MASSACHUSETTS STATE LOTTERY COMMISSION CLAIM FORM

lottery claim form
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Substitute Form W-9 24 9 CLAIM NUMBER Page 2 INSTRUCTIONS TO FILE YOUR WINNER CLAIM FORM: You may claim prizes of any amount at any of the Georgia Lottery

All claims of Taxable Prizes should be submitted to The Director, Punjab State Lotteries in the prescribed form 2 The form should be filled clearly showing

lottery sambad  INSTRUCTIONS TO WINNER •You must complete this form to claim a cash prize of $100 or more at a Lottery office or

lottery sandesh Prize Claims, Nebraska Lottery Box 95145, Lincoln, NE 68509-5145 or redeem at the nearest Lottery Claim Center listed on the reverse side of form