Form Nd-1es - Estimated Income Tax - Individuals - 2014 Page 3
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42014 Form ND-1ES, page 3
North Dakota Offi ce of State Tax Commissioner
Write
Call
Offi ce of State Tax Commissioner
Questions:
(701) 328-1247
600 E. Boulevard Ave., Dept. 127
Forms:
(701) 328-1243
Bismarck, ND 58505-0599
If speech or hearing impaired, call us through
Relay North Dakota at 1-800-366-6888.
Walk-in assistance
Stop in to see us in person at our main offi ce in Bismarck. You
E-mail
will fi nd us in the—
Request forms, ask questions, or send messages to
Individual Income Tax Section
us via e -mail at—
State Capitol, 16th Floor
individualtax@nd.gov
Monday through Friday (except holidays)
8:00 a.m. to 5:00 p.m.
Web site
Our Web site address is—
Record of estimated tax payments for 2014 tax year
Check or
Amount, if any,
Installment
Payment
money order
applied from
Total
number
due date
1
Date paid
number
Amount paid
2013 return
2
amount paid
1
April 15, 2014
2
June 15, 2014
3
Sept. 15, 2014
4
Jan. 15, 2015
Total estimated tax paid for 2014 ...............................................................................................................................................
1
In the case of (1) a fi scal year fi ler, (2) a farmer, or (3) an individual whose estimated tax requirement does not begin until after April 15, 2014, see
instructions for applicable due dates.
2
If you attached a statement to your 2013 North Dakota return electing to apply part or all of your 2013 overpayment to a quarter other than the fi rst
quarter of 2014, enter the overpayment on the applicable quarter’s line.
ND-1ES
Form ND-1ES Estimated tax payment voucher - individuals
North Dakota Office of State Tax Commissioner
2014
28709
4th Installment
DO NOT use this voucher if paying electronically
Due January 15, 2015
Name (first, middle initial and last)
Your Social Security Number
Spouse's Social Security Number
If Joint Estimate, Spouse's Name (first, middle initial and last)
Mailing Address
Amount of Payment
City, State and ZIP Code
For Tax
Department
use only
Make check or money order payable to "ND State Tax Commissioner."
•
Write social security number(s) and "2014 Form ND-1ES" on check or
•
money order.
Mail to: Office of State Tax Commissioner, PO Box 5622, Bismarck, ND
IIT
•
58506-5622
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