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4 Form 306 - Income Tax Withholding Return
5 North Dakota Office of State Tax Commissioner 5
6 SFN 28229 (8-2018) 6
7 7
8 (A) X Check this box if this is an amended return. (C) X Check this box if you have been 8
9 assigned a new federal ID #. Enter 9
10 Account Due your new ID # here: 10
Number 99999999999 Date MM/DD/YYYY
11 XX-XXXXXXX 11
Period
12 Ending MM/DD/YYYY 12
13 13
14 Taxpayer NameXXXXXXXXXXXXXXXXX 14
15 Address1XXXXXXXXXXXXXXXXXXXXXX 15
16 Address2XXXXXXXXXXXXXXXXXXXXXX 16
17 City State ZipXXXXXXXXXXXXXXXX 17
18 18
19 X Check this box if your address has changed. 19
20 20
21 PART I - Complete Part I only if this is a FINAL return (C) X Check this box if this business has changed 21
22 ownership. Provide name, address, and 22
telephone number of new owner:
23 (O) X Check this box if you are no longer in 23
24 business or no longer have employees, NameXXXXXXXXXXXXXXXXXX 24
25 and enter your last day of business or AddressXXXXXXXXXXXXXXX 25
26 employment. City,State,ZipXXXXXXXX 26
27 27
MM/DD/YYYY (999) 999-9999
28 28
29 PART II 29
30 1. Total North Dakota income tax withheld this period 999999999999.99 30
31 31
32 1a. North Dakota Tax originally reported (Amended return only) 999999999999.99 32
33 33
34 2. Total Tax Due/or (Refund) 999999999999.99 34
35 35
36 3. Penalty 999999.99 Interest 999999.99 Enter Total 999999999999.99 36
37 37
38 4. Total due with return (add lines 1, 2 & 3) Make check payable to North Dakota Tax Commissioner 999999999999.99 38
39 39
40 X I authorize the North Dakota Office of State Tax Commissioner to discuss this return with the contact person listed below. 40
41 41
42 Taxpayer Signature Title Date 42
43 43
Contact Person (Please Print or Type) Contact Phone Number
44 NACTP 44
45 45
46 I declare that this return has been examined by me and to the best of my knowledge and belief is a true, correct, and complete return. 46
47 47
48 Form 306 - Income Tax Withholding Return Payment Voucher 48
49 North Dakota Office of State Tax Commissioner 49
50 50
51 51
52 Taxpayer NameXXXXXXXXXXXXXXXXX 52
53 Address1XXXXXXXXXXXXXXXXXXXXXX 53
54 54
Address2XXXXXXXXXXXXXXXXXXXXXX
55 City State ZipXXXXXXXXXXXXXXXX 99999999999 55
56 56
57 57
58 58
MM/DD/YYYY
59 59
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999999999999.99
62 62
Mail to: Office of State Tax Commissioner
PO Box 5624, Bismarck, ND 58506-5624 WTH
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