For TaxDepartment

use only

Do Not use this voucher if paying electronically

Social Security NumberName

City, State and ZIP Code

2013

Spouse's NameSpouse's Social Security Number

Address

Preparer's NamePreparer's Telephone NumberAmount of Payment

•

•

PO Box 5622

Bismarck, ND 58506-5622

ND-1V

Form ND-1V Electronic Return Payment Voucher

North Dakota Office of State Tax Commissioner

28726

•

Detach here and mail with your payment  

 

 

 

 

 

 

Address

Due 15th day of 4th month following end of tax year.

Make check or money order payable to "ND State Tax Commissioner."

Mail payment and voucher to:  Office of State Tax Commissioner

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