The Following Individuals Agree To Join A Lottery Pool

The following individuals agree to join a lottery pool.

for the month of Enter the month for the pool, Enter the year for the pool, for the purpose of jointly playing the Enter the state's name State Lottery:

Enter the names of the pool participants

and the following games of the Enter the state's name State lottery:

Enter the game(s) to be played

and designate, Enter the name of the Lottery Pool Manager as the Lottery Pool Manager for this month. Each participant shall be liable to contribute $Enter the amount per member to be played per game per game played.

Each party to the pool shall turn over all funds for the purchase of tickets at least 24 hours prior to the closing time for purchase of tickets for each game.

In the event that a person does not do so, they shall nevertheless be liable to pay in their share of the money used, if a ticket or tickets is purchased for them.

In the event that any prizes are won, the pool manager, who shall serve without compensation, shall evenly divide the prize among the participants, deducting any amount owed for a failure to pay a required share. ANY AND ALL FUNDS WON AS PRIZES SHALL BE CONSIDERED TO BE HELD IN TRUST FOR THE POOL BY THE MANAGER.

This agreement shall not automatically renew and shall expire at the end of the month stated.

In the event of a prize being won in excess of $ 10,000, and settlement options are provided, the vote of the majority of the pool members shall decide. If there is no majority, the pool manager shall decide.

Any member may withdraw by written notice to the pool manager, and the pool shall thereupon end, but shall remain in effect for the past games played as a pool.

This is the entire agreement of the parties and there are no agreements express or implied not stated herein. This agreement may only be altered in writing signed by all parties.

Dated: _______________________________

Accepted and agreed:

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