CORPORATION RETURN PAYMENT VOUCHER                                                                   Form 40-PV
               OFFICE OF STATE TAX COMMISSIONER
               SFN 28752 (12-2021)
                                                                                                                    2021

What is Form 40-PV?                                                                 Office of State Tax Commissioner
If you file a North Dakota return with a balance due,                               600 E. Boulevard Ave. Dept. 127
you must separately submit your payment of the balance                              Bismarck, ND 58505-0599
due—see “How to make payment” for your payment 
options.                                                                          Payment in the form of a check drawn on an 
Do not use Form 40-PV to make an extension                                       international bank, except Canada, cannot be accepted. 
                                                                                 A check must be drawn on a U.S. or Canadian bank, 
payment. Extension payments should be made using 
                                                                                 be in U.S. dollars, and use a standard nine digit routing 
the extension payment voucher, Form 40-EXT.
                                                                                 number.
Do not use Form 40-PV if you pay your balance 
due electronically—see “How to make payment” 
for payment options.                                                              Electronic payment options. Payment may be made 
                                                                                 electronically using an ACH credit, credit card, debit 
A corporation filing on a fiscal year basis or on a short                        card, or electronic check. Visit our website at
period return must enter the tax year beginning and                              www.nd.gov/tax. Click on For Businesses/Make a 
ending dates on the Form 40-PV voucher, otherwise                                Payment. Note that ACH “debit” payments are allowed 
leave blank.                                                                     on electronically filed returns.

When is the payment due?                                                         If paying electronically, do not use this payment 
  The payment must be made on or before the 15th day of                          voucher.
the 4th month following the end of the tax year to avoid 
any late payment penalty or interest.                                           Who to contact for help
                                                                                  Corporate Income Tax: 701-328-1249
How to make payment
  If paying by paper check or money order, make the 
check or money order payable to “ND State Tax 
Commissioner.” Complete the payment voucher, detach 
it from this page, and mail it with the paper check or 
money order to:

                                      ▼ Detach here and mail with payment ▼

FORM 40-PV  CORPORATION RETURN PAYMENT VOUCHER                                                                      2021
North Dakota Office of State Tax Commissioner
SFN 28752 (12-2021)
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 "2021 40-PV" on check
                                               Bismarck, ND 58505-0599           •