Attach a copy of your 2013

7.

1.Federal taxable incomefrom line 43 of Form 1040, line 27 of Form 1040A,

or line 6 of Form 1040EZ 

A.

on federal return:

B. School district code:C.Income source code:

D.Federal adjusted gross income from line 37 of Form 1040, line 21 of Form 1040A,

     or line 4 of Form 1040EZ

2.Lump-sum distribution from Federal Form 4972

3.Adjustment for loss from an S corporation that elected

5.Total additions. Add lines 2 through 4b

 8. 

9.

10.

11. 

12.

exclusion  

16.Total other subtractions 

18.   North Dakota taxable income. Subtract line 17 from line 6.  If less than zero, enter 0

Subtractions

CityStateZIP code

Extension

2013

13.

14.  

17.

4.  a. Planned gift or endowment tax credit adjustment to income

Deceased

Deceased

Your social security number

5

Apt No.

17

6.6

15.  

 b. 

 

Date of death

federal income tax return

ND-1   Individual income tax return

North Dakota Office of State Tax Commissioner

Please type or print in black or blue ink.

If a fiscal year filer, enter

fiscal year end:  (See page 11)

MILast nameYour first name 

MILast nameIf joint return, spouse's first nameSpouse's social security number

Mailing addressF

 Filing status used

(Fill in only one)with dependent child

(If zero, see page 12 of instructions)

taxation under N.D.C.C. § 57-38-01.35

Housing incentive fund tax credit adjustment to income

Net long-term capital gain exclusion

(From worksheet on page 13 of instructions)

taxation under N.D.C.C. § 57-38-01.35

National Guard/Reserve member federal active duty pay

(Attach copy of Title 10 orders)

Nonresident only: Servicemembers Civil Relief Act adjustment

(Attach copy of Form W-2 showing this compensation) (Not Supported)

College SAVE account deduction

Qualified dividend exclusion

(Attach Schedule ND-1SA)

  Total subtractions. Add lines 7 through 16

(SX)  D

(SS)  1

(NA)  2

(NB)  3

(NK)  4a

(AP)  4b

(SN)  7

(NC)  8

(S4)  9

(S5) 10

(S6) 11

(NI) 12

(NJ) 13

(AA) 14

(AO) 15

(AB) 16

(ND) 18

(See page 19)

Amended return:General (Not Supported)

Additions

Form

ill in only if applicable: (See page 11)

Amended return:Federal NOL (Not supported)

(See page 11)

MN/MT Reciprocity (Not Supported)

(See page 11)

3.Married filing separately

1.Single

2.Married filing jointly

4.Head of household

5.Qualifying widow(er)

Add lines 1 and 5

Interest from U.S. obligations

Exempt income of an eligible Native American

Benefits received from U.S. Railroad Retirement Board

Adjustment for income from an S corporation that elected

State (Not Supported)

Date of death

----------------Page (0) Break----------------

Checking             Savings

For a complete return, you must attach a copy of your 2013 federal income tax return

 - If a 

i

(AK)(AL)

a.

19.

21.

22.

26.

If less than zero, enter 0

28.

29.

30.

32.

If less than $5.00, enter 0

35.   Tax due - If line 30 is LESS than line 27, subtract line 30 from line 27.

If less than $5.00, enter 0

38.Balance due. 

  

39.

To 

* 

Tax Due

DatePhone number (land line)

Paid preparer signaturePTINDate

discuss this return with the paid preparer.

Phone no.i

36.Enter total

19

36

(SO) 39

38

37

33. Watchable

(SP)(SW)total33

26

23.  

24.  

credit

25.Total other credits 

37.Watchable

(SU)(SY)total

If a or , enter amount from Schedule ND-1NR,

Date

b.Account number:

Type of account:c.

IIT

Routing number:

 from line 18 of page 1

, enter amount from Tax Table on page 20 of instructions; however,full-year resident

OR

full-year nonresidentpart-year resident

line 21; however, if you sold a research tax credit, see page 13 of instructions

  Credit for income tax paid to another state

(Attach Schedule ND-1CR)

  Marriage penalty credit for joint filers

(From worksheet on page 14 of instructions)

Carryover of unused 2008 residential/agricultural

property tax credit

Carryover of unused 2008 commercial property tax

(Attach Schedule ND-1TC)

  Total credits. Add lines 21 through 25

  Estimated tax paid on 2013 Forms ND-1ES and ND-1EXT

plus an overpayment, if any, applied from your 2012 return

  Total payments. Add lines 28 and 29

otherwise, go to line 35.If less than $5.00, enter 0

  Amount of line 31 that you want applied to your 2014 estimated tax

Voluntary

Penalty

Voluntary

Add lines 35, 36, 37, and, if applicable, line 39.

Interest on underpaid estimated tax from Schedule ND-1UT

Cell phone number

(SZ) 35

(SR) 34

(SG) 31

(SQ) 32

(AJ) 30

(S&) 29

(SF) 28

(SE) 27

(AE) 25

(AN) 24

(AM) 23

(AC) 22

(SD) 21

(SB) 20

(See page 15)

2013 Form ND-1, page 2

North Dakota Office of State Tax Commissioner

  Enter yourNorth Dakota taxable income

Tax calculation

20.Tax

f you have farm income or sold a research tax credit, see page 13 of instructions;

Subtract line 26 from line 20.27.Net tax liability.

Tax paid

  North Dakota withholding(Attach W-2s, 1099s, and/or N.D. K-1s)

If line 30 is MORE than line 27, subtract line 27 from line 30;31.Overpayment - 

Program Trust Fund

Trees For ND

Subtract lines 32 and 33 from line 31.34.Refund.

your refund,direct deposit

complete items a, b, and c.

EnterProgram Trust Fund

Pay to:

I authorize the ND Office of State Tax Commissioner to

This Space Is For Tax Department Use Only

Mail to: State Tax Commissioner, PO Box 5621,

Bismarck, ND 58506-5621

Spouse's signature

 ND State Tax Commissioner

Privacy Act - See inside front cover of booklet.

Your signature

I declare that this return is correct and complete to the best of my knowledge and belief.

Trees For ND

Credits

Refund

contribution to: Wildlife Fund

Interest

Enter

contribution to: Wildlife Fund

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