INSTRUCTIONS
GENERAL INFORMATION: Bank Deposit Voucher is used by taxpayers or employers to remit tax payments to the bank. In
order to properly credit your CNMI tax account, complete this Bank Deposit Voucher and submit it to the bank with your deposit
ticket. Form 500-BD must be completed for each tax type.
1.
Enter your employer’s identification number (9 digits). If you do not have one, please obtain one from the Division of
Revenue and Taxation or Social Security Administration. (NOTE: The Division of Revenue and Taxation will assign an
identification number for use in reporting CNMI Taxes.)
2.
Enter the tax year two last digits (2 digits). Example for tax year 2009 the code is 09.
3.
Enter the tax period code (2 digits). Code: (01) – January (02) - February (03) – March (04) - April (05) - May
(06) - June (07) - July (08) - August (09) – September (10) - October (11) - November (12) - December
st
nd
rd
th
th
(13) - 1
quarter (14) - 2
quarter (15) - 3
quarter (16) - 4
quarter. Example: for the tax period 4
quarter, code is 16
.
4.
Enter the tax type code (1 digit). Code: (1) -Wage & Salary Tax - chapter 2 (2) -Wage & Salary Tax - chapter 7
(3) -Earnings Tax (4)-Tax on Gross Revenue (5) -Tax on Agricultural Producers & Fishing
(6) -Tax on Manufacturers or Wholesalers (7) -Bar Tax (8) -Hotel Occupancy Tax (9) -Gaming Machine Jackpot Tax
5. – 7.
Enter the deposit amount, taxpayer’s name, and address.
FOR BANK: Bank official shall ensure all required information is properly filled and shall not process the payment/ bank deposit
voucher if Form 500-BD is incomplete.
White and yellow copy: Bank
Green copy: Division of Revenue & Taxation
Blue copy: Customer or Employer
st
NOTE: This revision is effective 1
Quarter 2009