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CORPORATION EXTENSION PAYMENT VOUCHER Form 40-EXT
OFFICE OF STATE TAX COMMISSIONER
SFN 28718 (12-2022)
2022
General information Regardless of which method of Office of State Tax Commissioner
The purpose of Form 40‑EXT, payment is chosen, it must be 600 E. Boulevard Ave., Dept. 127
Corporation Extension Payment made no later than the original Bismarck, ND 58505‑0599
Voucher, is to provide a due date of the return.
corporation that is unable to file The payment must be
its Form 40, Corporation Income A corporation filing on a fiscal accompanied by a completed
Tax Return, by the due date, year basis or on a short period Form 40‑EXT.
the means of remitting its tax return must enter the tax year
payment on or before the original beginning and ending dates To pay electronically
due date of the return. on the Form 40‑EXT voucher, If you choose to pay
otherwise leave blank. electronically, do not use the
A corporation must prepay its voucher below.
entire state tax liability by the To pay by check
regular due date of the tax return Complete the voucher below and An extension payment may be
for the taxable year, or interest at mail it with your check (or money made electronically using an ACH
the rate of 12% per annum will order) to: credit, electronic check, debit
apply to any payment made after card, or credit card. To make
the regular due date of the state an electronic payment or for
tax return. information regarding an ACH
credit, go to the department’s
The extension payment may be website at www.tax.nd.gov.
made by check, money order, or
electronically. Do Not Use This Voucher If:
• The extension payment is made using any type of electronic payment
• The return is filed on or before the original due date of the return
• The balance due is going to be paid after the original due date of the
return
• The corporation files Form 60, Small Business Corporation Income
Tax Return
PRIVACY ACT NOTIFICATION
In compliance with the Privacy Act of 1974, disclosure of a social security number or Federal Employer Identification Number (FEIN) on this
form is required under N.D.C.C. §§ 57-01-15 and 57-38-32, and will be used for tax reporting, identification, and administration of North
Dakota tax laws. Disclosure is mandatory. Failure to provide the social security number or FEIN may delay or prevent the processing of this
form.
▼ Detach here and mail with payment ▼
FORM 40-EXT CORPORATION EXTENSION PAYMENT VOUCHER 2022
North Dakota Office of State Tax Commissioner
SFN 28718 (12-2022)
Do not use this voucher if paying electronically
Name Of Corporation As It Will Appear On Form 40
Federal Employer
Identification Number . . . ►
Mailing Address
Tax Year Beginning
(mm/dd/yyyy) . . . . . . . . ►
City, State, ZIP Code
Tax Year Ending
(mm/dd/yyyy) . . . . . . . . ►
Payment Amount ► $
• Due 15th day of 4th month following end of tax year • Make payable to:
• Mail payment and voucher to: Office of State Tax Commissioner ND State Tax Commissioner
600 E. Boulevard Ave., Dept. 127 CIT
Write "2022 40-EXT" on check
Bismarck, ND 58505-0599 •
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