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API Well Number: 43047524450000 API Well Number: 43047524450000 FORM 3STATE OF UTAH STATE DEPARTMENT NATURALRESOURCES DEPARTMENT OF NATURAL RESOURCES DIVISION OF OIL, GAS AND MINING MININGAMENDED

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W i - Utah is a form used to report Utah income tax withheld from employees.

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W i - Utah can be filled out manually or electronically, depending on the preference of the employer. The form requires information about the employer, employee, and the amount of Utah income tax withheld.

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The purpose of w i - Utah is to report Utah income tax withheld from employees and to reconcile the amount of tax withheld with the amount remitted to the state.

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Information that must be reported on w i - Utah includes employer details, employee details, and the amount of Utah income tax withheld.

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