How to claim prized by mail

HOW TO CLAIM A PRIZE BY MAIL

Mail-In Claims

Michigan Lottery prizes up to and including $99,999.99 can be claimed by mail. To claim a prize by mail youare required to complete a

Ticket Receipt Form

for individual winnings of greater than $600 or a

Substitute5754 form

for club winnings. For prizes of $600 and below, you will need to complete a

Ticket Receipt Form

orsend a written request for payment including your full name, address, and phone number. Keep a copy(picture or photocopy) of the front and back of the signed ticket and

Ticket Receipt Form

. For all claims, pleaseinclude the signed ticket along with a copy of your Social Security card and a valid government-issued photoID (driver’s license or state ID). Please include only legible copies. Claims should be mailed to the followingaddress:

Michigan Lottery

Attn: Claim Center

P.O. Box 30023

Lansing, MI 48909

ADDITIONAL CLAIMS INFORMATION

Tax Information on Michigan Lottery Prizes

Michigan Lottery prizes are subject to federal, state and local income taxes. You may be required to make estimated tax payments by fi ling a form 1040ES with the Internal Revenue Service. If you have questions regarding income tax, please contact the Internal Revenue Service at

800-829-1040

, the Michigan Department of Treasury at

517-636-4486

, or your local taxing authority.

The Michigan Lottery provides winning Lottery clubs with a blank Substitute 5754 form. Lottery clubs must submit a completed Substitute 5754 form at the time of prize payment.

Substitute 5754 form (BSL-A-2164

Instructions for Substitute 5754 form (BSL-A-2164-Instructions)

Instructions on how to form a lottery club

All winners claiming individual prizes of greater than $600 will receive a W-2G form at the time of prize payment for the purposes of completing their yearly tax return.

To request a duplicate W-2G form please call 517-373-6001 and press option 3. The Regional Offi ces cannot reprint tax forms.

Following are some additional facts on Lottery withholding guidelines:

Prizes of $600 and below: The Lottery does not withhold any taxes.

Prizes greater than $600 and up to and including $5,000

The Lottery does not withhold any taxes but is required to report the winnings to the IRS and Michigan Department of Treasury. The winner will then be required to report the income in the tax year it is claimed.

Prizes greater than $5,000

For any Michigan Lottery prize of greater than $5,000, the Lottery is required to withhold an estimated 24 percent in federal tax and 4.25 percent in state tax. These withholdings do not necessarily satisfy a winner’s tax liability; they are simply estimates. We recommend that all

winners contact the IRS, Michigan Department of Treasury and trusted tax professionals to determine whether additional tax payments will be required.

Non-Michigan U.S. residents

All prizes of greater than $5,000 are subject to 24 percent federal tax and 4.25 percent state tax withholding regardless of the state of residence. Questions regarding this state tax withholding should be directed to the Michigan Department of Treasury, Taxpayer Assistance Division.

Non-U.S. residents

Players who win a Michigan Lottery prize greater than $600 and do not live in the United States are subject to a 30 percent federal tax withholding rate as well as the 4.25 percent state withholding rate.