Scam Tip Report #20515 - Winners Claim Form


Scam ReporterScam Tips Received
Anonymous
Somewhere in United States
2014-07-24 15:04:06
Lottery Scam
Winners Claim Form 
 Scammer
  Information
Name:
Kevin D. Hoyng & Dr. Walter robert
Email Address:
Scam Website:
Fax:
WINNER\'S CLAIM FORM
Inbox
x

Dr Walter Robert
6:21 AM (1 hour ago)

to me
Your email was received and it will be well to know that you are trying to get a very clear picture about this winning, For your clear understanding .Your winnings of US$2,500,000.00 (Two million, five hundred thousand, United States Dollars) was drawn from a random lottery ballot system and your email was drawn on the first second and final draw and you emerged the final winner in the category. Your winnings were first deposited into an escrow account and thereafter full confirmation of you been the true winner of the funds a certified bankers cashier cheque was drawn to be delivered to you. We wish to congratulate you on the award winning amount of: US$2,500,000.00 (Two million, five hundred thousand, United States Dollars) in the British Lottery. You will be required to verify your details for proper file keeping. Send down your details of beneficiary well confirmed upon verification of you been the true winner your winnings will be arranged to be deliver to you. ticket number: 8093-210-863-8643 Serial number 6432/34 lucky numbers: 306-08-09132-731
BRITISH LOTTERY HEADQUARTERS
1 Plough Place
London
This form is valid for only those who have won the BRITISH LOTTERY INTERNATIONAL. Fill in the required fields in the space provided below. No field should be left blank, because your particulars are needed for record purposes.
NOTE : IT IS REQUIRED YOU CLICK THE REPLY BUTTON BEFORE FILLING OUT THIS FORM, AS ALL INPUTED DATA MAY BE LOST UPON OUR RECEPTION. IN THE EVENT THAT YOUR BROWSER SETTING DOES NOT SUPPORT THIS PROGRAM e.g html programme, YOU ARE TO SEND THE REQUIRED DATA IN PLAIN TEXT FORMAT.
Please fill in the appropriate information in the space below:
Top of Form
WINNER\'S CLAIM FORM

WINNER\'S PERSONAL DATA

First Name.: *

Middle Name.:
Last Name.: *
Gender.:
Month Of Birth.:
Day:
Year:
Marital Status.:
Nationality.: *
Religion.:
Occupation.:

Address 1.: *
Address 2.:
City.: *
State/Province.: *
Zip Code.: *
Mobile phone No.: *
House Phone No.: *
Fax No.:
Email Address.: *eg. username @domainname.com
WINNING INFORMATION
Batch Number.: *
Serial Number .: *
Refrence Number.: *

This is to verify that the information filled in this FORM is a valid particulars of me. Yes: No:



REGARDS,
Name Dr Murray Gray
Phone +44 793 7419 802
Bottom of Form
BRITISH LOTTERY INTERNATIONAL
COPYRIGHT © 2014 ALL RIGHT RESERVED




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