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4 North Dakota Office of State Tax Commissioner
Form
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6 307 North Dakota Transmittal of Wage and Tax Statement 10152301 6
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1. Total ND Tax withheld per
8 Account Number: 99999999999 Calendar Year: YYYY 8
9 W-2s and/or 1099's 999999999999 9
10 Check this box if you no longer have ND employees 2. Total ND Wages paid 999999999999 10
X
11 AND you wish to close the account. If closing, you 11
3. Number of W-2's attached 999999999999
12 MUST indicate the date of last payroll below. 12
4. Number of 1099's attached 999999999999
13 (only attach 1099's with ND state tax withheld) 13
MM/DD/YYYY
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15 Taxpayer NameXXXXXXXXXXXXXXXXX Tax Department use only 15
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Address1XXXXXXXXXXXXXXXXXXXXXX
17 Amount reconciled: 17
Address2XXXXXXXXXXXXXXXXXXXXXX
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City State ZipXXXXXXXXXXXXXXXX NSW
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20 10/2015 Do not submit payments with Form 307. NACTP 20
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