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07×06/2013 Effective Date: SGA? Yes Form C1 March 2010 OIL & GAS CONSERVATION DIVISION 1 District # 1149878 KANSAS CORPORATION COMMISSION For KCC Use: Form must be Typed Form must be Signed All blanks
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How to fill out nearest lease or unit:

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Start by gathering all the necessary information, such as the address of the lease or unit, the name of the landlord or property manager, and any specific details or requirements.
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Begin the form by entering the lease or unit number in the designated field. If there is no assigned number, you can leave this blank or enter "N/A."
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Provide the relevant contact information, including your name, phone number, and email address, as well as any additional details if required (such as emergency contact information).
04
Fill in the date you are filling out the form, as well as the start and end dates of your intended lease or occupancy.
05
If applicable, state the purpose of the lease or unit, whether it's for residential, commercial, or other specific use.
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Review and adhere to any terms and conditions, rules, or regulations provided by the landlord or property manager. Ensure that you understand and agree to comply with them.
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If there are any additional documents or attachments required, make sure to include them with your completed form.
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