▼ Detach here and mail with payment ▼

FORM 38-EPV  FIDUCIARY ELECTRONIC RETURN PAYMENT VOUCHER 
North Dakota Office of State Tax Commissioner
SFN 28719 (12-2022)
                                                                                                              2022
Do not use this voucher if paying electronically
Name Of Estate Or Trust As It Will Appear On Form 38
                                                                       Federal Employer
                                                                       Identification Number . . . ►
Name Of Fiduciary
                                                                       Tax Year Beginning
                                                                       (mm/dd/yyyy) . . . . . . . . ►
Mailing Address                                                        Tax Year Ending
                                                                       (mm/dd/yyyy) . . . . . . . . ►
City, State, ZIP Code
                                                                       Payment Amount  ► $

• Mail payment and voucher to:  Office of State Tax Commissioner                • Make payable to:
                                               600 E. Boulevard Ave., Dept. 127   ND State Tax Commissioner
                                               Bismarck, ND 58505-0599                                        FID
                                                                                • Write "2022 38-EPV" on check