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Get 2022 Lottery Winner

N/TIN Day - Year - Address 1 Address 2 City State Country Zip Code - Email Phone - - Area Code For tax purposes only: I am a Lottery Retailer I do not have a Social Security Number I am employed by a Lottery Retailer I am not a U.S. Citizen, and I am not a Resident Alien I am related to a Lottery Retailer TICKET INFORMATION Attach the original ticket to this form with your legal name, signature and address showing. Enter the information below (Scratchers 13-19 digit ticket num.

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