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LrmOGCla
(Other instructionsSTATE OF UTAH
DEPARTMENT OF NATURAL RESOURCES
DIVISION OF OIL, GAS, AND MININGonreverse side)
5. LeaseDesignationnIndiaand Serial No.r TribeNameAllottee, b. Type of Well
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Form 16 3-d is a tax form used in the United States for reporting certain financial transactions to the IRS.
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Entities or individuals who engage in specified financial transactions during the tax year are required to file Form 16 3-d.
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