8. Indicate the email address where you would like the statement to be sent.
  9. Sign and date the form at the bottom. This signature releases Grand Traverse Resort and Casinos from any claims related to the information you are requesting.

Once you have filled out the form, remember to attach a copy of your Driver’s License or ensure your Social Security Number is included. Only complete forms will be accepted. After submitting, your request will be processed, and you can expect to receive your statement after the first of the New Year unless you specify otherwise.

Obtain Answers on Michigan Win Loss Statement

  1. What is the Michigan Win Loss Statement form?

    The Michigan Win Loss Statement form is a request document that allows members of the Player’s Club at Grand Traverse Resort and Casinos to obtain a record of their gambling wins and losses for tax purposes. This statement is essential for individuals who wish to report their gambling activity accurately.

  2. Who can request a Win Loss Statement?

    Only members of the Player’s Club at Grand Traverse Resort and Casinos can request a Win Loss Statement. If you are not a member, you will need to join the Player’s Club to obtain this information.

  3. How do I request my Win Loss Statement?

    To request your Win Loss Statement, you must fill out the official request form. This form requires your name, Player’s Card number, Social Security number, date of birth, and mailing address. You can submit the form via mail, email, or in person at the casino.

  4. Can both spouses use the same form to request a Win Loss Statement?

    Yes, husbands and wives can use one form to request their Win Loss Statements. However, each spouse must still provide their individual information on the form.

  5. What should I include with my request?

    When submitting your request, you must include a copy of your driver’s license or provide your Social Security number for verification. Without this information, your request will not be processed.

  6. When will my Win Loss Statement be processed?

    Win Loss Statements are typically processed after the first of the New Year. If you need your statement for a specific year, make sure to indicate that on the request form.

  7. What if the information on my Win Loss Statement is incorrect?

    The information provided in the Win Loss Statement is based on player tracking data, which only reflects play when your Player’s Card was active. It may not accurately represent your total gambling activity, especially if you played without your card. If you believe there are discrepancies, it is important to contact the casino for clarification.

Common mistakes

When filling out the Michigan Win Loss Statement form, many individuals make common mistakes that can delay or even prevent the processing of their requests. One frequent error is failing to provide the required personal identification information. This includes the Social Security number or a copy of the driver’s license. Without this crucial information, the request cannot be processed, leading to frustration and unnecessary delays.

Another mistake is not signing the form. The signature serves as a confirmation that the individual agrees to the terms outlined in the document. If the form is submitted without a signature, it will be returned, and the request for a win/loss statement will not be fulfilled. Always double-check that your signature is present before sending in the form.

Some people overlook the importance of providing accurate contact details. Incorrect phone numbers or email addresses can hinder communication. If the casino needs to reach out for clarification or additional information, having the wrong contact details may result in missed opportunities to resolve issues quickly.

Additionally, individuals often forget to specify the year or years for which they are requesting the win/loss statement. Leaving this section blank can lead to confusion and delays. It’s essential to clearly indicate the specific time frame to ensure the request is processed correctly.

Another common error involves submitting the form without checking for completeness. Incomplete forms will not be accepted for processing. It’s vital to review the entire document to ensure all required fields are filled out correctly before submission.

Lastly, some individuals may not be aware that the win/loss statements are only available for Player’s Club Card members. If someone submits a request without being a member, it will be rejected. Make sure to confirm membership status before attempting to fill out the form. By being mindful of these common mistakes, individuals can streamline the process and receive their win/loss statements without unnecessary delays.

Documents used along the form

The Michigan Win Loss Statement form is essential for players at Grand Traverse Resort and Casinos who wish to obtain a record of their gambling activity. Along with this form, there are several other documents that may be required or helpful in the process of requesting or understanding your gaming history. Below are a few of those documents.

  • Player's Club Card Application: This document is necessary for individuals who want to join the Player's Club. It collects personal information, allowing the casino to track your gaming activity. Membership is required to receive a Win Loss Statement.
  • Identification Verification Form: This form is used to verify the identity of the player. It typically requires a copy of a government-issued ID, such as a driver's license or passport, to ensure that the Win Loss Statement is being requested by the correct individual.
  • Tax Form 1099-G: If you have won a significant amount, this form may be issued to report gambling winnings to the IRS. It is important for tax purposes and may be needed when filing your annual tax return.
  • Player's Club Terms and Conditions: This document outlines the rules and benefits of being a Player's Club member. Understanding these terms can help players make informed decisions about their gaming activities and how they are tracked by the casino.

