Win/Loss Statement

The amount under the Total Win column represents the total net win or loss for the entire year. If the total is a positive number, the amount is a net win. A negative total shown in parentheses indicates a net loss.

Your Win / Loss Statement is not intended for tax reporting purposes to the IRS or any other State or Local reporting agency. Palace Casino makes no representation or warranty, expressed or implied, as to either the accuracy of this information or its effectiveness as a proof of losses and expressly disclaims any liability arising out of or related to any errors contained in this statement. This amount may not include all hand-paid jackpots reportable to the IRS on form W2G. The IRS recommends keeping a diary of your gaming activity with such pertinent information as dates, slot machine or table numbers, jackpots, and total wins and losses.

In your request, you certified that you are the person named on this statement and hereby request that New Palace Casino LLC, furnish the requested win/loss or W2G documentation for your personal use. You agreed to indemnify and hold harmless the New Palace Casino LLC, their respective officers, directors, employees and agents from any and all claims, suits, causes of action, liabilities, costs, losses, damages and expenses which I, or any third party, might have or incur as a result of this information. It is the individual’s responsibility to maintain accurate records of play, and the information provided consists of estimates only and may not be appropriate for income tax reporting. Consult your tax advisor if you have questions regarding deducting gaming losses on your tax return.

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