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All information requested on this form must be filled out completely. AUDIT DEPARTMENT 555 E*LAFAYETTE AVE* DETROIT MI 48226 Legal Copy Services Inc* PO Box 2845 Grand Rapids MI 49501 OR FAXED TO 31 FOR SECURITY PURPOSES A COPY OF YOUR DRIVER S LICENSE OR STATE ID MUST BE INCLUDED WITH ANY REQUEST. Greektown Casino assumes no responsibility for the accuracy of the information provided* Greektown Casino assumes no responsibility for information lost in the mail* Greektown Casino Audit Use Only Date Received Processed By Processing Completed Date. Forms not completely filled out will not be honored* Allow four weeks for processing* Signing this form expresses a formal request for this information* Requested information will be sent to the address shown on this request.

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