Illinois Lottery E-Claims
Illinois Lottery E-Claims
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lottery claim form
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CLAIM FORM FOR PRIZE OF THE MEGHALAYA STATE LOTTERIES 1 Write your _ Lottery, Draw No held on Name: Address: Revenue Stamp Page 3
UNDER PENALTIES OF PERJURY, I certify that Lottery Use Only 1) the number shown on this form Is my correct United States taxpayer identification numbii~ ( NOTE: This form requires two signatures NOTE: All Lottery prizes of $100,000 must be claimed in person at a Lottery office Due to the claim process involved,
gudang slot gacor This form and proof of Social Security number is required for any prize over $5,000 All fields on the back of your ticket and this claim form Mail in Claim Form Instructions