North Dakota Paper Return Payment Voucher

Paper Return Payment Voucher
Form ND-1PRV - Individual Paper Return Payment Voucher - 2023
INDIVIDUAL PAPER RETURN PAYMENT VOUCHER

Form ND-1PRV

OFFICE OF STATE TAX COMMISSIONER

2023

SFN 28756 (12-2023)

What is Form ND-1PRV?
The 2023 Form ND-1PRV is a payment voucher that you
complete and send in with your return if you:
	 ●	are filing your 2023 Form ND-EZ or Form ND-1 on
paper,
	 ●	have a balance due on your return, and
	 ●	are paying the balance due with a paper check or
money order.
Do not use Form ND-1PRV if you filed or are going
to file your return electronically, or are paying
a balance due electronically - see “Electronic
payment option.”
Also do not use this form to make an extension
payment; instead, if you have an extension of time
to file your Form ND-1 and you want to make an
advance payment of an expected balance due on it,
use Form ND-1EXT.

	 Office of State Tax Commissioner
	 PO Box 5621
	 Bismarck, ND 58506-5621
Only a check drawn on a U.S. or Canadian bank in U.S.
dollars and using a standard 9-digit routing number is
accepted.
Electronic payment option. Instead of paying by
check or money order with this payment voucher, the
payment may be made online with an electronic check
or a debit or credit card. To make an electronic payment,
go to www.tax.nd.gov and select “Make A Payment.” If
paying electronically, do not use this voucher.

Need help?
Phone:	 701-328-1242
	
Speech or hearing impaired - 800-366-6888
Email:	 [email protected]

When is the payment due?
A balance due on a 2023 Form ND-EZ or 2023
Form ND-1 must be paid on or before April 15, 2024, to
avoid any late payment penalty and interest charges.

How to make payment
Make your check or money order payable to “ND State
Tax Commissioner.” Write the last four digits of your
social security number and “2023 ND-1PRV” on your
check or money order. Complete the payment voucher,
detach it from this page, and mail it with your payment
and return to:

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 57-38-31, 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 ND-1PRV INDIVIDUAL PAPER RETURN PAYMENT VOUCHER
North Dakota Office of State Tax Commissioner

2023

SFN 28756 (12-2023)

Do not use this voucher if paying electronically
Name

Spouse's Name
Mailing Address

Social Security
Number . . . . . . . . . . . . .►
Spouse's Social
Security Number . . . . .

►

City, State, ZIP Code

Payment Amount ►
Mail payment and voucher to: Office of State Tax Commissioner
PO Box 5621
Bismarck, ND 58506-5621

•

$

Make payable to:
ND State Tax Commissioner
• Write last four digits of
social security number and
"2023 ND-1PRV" on check

ND-1PRV