James C. DuBois, Sr. - Page 3

                                         -3-                                          
               During 1999, petitioner admittedly received gambling                   
          winnings of $920, $768, $825, and $621 from Hazel Park Harness              
          Raceway (Hazel Park).  Hazel Park reported to respondent by way             
          of Forms W-2G, Certain Gambling Winnings, that it had paid                  
          petitioner these amounts as well as other gambling winnings of              
          $1,405 and $930.  The Social Security Administration also                   
          reported to respondent by way of a Form 1099-SSA, Taxable                   
          Benefits, that it had paid $11,022 to petitioner during 1999.               
          Respondent determined that the reported gambling winnings of                
          $920, $768, $825, $621, $1,405, and $930 were includable in                 
          petitioner’s 1999 taxable income, as was $9,369 of the $11,022 in           
          Social Security payments.                                                   
               A Hazel Park teller prepared a Form 5754, Statement by                 
          Person(s) Receiving Gambling Winnings, for each of petitioner’s             
          six reported gambling winnings.  These forms, which were all                
          signed by petitioner during 1999, showed “Freeland St” as                   
          petitioner’s street address.1  The Freeland Street address was              
          the residential address during 1999 of petitioner’s wife and was            
          the residential address of petitioner from 1965 through sometime            
          before 1999.  The tellers who prepared the Forms 5754 did so by             
          showing as petitioner’s address the address that appeared on                
          petitioner’s driver’s license; i.e., the Freeland Street address.           


               1 The Forms 5754 reported that the $920, $768, $825, $621,             
          $1,405, and $930 were paid in 1999 on Feb. 17, June 5, June 16,             
          Aug. 11, July 20, and Sept. 3, respectively.                                




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