pdf2json/test/data/nd/form/NDEZ.content.txt

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1. Single
2. Married filing jointly
3. Married filing separately
4. Head of household
5. Qualifying widow(er)
 7.  Tax due -
If line 3 is LESS than line 2, subtract line 3 from line 2.
        
 1.  Federal taxable income 
from line 43 of Form 1040, line 27 of Form 1040A,
      or line 6 of Form 1040EZ.
A.
from line 37 of Form 1040,
 3.
9.  Balance due.
ND State Tax Commissioner
Mailing address
City
State
Zip code
2013
If line 3 is MORE than line 2, subtract line 2 from line 3;
Deceased
(SX)  D
Your social security number*
Spouse's social security number*
(ND)  1
(SF)  3
(SZ)  7
9
Apt No.
 2.  Tax -
(SB)  2
(SG)  4
5
5.
      contribution to:
Watchable
Wildlife Fund
(SP)
Trees For ND
(SW)
Enter
total
6.  Refund.
Subtract line 5 from line 4.
To 
8
(SU)
(SY)
Enter
total
I declare that this return is correct and complete to the best of my knowledge and belief.
*
Privacy Act - See inside front cover of booklet.
This Space Is For Tax Department Use Only
Phone number 
(
land line
)
Spouse's signature
Paid 
p
re
p
arer si
g
nature                                                                    PTIN                                  Date
I authorize the ND Office of State Tax Commissioner to
discuss this return with the paid preparer.
Phone no.
Print name of paid preparer
it
Date
Type of account
Checking
Savings
c.
C.
Income source code:
     
Tax calculation
Refund
Tax due
Form
ND-
North Dakota Office of State Tax Commissioner
Individual income tax return
for full-year residents with no adjustments or credits
Cell 
p
hone no.
Mail to: Office of State Tax Commissioner,
PO Box 5621, Bismarck, ND 58506-5621
B.
School district code:
     
For a complete return, you must complete Line D.  If zero, enter 0.
Deceased
Extension
extension of time to file
Routing number:
a.
b.
Account number:
8.
     contribution to:
Watchable
Wildlife Fund
Trees For ND
IIT
Date of death
Date of death
MI
Last name
Your first name
MI
Last name
If joint return, spouse's first name 
Fill in if you obtained an
your return: (See page 9)
Filing status used on federal return: 
(Fill in only one)
(See page 19)
(See page 9)
with dependent child
Federal adjusted gross income    
 D.  
Federal adjusted gross income
line 21 of Form 1040A, or line 4 of Form 1040EZ
This is your North Dakota taxable income
Enter tax on amount on line 1 from Tax Table on page 20 of instructions
North Dakota withholding(Attach W-2s, 1099s, and/or North Dakota K-1s)
Tax paid
 4.  
Overpayment -
otherwise, go to line 7.
If less than $5.00, enter 0
Voluntary
Program Trust Fund
If less than $5.00, enter 0
direct deposit
refund, complete items
If less than $5.00, enter 0
Program Trust Fund
Add lines 7 and 8.  Pay to:
For a complete return, you must attach a copy of your 2013 federal tax return
Your signature
Date
(SR) 
6
Voluntary
EZ
a, b, and c. (See page 9)
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