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. STAT!: OF OHIO DEPARTMENT OF NATURAL RESOURCES DIVISION OF OIL AND GAS API WELL NUMBER OIL AND GAS WELL 3 41 ':t! DRILLING PERMIT 4., :.! OWNER/OPERATOR NAME, ACTRESS: DATE ISSUED: l 'lb Lupe.!AT
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3 41t refers to a specific tax form used for reporting information related to certain types of income.
Individuals or entities who receive income that is reportable on 3 41t are required to file this form.
To fill out 3 41t, individuals or entities must provide information about the reportable income they have received.
The purpose of 3 41t is to report income that may be subject to taxation.
Information such as the amount of income received, the source of the income, and any taxes withheld must be reported on 3 41t.
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