North Dakota Office of State Tax Commissioner
2005 Voluntary Sales and Use Tax Return
This form should not be used by anyone holding an active ND Sales and Use Tax Permit.
Please return this form with payment within 15 days of event activity.
Name of Event or Sales Activity: (Please print)
Location of Event or Sales Activity:
Date of Event or Sales Activity:
Name:
Address:
Phone:
City:
State:
Zip:
Column A
Column B
3%*
5%*
1. Total Sales
(Enter under applicable rate)
2. Nontaxable Sales
(Include sales for resale, sales to tax exempt entities and sales
of exempt goods)
3. Net Taxable Sales
(Line 1 minus Line 2)
4. State Use Tax Due
(Line 3 Col. A times .03 or Line 3 Col. B times .05)
5. Total State Use Tax Due
(Line 4 Col. A plus Line 4 Col. B)
6. Local Option Taxes:
a. Enter Name of City ___________________________________
b. Enter Name of City ___________________________________
c. Enter Name of City ___________________________________
d. Enter Name of County _________________________________
7. Total State and Local Option Tax Due
(Total of lines 5, 6a, 6b, 6c and 6d)
Pay amount due on line 7 to the State Tax Commissioner.
*Please Note: New mobile homes, new farm machinery and new farm irrigation equipment are subject to 3 percent sales tax. To
qualify for the reduced rate, the machinery and irrigation equipment must be used exclusively for agricultural purposes. All other goods
are subject to 5 percent use tax.
Local Option Use Tax
Please complete line 6 to report local option taxes for each city and county in which you had taxable sales. Refer to the chart on the
back of this return for the tax rate for each city and county that imposes a local option sales and use tax.
Local option taxes are limited to $25 per sale except for Bottineau, Cavalier, Dickinson, Fairmount, Fargo, Grand Forks, Gwinner,
Hannaford, Hillsboro, Jamestown, Mayville, Medora, Minot, Oxbow, Portland, Valley City and Williston. For these locations the
maximum tax amounts are: Bottineau, Hannaford, Hillsboro, Jamestown, Mayville, Portland and Williston $50 per sale; Cavalier,
Dickinson, Fargo and Valley City $37.50 per sale; Grand Forks $43.75 per sale; Medora $25 per single unit purchased; Minot $50 per
customer per day; Fairmount, Gwinner and Oxbow have no maximum tax amount.
Park River has imposed a 2 percent sales tax and a 1 percent use tax. The $25 maximum city tax applies to both sales and use tax. See
instructions on back of form for application of Park River tax.
For assistance, write to the address below or call 701-328-3389.
Please Mail To: Office of State Tax Commissioner
Please Do Not
Sales & Withholding Taxes
Write In This Space
600 E. Boulevard Ave., Dept. 127
Bismarck, ND 58505-0599
F22B
000099105002005