I authorize Hollywood Casino to conduct such investigations to verify the information provided and to obtain such credit information relating to me that it considers necessary to approve and thereafter maintain this credit line. I understand that this application is required to be completed by regulations of the West Virginia Lottery Commission and that I may be subject to civil and criminal liability if any information provided by me is willfully false. I will advise Hollywood Casino if any of this information changes. ![]() ![]() I certify that I have reviewed all of the information provided above and that it is true and accurate. I have completed this application for casino credit and agree that this credit line will be used solely for gaming purposes at Hollywood Casino at Charles Town Races ("Hollywood Casino"). *Income from alimony, child support or separate maintenance payments need not be revealed if you do not wish to have it considered as a basis for repayment of the requested credit.
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