CASINO TAX REBATE -- Get Your Taxes Back

Questions?

Name
Address
City		Province
Postal Code
Phone Number		Email
Date of Birth (mm/dd/year)		Country of Birth
Sex	Male Female

USA Individual Taxpayer Identification Number (if any)

Were you ever a United States Citizen/Permanent Resident or have you ever applied for permanent residence?
Yes No

Have you been in the United States more than 30 days in the year you are filing for?
Yes No

Did you file a United States tax return for any previous year?
Yes No	What Year? or I don't remember
Please check one of the following two statements:

Full Tax Recovery For the tax year(s) applied for I wagered more than I won in the USA. Partial Tax Recovery For the tax year(s) applied for I wagered less money than I won in the USA during the entire calendar year(s) (i.e. not just your winning sessions).

I estimate the money spent on wagers in the USA to be
Terms and Conditions Upon receipt of this application and copies of your winning slips 432395 Ontario Inc., doing business as Casino Tax Rebate, will mail the applicant a quotation of the fee to be charged contingent on the client receiving a tax refund. If no refund is received then no fee is charged. No verification of your wagering losses are required to be submitted with your return(s), however, if the IRS or State taxation authority audit your return(s) and you have no verification then you will not be entitled to a refund. Please refer to our FAQ page on our website at www.CasinoTaxRebate.com for a description of the types of verification you should retain . The original letter containing the ITIN number issued by the United States will be provided to the client and 432395 Ontario Inc. shall retain for their records a copy of such number. The client understands that the ITIN number cannot be used to claim the earned income tax credit under section 32 of the Internal Revenue Code: that the possession of an ITIN does not change the applicant's immigration status or entitle the applicant to legal employment in the United States; the ITIN does not take place of an SSN or qualify the applicant for Social Security benefits; the applicant may be eligible for an SSN and should inquire with the Responsible Party processing this application under what circumstances that this might be true; If an applicant becomes eligible for an SSN at a later date, the ITIN can no longer be used and the applicant must apply for an SSN from the Social Security Administration.
If you agree to the above terms and conditions, please type in the code displayed below.

*CASE SENSITIVE