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PARTNERSHIP EXTENSION PAYMENT VOUCHER Form 58-EXT
OFFICE OF STATE TAX COMMISSIONER
SFN 28732 (12-2021)
2021
Purpose “2021 58-EXT” on it. Complete the Electronic funds transfer—A
If a partnership is applying for an payment voucher below, detach it from payment may be made by means
extension of time to file the 2021 this page, and mail it with the check or of an Automated Clearing House
Form 58, it may prepay the tax money order to: (ACH) credit transaction that
that is expected to be due on it to the taxpayer initiates through its
Office of State Tax Commissioner
avoid paying extension interest. banking institution. For more
600 E. Boulevard Ave., Dept. 127
The payment must be made no later information, go to our website at
Bismarck, ND 58505-0599
than the 15th day of the 4th month www.nd.gov/tax.
following the end of the tax year.
Only a check drawn on a U.S. or
Need help?
Canadian bank in U.S. dollars and
Important: Do not use this extension Phone: 701.328.1258
using a standard 9-digit routing
payment voucher if: Speech or hearing
number is accepted.
• The 2021 Form 58 is filed on impaired—800.366.6888
or before the due date (without
Electronic payment options. Instead Email: individualtax@nd.gov
extension).
of paying by check or money order
• Any tax due on the 2021 Form 58 Privacy Act Notification. In compliance
with this payment voucher, the with the Privacy Act of 1974, disclosure of a
is going to be paid after the due social security number or Federal Employer
payment may be made electronically
date (without extension). Identification Number (FEIN) on this form
in one of the following ways. If is required under N.D.C.C. §§ 57-01-15,
• The payment will be made 57-38-31.1, and 57-38-42, and will be used for
paying electronically, do not use this
electronically—see “How to make tax reporting, identification, and administration
voucher. of North Dakota tax laws. Disclosure is
payment” for payment options. mandatory. Failure to provide the social security
Online—A payment may be made number or FEIN may delay or prevent the
If the 2021 Form 58 is filed after its online with an electronic check or a processing of this form.
due date (without extension), any debit or credit card. The electronic
Record of payment
tax paid with the return is subject to check option is free. North Dakota
extension interest. contracts with a national payment Record the payment here and place in
service to provide the debit or credit 2021 tax records
card option. There is a fee for the
How to make payment Date of payment: ______________
debit or credit card option, none of
If paying by check or money order,
which goes to the State of North
make it payable to “ND State Tax Check number: ______________
Dakota. To pay online, go to
Commissioner,” and write last
www.nd.gov/tax/payment.
four digits of federal employer Amount paid: ______________
identification number (FEIN) and ▼ Detach here and mail with payment ▼
FORM 58-EXT PARTNERSHIP EXTENSION PAYMENT VOUCHER 2021
North Dakota Office of State Tax Commissioner
SFN 28732 (12-2021)
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 "2021 58-EXT" on check
Bismarck, ND 58505-0599 •
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