PARTNERSHIP EXTENSION PAYMENT VOUCHER                                                     Form 58-EXT
                    OFFICE OF STATE TAX COMMISSIONER
                    SFN 28732 (12-2022)
                                                                                                                 2022

Purpose                                How to make payment                               Need help?
If a partnership is applying for an    If paying by check or money order,                Phone: 701-328-1258
extension of time to file the 2022     make it payable to “ND State Tax                              Speech or hearing
Form 58, it may prepay the tax         Commissioner,” and write last                                 impaired—800-366-6888
that is expected to be due on it to    four digits of federal employer 
avoid paying extension interest. The   identification number (FEIN) and                  Email:  individualtax@nd.gov
payment must be made no later          “2022 58-EXT” on it. Complete the 
than the 15th day of the 4th month     payment voucher below, detach it 
following the end of the tax year.     from this page, and mail it with the 
                                       check or money order to:                          Privacy Act Notification. In compliance 
Important: Do not use this                                                               with the Privacy Act of 1974, disclosure of a 
extension payment voucher if:            Office of State Tax Commissioner                social security number or Federal Employer 
                                         600 E. Boulevard Ave., Dept. 127                Identification Number (FEIN) on this form 
                                                                                         is required under N.D.C.C. §§ 57-01-15, 
  •  The 2022 Form 58 is filed on or     Bismarck, ND 58505-0599                         57-38-31.1, and 57-38-42, and will be used for 
before the due date (without                                                             tax reporting, identification, and administration 
extension).                            Only a check drawn on a U.S. or                   of North Dakota tax laws. Disclosure is 
  •  Any tax due on the 2022 Form 58   Canadian bank in U.S. dollars and                 mandatory. Failure to provide the social security 
                                                                                         number or FEIN may delay or prevent the 
is going to be paid after the due      using a standard 9-digit routing                  processing of this form.
date (without extension).              number is accepted.
  •  The payment will be made 
electronically—see “How to make        Electronic payment options. 
payment” for payment options.          Instead of paying by check or money 
                                       order with this payment voucher, the               Record of payment
If the 2022 Form 58 is filed after its payment may be made electronically                 Record the payment here and
due date (without extension), any      with an electronic check, a debit or               place in 2022 tax records
tax paid with the return is subject to credit card, or an Automated Clearing 
extension interest.                    House (ACH) credit transaction.                      Date of payment: ____________

                                       To pay electronically, or for more                   Check number: ______________
                                       information, go to www.tax.nd.gov 
                                       and select “Make A Payment.”                         Amount paid:  _______________
                                       If paying electronically, do not 
                                       use this payment voucher.

                                       ▼ Detach here and mail with payment ▼

FORM 58-EXT  PARTNERSHIP EXTENSION PAYMENT VOUCHER                                                                 2022
North Dakota Office of State Tax Commissioner
SFN 28732 (12-2022)
Do not use this voucher if paying electronically
Name Of Partnership As It Will Appear On Form 58
                                                                       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                                       PRT
                                                                                  Write "2022 58-EXT" on check
                                               Bismarck, ND 58505-0599          •