Gold Ranch Dayton Win-Loss Statement
Please Enter your PlayerID, Birthdate and Win-Loss Period
Player ID
Birth Month
Birth Day
Birth Year
Win-Loss Period
- Month -
01 - January
02 - February
03 - March
04 - April
05 - May
06 - June
07 - July
08 - August
09 - September
10 - October
11 - November
12 - December
- Day -
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
- Year -
1900
1901
1902
1903
1904
1905
1906
1907
1908
1909
1910
1911
1912
1913
1914
1915
1916
1917
1918
1919
1920
1921
1922
1923
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2023
2022
2021
2020
Gaming Activity
- The above information is provided in response to a request by the person shown above. The activity shown above is associated with the player's card only. Hence, no assurance is made that this activity was accumulated by the person named above. The above figure may not be all inclusive of the person's gaming activity and only reflects that information currently available in the Gold Ranch Casino database. Further, the above "Slot or Table Loss" figure may not be an accurate representation of investment.
Tax Form Activity
- Original documents were issued to the winning player at the time of the jackpot. The above information is provided as a reference only, as requested by the person above, and is not intended to be used as the substitute tax form reporting gaming winnings.
I agree to the above terms.
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