Form 306 - Income Tax Withholding Return
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North Dakota Office of State Tax Commissioner
306 Income Tax Withholding Return
This Return Must Be Filed Even Though No Wages Were Paid Or Tax Withheld
Account
(A)
Fill in this circle if this is an amended return.
Number
Period
Ending
Due Date
of Return
(C)
Fill in this circle if you have been
assigned a new federal ID#. Enter
your new ID# here:
New ID
If address information is not correct, please make those
Number
changes on this form.
Part I
Complete Part I only if this is
Fill in this circle if this business has changed ownership and
(X)
enter the date of ownership change below. Provide name,
a FINAL return
.
address, and phone number of new owner:
/
/
(O)
Fill in this circle if you are no longer in business
Month
Day
Year
or no longer have employees, and enter your last
day of business or employment.
Name
/
/
Month
Day
Year
Address
City, State, Zip
Phone Number
Part II
1. Total North Dakota Income Tax withheld this period
2. Penalty (see instructions on Taxpayer's Copy)
3. Interest (see instructions on Taxpayer's Copy)
Make check or money order payable
4. Total Due With Return (add lines 1, 2, & 3)
to North Dakota Tax Commissioner
Part III
I declare that this return has been examined by me and to the best of my knowledge and belief is a true, correct, and complete return.
Taxpayer Signature
Title
Date Signed
Contact Person (Please Print or Type)
Please Do Not Write In This Space
Contact Phone Number
Mail to: Office of State Tax Commissioner
Taxpayer Copy
PO Box 5624
Bismarck, ND 58506-5624
06/2009
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