Below is another example of a fake lottery; this one claiming to
be from the "STAATSLOTERIJ BV" with multiple addresses in the Netherlands (Nederlands).
The Netherlands is home to many such lottery scams.
Subject: STAATSLOTERIJ CLAIM VERIFICATION FORM ATTACHED.
Date: Sat, 20 Jan 2007 07:54:10 -0500
From: staatclaims04@netscape.net
View Contact Details View Contact Details
STAATSLOTERIJ BV
32 PALMSTRAAT,1015 AE AMSTERDAM,NETHERLANDS.
TEL.+31 616 937 878,FAX.+31 847 549 511.
Dear Winner,
This office acknowledge the receipt of your email. Attached is claim
application form,kindly fill in all requirement in the form and send it back to
this office by fax or by email.
This will enable this office to process/legalize your winning
certificate,thereafter a copy of your winning certificate will be forwarded to
the office of our paying bank for immediate remittance of your winning price to
a bank account of your choice.
Congratulations once again.
Regards,
Lois Van Bos.
NOTE:BELOW IS OPEN CLAIM FORM IN CASE YOU CAN NOT OPEN THE ORIGINAL
ATTACHMENT
STAATSLOTERIJ.NL Laan van Hoornwijck 55 2289 DG Rijswijk.
Inslagenlijn: 0909-0202
Uitslagenlijn: 0900-9525
www.staatsloterij.nl
Tel: 0031-616 937 878 Fax. 0031- 847 549 511
D O ONE MILLION DOLLAR (1,000,000.00)
FOR PRIZE TRANSFER THE BENEFICIARY IS REQUIRED TO FILL THIS FORM COMPLETELY
AND SEND BACK THE COMPLETED FORM FOR NOTARIZATION IN COURT.
Full Name: _______________________________________
Address: _________________________________________
City/State: ______________________________________
Post Code: _______________________________________
Country of Origin: _________________________________
Occupation: ______________________________________
Age: __________________ Sex: ___________________
Nationality: ______________________________________
Tel: _____________________ Fax: ___________________
Next of Kin: ___________________________________
AMOUNT WON Figure______________________________
Words: _____________________________________
Lottery Ref No: ________________________________
Batch No: ____________________________________
E-mail Add: __________________________________
DATE: ____________
NON-RESIDENT OF THE NETHERLANDS IS
RESPONSIBLE FOR THE FEE OF NOTARISATION/LEGALIZATION IN COURT:
I_________ HEREBY DECLARE THAT THE ABOVE DATA ARE TRUE, AND IN CASE OF ANY
UNFORSEEN CIRCUMSTANCE, MY NEXT OF KIN HAS THE RIGHT TO CLAIMS TO MY TOTAL
WINNING. STAATSLOTERIJ.NL SHALL ACT AS MY AGENT IN FACILATING THE TRANSFER OF MY
WINNING TO ME.
(*DO NOT FOLD THIS FORM*)
STAATSLOTERIJ.NL
Tel: 0031-616 937 878.
Fax: 0031-847 549 511.
Ingeschrijven nr.54568878.
Property of Staatsloterij.nl
STAATSLOTERIJ_CLAIM_PROCESSING_FORM.doc
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