Form Nd-1es - Estimated Income Tax - Individuals - 2014 Page 4
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4ND-1ES
Form ND-1ES Estimated tax payment voucher - individuals
North Dakota Office of State Tax Commissioner
2014
28709
1st Installment
DO NOT use this voucher if paying electronically
Due April 15, 2014
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
ND-1ES
Form ND-1ES Estimated tax payment voucher - individuals
North Dakota Office of State Tax Commissioner
2014
28709
2nd Installment
DO NOT use this voucher if paying electronically
Due June 15, 2014
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
ND-1ES
Form ND-1ES Estimated tax payment voucher - individuals
North Dakota Office of State Tax Commissioner
2014
28709
3rd Installment
DO NOT use this voucher if paying electronically
Due September 15, 2014
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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