Form 38-Ext - Fiduciary Extension Payment - 2012
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1North Dakota Offi ce of State Tax Commissioner
Form
38-EXT
Fiduciary extension payment
2012
How to make an
Purpose
extension payment
If you are applying for an extension
of time to fi le the 2012 Form 38, you
Complete the voucher below and mail
may make an extension payment to
it with a check (or money order) to:
prepay the tax that is expected to be
Offi ce of State Tax Commissioner
due to avoid paying extension interest.
600 E. Boulevard Ave., Dept. 127
The payment must be made no later
Bismarck, ND 58505-0599
than the due date of the return (without
extension).
Be sure to include the amount of this
payment on Form 38, page 1, line 9.
Important. Do not use this voucher
if:
• The return is fi led on or before
the due date of the return (without
extension).
• The balance due is going to be
paid after the due date of the return
(without extension).
Any tax due with the return is subject
to extension interest.
Record of payment
Record the payment here and place in
2012 tax records
Date of payment: ______________
Check number: ______________
Amount paid: ______________
Cut carefully along this line to detach.
38-EXT
Form 38-EXT Fiduciary extension payment voucher
North Dakota Office of State Tax Commissioner
28735
2012 Extension Payment (#5)
Calendar year: 2012
(Jan. 1 - Dec. 31, 2012)
Due 15th day of 4th month
following end of tax year.
2012, and ends
Fiscal year: Begins
,
,
Name of estate or trust
FEIN
Name and title of fiduciary
Phone
Mailing address
Amount of Payment
City, state and zip code
For Tax
Make check or money order payable to "ND State Tax Commissioner."
•
Department
use only
Write FEIN and "2012 Form 38-EXT" on check or money order.
•
Mail to: Office of State Tax Commissioner, 600 E. Boulevard Ave.,
•
Dept. 127, Bismarck, ND 58505-0599
FID
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