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Form approved. Fond 31603STATES OF THE INTERIOR UNI DEPART ME(December 1990)BUREAU OF LAND MANAGEMENTSUBMIT IN TRIPLE (other instructions reverse side)budget Bureau No. 10040136 Expires December 31,

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O O Utah is a specific tax form used for reporting state income tax withheld and unemployment taxes.

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The purpose of O O Utah is to report and remit state income tax withheld and unemployment taxes to the state government.

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O O Utah requires information such as employer identification number, total state income tax withheld, total wages subject to unemployment taxes, and total amount of unemployment taxes withheld.

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