INDIVIDUAL E-FILE RETURN PAYMENT VOUCHER                                                    Form ND-1V
               OFFICE OF STATE TAX COMMISSIONER
               SFN 28726 (12-2022)
                                                                                                           2022

What is Form ND-1V?                                                 Only a check drawn on a U.S. or Canadian bank in U.S. 
                                                                    dollars and using a standard 9-digit routing number is 
Form ND-1V is a form you complete and send in with                  accepted.
a check or money order to pay a balance due on an 
electronically filed North Dakota individual income tax             Electronic payment option. Instead of paying by check 
return. You may also pay a balance due electronically—              or money order with this payment voucher, the payment 
see “Electronic payment option.”                                    may be made online with an electronic check or a debit 
Do not use Form ND-1V to make an extension                          or credit card. To make an electronic payment, go to
payment. Extension payments should be made using                    www.tax.nd.gov and select “Make A Payment.” If 
the extension payment voucher, Form ND-1EXT.                        paying electronically, do not use this voucher.

When is the payment due?                                            Need help?
The payment must be made on or before April 15, 2023,               Phone: 701-328-1242
to avoid any late payment penalty or interest. This                             Speech or hearing impaired—
applies even if you have not received acknowledgement                           800-366-6888
that your electronic North Dakota return was accepted.              Email:  individualtax@nd.gov

How to make payment
                                                                    Privacy Act Notification. In compliance with the Privacy Act of 1974, 
If paying by check or money order, make the check or                disclosure of a social security number or Federal Employer Identification 
money order payable to “ND State Tax Commissioner,”                 Number (FEIN) on this form is required under N.D.C.C. §§ 57-01-15 
and write last four digits of social security number and            and 57-38-31, and will be used for tax reporting, identification, and 
“2022 ND-1V” on check or money order. Complete the                  administration of North Dakota tax laws. Disclosure is mandatory. Failure 
                                                                    to provide the social security number or FEIN may delay or prevent the 
payment voucher, detach it from this page, and mail it              processing of this form.
with the check or money order to:
  Office of State Tax Commissioner
  PO Box 5622
  Bismarck, ND 58506-5622

                                  ▼ Detach here and mail with payment ▼

FORM ND-1V  INDIVIDUAL E-FILE RETURN PAYMENT VOUCHER                                                       2022
North Dakota Office of State Tax Commissioner
SFN 28726 (12-2022)
Do not use this voucher if paying electronically
Name
                                                                    Social Security
                                                                    Number . . . . . . . . . . . . .►
Spouse's Name
                                                                    Spouse's Social
                                                                    Security Number . . . . . ►
Mailing Address

City, State, ZIP Code
                                                                    Payment Amount  ► $
Mail payment and voucher to:  Office of State Tax Commissioner      • Make payable to:
                                            PO Box 5622               ND State Tax Commissioner
                                            Bismarck, ND 58506-5622 • Write last four digits of            ND-1V
                                                                     social security number and
                                                                     "2022 ND-1V" on check