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Form OGClaRIPLICATE×SUBMIT(Other i. Auctions STA i E OF UTAH DEPARTMENT OF NATURAL RESOURCES DIVISION OF OIL, GAS, AND MININGonreverse side), o. Leasevesignationand serial No. REAPPLICATION FOR PERMIT

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Oformr i is a tax form used for reporting income.

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Individuals and businesses who have received income that needs to be reported to the tax authorities.

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Information such as income sources, amounts earned, and any deductions or credits that apply.

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