Tax Amnesty Application Form - 2003
Download a blank fillable Tax Amnesty Application Form - 2003 in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Tax Amnesty Application Form - 2003 with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2North Dakota Office of State Tax Commissioner
Tax Amnesty Application
The Tax Amnesty period is from Wednesday, October 1, 2003 through Saturday, January 31, 2004
A. Taxpayer Information
Taxpayer Name (Last, First, Middle Initial)
Taxpayer Social Security Number
Spouse's Name - if joint return (Last, First, Middle Initial)
Spouse Social Security Number
Business Name (DBA) (If Applicable)
If you are applying for amnesty for multiple
taxpayer ID numbers (such as multiple sales tax
permits), list each taxpayer ID on a separate sheet
Name of Contact Person
and attach to this application.
FEIN
Mailing Address
Sales Tax Permit Number (if applicable)
City
State
Zip Code
Daytime Phone Number
Fax Number
B. Participation Requirements
Participants in the Tax Amnesty program owe certain state and local taxes, penalty, or interest for an original return due date prior to
July 1, 2003 and have not filed a return, or filed an incorrect return, or filed a correct return but did not pay the tax.
All participants must sign, date, and submit a North Dakota Tax Amnesty Application.
Participants conducting business in North Dakota that are not registered in the state must complete and attach the appropriate business
registration form (for example: a sales tax permit, withholding tax account).
All participants must attach all previously unfiled or amended returns to the Tax Amnesty Application. If applicable, attach copies of
the most recent accounts receivable billing, Notice of Determination, Notice of Reconsideration, and Proposed Assessment.
All applications, required documentation, and payment must be postmarked by the U.S. Postal Service between Wednesday, October 1,
2003 and Saturday, January 31, 2004.
A minimum payment of 50 percent of the total tax is due with the Tax Amnesty Application, unless paying by credit card (see Part C
below). The remaining balance of tax and interest must be paid in full between October 1, 2003 and January 31, 2004. (Be sure to
keep copies of the Tax Amnesty Application and cancelled checks for your records.)
Participants agree to withdraw any pending protest or proceedings about the tax and interest reported under Tax Amnesty and
understand that any protest or proceedings cannot be refiled.
C. Payment
To receive a complete waiver of penalty and a waiver of 75 percent of the statutory interest, you must pay in full within the Tax Amnesty
period. Failure to pay in full within the Tax Amnesty period will result in a revocation of Amnesty and reinstatement of full penalty and
interest. Payment may be made by check, money order, cashier's check, cash, or credit card. Cash payments are only accepted if made in
person at the Tax Department. Payment may be made by credit card only over the Internet through our service provider. Please indicate
below the total amount of payment you are providing with this Application and the payment terms which apply:
Total amount enclosed with this Application
$
Provide details on payment in Part D, Sections 1, 2, and 3
Payment
Full payment of tax and interest is enclosed. (100% of penalty and 75% of interest waived.)
terms:
Full payment of tax is enclosed. I would like help computing the interest that is due.
(All penalties and 75% of the interest will be waived provided payment in full is postmarked by the U.S. Postal Service by 1/31/04.)
Payment of 50 % of total tax is enclosed. Full payment of the remaining tax and interest will be postmarked by 1/31/04.
(All penalties and 75% of the interest will be waived provided payment in full is postmarked by the U.S. Postal Service by 1/31/04.)
Credit card
Check this box if you are making payment by credit card.
payment:
Credit card payment may only be made over the Internet through Link2Gov Corporation.
To pay by credit card, go to
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial