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_________________

PHILIPPINE CHARITY SWEEPSTAKES OFFICE


Sun Plaza Building, 571 Blvd.,
Mandaluyong, 1552 Metro Manila

Attn : ________________________
Department Manager

Re : Request for Termination of Lotto and


Keno Outlet Operation

Dear __________________,
I am writing to inform you that I intend to terminate my Lotto and Keno operations
___________________________________________ effective on July 31, 2019, because I am not
satisfied with my sales. Moreover, I respectfully request the withdrawal of the advance deposit I
made in Land Bank for my Lotto and Keno business. The Agency Number of my Lotto and Keno
Outlet are:
LOTTO AGENCY NO.
KENO AGENCY NO.

Should you require additional information, please do not hesitate to contact me. I will be
expecting a formal confirmation from your side that the request to terminate operations be acted
upon.
Attached is a copy of my government-issued ID for your verification.
Thank you so much for your prompt action for my request.

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