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R your claim will be returned to you. Period (enter month and year) Minnesota tax ID (if a business) or Social Security number Name Check reason(s) for filing claim: Airline ground use Landscaping Biodiesel Logging Construction Refrigeration units Farming Well drilling Kerosene Other: Address Check if new address City State Zip code Form PDR-1 and Schedule PDR-1PTO are available at www.revenue.state.mn.us. If you do not have access to the Internet and need forms mailed to.

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