These documents work together to ensure that players can accurately track their gaming history and comply with necessary regulations. Having them ready can streamline the process of obtaining your Win Loss Statement and help clarify any questions you may have about your gaming records.

Similar forms

The Michigan Win Loss Statement form shares similarities with several other documents commonly used in various contexts. Here’s a breakdown of those documents:

  • Tax Return Statement: Both documents provide a summary of financial activity over a specific period. Just as a tax return outlines income and deductions, the Win Loss Statement details wins and losses associated with gaming activities.
  • Bank Statement: A bank statement lists transactions and balances for a given time frame. Similarly, the Win Loss Statement records the player's gaming transactions, reflecting net results.
  • Credit Card Statement: Like a credit card statement, which shows purchases and payments, the Win Loss Statement summarizes a player's financial activity at a casino, including wins and losses.
  • Profit and Loss Statement: Businesses use this document to report revenues and expenses. The Win Loss Statement serves a similar purpose for players, detailing their gaming profits and losses.
  • Financial Aid Statement: When applying for financial aid, students provide information about their financial situation. The Win Loss Statement similarly requires players to disclose their gaming history for potential tax reporting or personal record-keeping.
  • Insurance Claim Statement: This document outlines losses incurred and the amount claimed. The Win Loss Statement reflects the player's losses in gaming, serving as a record for potential claims or tax deductions.
  • Investment Portfolio Statement: An investment portfolio statement summarizes the performance of investments. In the same way, the Win Loss Statement summarizes the performance of a player's gaming activities over time.

Dos and Don'ts

When filling out the Michigan Win Loss Statement form, it's important to follow certain guidelines to ensure your request is processed smoothly. Here’s a list of things you should and shouldn’t do:

  • Do include your Player’s Card Number. This is essential for tracking your play.
  • Do provide accurate personal information, including your name, mailing address, and date of birth.
  • Do sign the form. Your signature is required for processing.
  • Do include a copy of your Driver’s License or provide your Social Security Number for verification.
  • Don't forget to specify the year(s) for which you want the Win/Loss Statement.
  • Don't submit incomplete forms. Official request forms must be fully filled out.
  • Don't expect immediate processing. Statements are processed after the first of the New Year unless specified otherwise.
  • Don't use a different method of communication. Return the form via mail, email, or drop it off at the casino.

Following these guidelines will help ensure that your request is handled efficiently and accurately.

Misconceptions

Misconception 1: You can request a Win Loss Statement without being a Player’s Club Card member.

This is not true. Only individuals who hold a Player’s Club Card can request a Win Loss Statement. If you do not have a card, you will not be able to access this information.

Misconception 2: You can submit a Win Loss Statement request without providing personal identification.

In fact, you must include a copy of your Driver’s License or provide your Social Security number for verification. Without this information, your request will not be processed.

Misconception 3: The Win Loss Statement reflects all your gambling activity.

This is misleading. The statement only includes play that is tracked through your Player’s Club Card. If you played without your card, that activity will not be included in the statement.

Misconception 4: You can expect your Win Loss Statement immediately after submitting your request.

Actually, statements are processed after the first of the New Year unless you specify otherwise. Be prepared for a wait if you submit your request close to the end of the year.

Key takeaways

Filling out and using the Michigan Win Loss Statement form requires attention to detail and adherence to specific guidelines. Here are key takeaways to consider:

  • Signature Required: Each customer must submit a signed request for the Win Loss Statement.
  • Joint Requests: A husband and wife may use a single form to request their statements.
  • Player’s Club Membership: Only members of the Player’s Club can request a Win Loss Statement.
  • Tracking Limitations: The casino does not track play not associated with the customer’s player’s card account.
  • Information Accuracy: The statement reflects only the play connected to the player’s card and may not represent total play accurately.
  • Required Documentation: Include a copy of your driver’s license or provide your social security number for verification.
  • Processing Time: Statements will be processed after the first of the New Year unless otherwise specified.
  • Submission Methods: Return the completed form via mail, email, or in person at either casino location.

These points will help ensure a smooth process when requesting your Win Loss Statement from Grand Traverse Resort and Casinos.