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North Dakota Application to Obtain Contractor's Request for Clearance
Extracted from PDF file 2023-north-dakota-form-59937.pdf, last modified September 2016Application to Obtain Contractor's Request for Clearance
APPLICATION TO OBTAIN CONTRACTOR'S REQUEST FOR CLEARANCE NORTH DAKOTA OFFICE OF STATE TAX COMMISSIONER SFN 59937 (Revised 6/11) FOR OFFICE USE ONLY Pursuant to North Dakota Century Code §§ 43-07-10 and 43-07-11.1, a request for Income, Sales and Use Tax Clearance Application is made on behalf of: Taxpayer Legal Name Federal Employer Identification Number or Social Security Number Doing Business As Name (if different from line 1) Business Telephone Number Mailing Address Organization Type State City Sole Proprietorship General Partnership LLC Partnership Government Association ZIP Code Corporation Description of Business (list all types of activity) Yes Have business activities been conducted in North Dakota anytime during the past three years? Yes Do you have employees earning a wage in North Dakota? Yes Are you making retail sales in North Dakota? No No No Authorized Signature. I declare under the penalties of N.D.C.C. § 12.1-11-02, which provides for a Class A misdemeanor for making a false statement in a governmental matter, that this application, including any accompanying schedules and statements, has been examined by me and to the best of my knowledge and belief is a true, correct and complete application. Print Name of Authorized Individual Title Telephone Number Signature Date 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. §§ 43-07-10, 43-07-11.1 and 57-01-15, 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. Mail to: Office of State Tax Commissioner Business Registration 600 E. Boulevard Ave., Dept. 127 Bismarck, ND 58505-0599 Contact: Fax: 701-328-0332 Phone: 701-328-1241 Website: tax.nd.gov Email: [email protected]
Application To Obtain Contractor's Request For Clearance
More about the North Dakota Form 59937 Other TY 2023
We last updated the Application to Obtain Contractor's Request for Clearance in February 2024, so this is the latest version of Form 59937, fully updated for tax year 2023. You can download or print current or past-year PDFs of Form 59937 directly from TaxFormFinder. You can print other North Dakota tax forms here.
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Form Sources:
North Dakota usually releases forms for the current tax year between January and April. We last updated North Dakota Form 59937 from the Office of State Tax Commissioner in February 2024.
Historical Past-Year Versions of North Dakota Form 59937
We have a total of three past-year versions of Form 59937 in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:
2023 Form 59937
Application To Obtain Contractor's Request For Clearance
2022 Form 59937
Application To Obtain Contractor's Request For Clearance
2021 Form 59937
Application To Obtain Contractor's Request For Clearance
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