Fillable Form 58-Ext - Partnership Extension Payment Voucher

North Dakota Ofﬁ ce of State Tax Commissioner

Form

58-EXT

Partnership Extension Payment

2015

Purpose

 Electronic funds transfer—A

four digits of federal employer

identiﬁ cation number (FEIN) and

payment may be made by means

If a partnership is applying for an

“2015 58-EXT” on it. Complete the

of an Automated Clearing House

extension of time to ﬁ le the 2015

payment voucher below, detach it from

(ACH) credit transaction that

Form 58, it may prepay the tax that

this page, and mail it with the check or

the taxpayer initiates through its

is expected to be due on it to avoid

money order to:

banking institution.

paying extension interest. The

payment must be made no later

For more information and to make an

Ofﬁ ce of State Tax Commissioner

than the 15th day of the 4th month

600 E. Boulevard Ave., Dept, 127

electronic payment, go to our website

following the end of the tax year.

Bismarck, ND 58505-0599

Important: Do not use this extension

Need help?

Only a check drawn on a U.S. or

payment voucher if:

Canadian bank in U.S. dollars and

Phone: 701.328.1258

• The 2015 Form 58 is ﬁ led on

using a standard 9-digit routing

Speech or hearing

or before the due date (without

number is accepted.

impaired—800.366.6888

extension).

Email: individualtax@nd.gov

• Any tax due on the 2015 Form 58

Electronic payment options. Instead

is going to be paid after the due

of paying by check or money order

Privacy Act Notiﬁ cation. In compliance

date (without extension).

with the Privacy Act of 1974, disclosure of a

with this payment voucher, the

social security number or Federal Employer

• The payment will be made

payment may be made electronically

Identiﬁ cation Number (FEIN) on this form

electronically—see “How to make

is required under N.D.C.C. §§ 57-01-15,

in one of the following ways. If

57-38-31.1, and 57-38-42, and will be used for

payment” for payment options.

tax reporting, identiﬁ cation, and administration

paying electronically, do not use this

of North Dakota tax laws. Disclosure is

voucher.

mandatory. Failure to provide the social security

If the 2015 Form 58 is ﬁ led after its

number or FEIN may delay or prevent the

 Online—A payment may be made

processing of this form.

due date (without extension), any

online with a debit or credit card

tax paid with the return is subject to

Record of payment

or electronic check. North Dakota

extension interest.

contracts with a national payment

Record the payment here and place in

service to provide this option.

2015 tax records

How to make payment

There is a fee for this service, none

If paying by check or money order,

Date of payment: ______________

of which goes to the State of North

make it payable to “ND State Tax

Dakota.

Commissioner,” and write last

Check number: ______________

Amount paid: ______________

Do not use this voucher

 Detach here and mail with payment 

if paying electronically

58-EXT

Form 58-EXT

Partnership Extension Payment Voucher

North Dakota Office of State Tax Commissioner

28732

2015 Extension Payment (#5)

Calendar year: 2015 (Jan. 1 - Dec. 31, 2015)

Due 15th day of 4th month

following end of tax year.

Fiscal year: Begins

2015, and ends

FEIN

Name as it will appear on North Dakota Form 58

Telephone number

Mailing address

City, state and ZIP code

Amount of payment

For Tax

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

•

Department

use only

Write last four digits of FEIN and "2015 58-EXT" on check or money order.

•

Mail to: Office of State Tax Commissioner, 600 E. Boulevard Ave.,

•

PART

Dept. 127, Bismarck, ND 58505-0599

Form 58-Ext - Partnership Extension Payment Voucher - 2015

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