Form ND-1 2017 Individual Income Tax Return - North Dakota

Form ND-1 or the "Individual Income Tax Return" is a form issued by the North Dakota Office of State Tax Commissioner.

Download a PDF version of the latest Form ND-1 down below or find it on the North Dakota Office of State Tax Commissioner Forms website.

ADVERTISEMENT
Form
North Dakota Office of State Tax Commissioner
2017
ND-1
Individual Income Tax Return
If a fiscal year filer, enter
/
/
fiscal year end: (See page 11)
Your name (First, MI, Last name)
Your social security number
Date of death
Deceased
If joint return, spouse's name (First, MI, Last name)
Spouse's social security number
Deceased
Date of death
Current mailing address
Apt No.
Fill in only if applicable: (See page 11)
Amended return: General
State
Amended return: Federal NOL
ZIP code
City
Extension
State
MN/MT Reciprocity
A. Filing status used
1. Single
4. Head of household
(See page 11)
on federal return:
2. Married filing jointly
5. Qualifying widow(er)
(Fill in only one)
Attach a copy of your 2017 federal
with dependent child
3. Married filing separately
income tax return
C. Income source code:
B. School district code:
Attach W-2s, 1099s, and ND Sch. K-1s
(See page 19)
(See page 11)
showing ND income tax withholding
D. Federal adjusted gross income from Form 1040, line 37, or Form 1040A, line 21,
or Form 1040EZ, line 4
(SX) D
1. Federal taxable income from Form 1040, line 43, or Form 1040A, line 27,
or Form 1040EZ, line 6 (If zero, see page 12 of instructions)
(SS) 1
Additions
2. Lump-sum distribution from Federal Form 4972
(NA) 2
3. Adjustment for loss from an S corporation that elected
(NB) 3
to be taxed as a C corporation
4. a. Planned gift or endowment tax credit adjustment to income
(NK) 4a
b. Housing incentive fund tax credit adjustment to income
(AP) 4b
5. Total additions. Add lines 2 through 4b
5
6. Add lines 1 and 5
6
Subtractions
7. Interest from U.S. obligations
(SN) 7
8. Net long-term capital gain exclusion
(NC) 8
(From worksheet on page 13 of instructions)
9. Exempt income of an eligible Native American
(S4) 9
10. Benefits received from U.S. Railroad Retirement Board
(S5) 10
11. Adjustment for income from an S corporation that elected
to be taxed as a C corporation
(S6) 11
12. National Guard/Reserve member federal active duty pay
(NI) 12
exclusion (Attach copy of Title 10 orders)
13. Nonresident only: Servicemembers Civil Relief Act adjustment
(Attach copy of Form W-2 showing this compensation)
(NJ) 13
14. College SAVE account deduction
(AA) 14
15. Qualified dividend exclusion
(AO) 15
16. Total other subtractions (Attach Schedule ND-1SA)
(AB) 16
17. Total subtractions. Add lines 7 through 16
17
18. North Dakota taxable income. Subtract line 17 from line 6. If less than zero, enter 0
(ND) 18
Form
North Dakota Office of State Tax Commissioner
2017
ND-1
Individual Income Tax Return
If a fiscal year filer, enter
/
/
fiscal year end: (See page 11)
Your name (First, MI, Last name)
Your social security number
Date of death
Deceased
If joint return, spouse's name (First, MI, Last name)
Spouse's social security number
Deceased
Date of death
Current mailing address
Apt No.
Fill in only if applicable: (See page 11)
Amended return: General
State
Amended return: Federal NOL
ZIP code
City
Extension
State
MN/MT Reciprocity
A. Filing status used
1. Single
4. Head of household
(See page 11)
on federal return:
2. Married filing jointly
5. Qualifying widow(er)
(Fill in only one)
Attach a copy of your 2017 federal
with dependent child
3. Married filing separately
income tax return
C. Income source code:
B. School district code:
Attach W-2s, 1099s, and ND Sch. K-1s
(See page 19)
(See page 11)
showing ND income tax withholding
D. Federal adjusted gross income from Form 1040, line 37, or Form 1040A, line 21,
or Form 1040EZ, line 4
(SX) D
1. Federal taxable income from Form 1040, line 43, or Form 1040A, line 27,
or Form 1040EZ, line 6 (If zero, see page 12 of instructions)
(SS) 1
Additions
2. Lump-sum distribution from Federal Form 4972
(NA) 2
3. Adjustment for loss from an S corporation that elected
(NB) 3
to be taxed as a C corporation
4. a. Planned gift or endowment tax credit adjustment to income
(NK) 4a
b. Housing incentive fund tax credit adjustment to income
(AP) 4b
5. Total additions. Add lines 2 through 4b
5
6. Add lines 1 and 5
6
Subtractions
7. Interest from U.S. obligations
(SN) 7
8. Net long-term capital gain exclusion
(NC) 8
(From worksheet on page 13 of instructions)
9. Exempt income of an eligible Native American
(S4) 9
10. Benefits received from U.S. Railroad Retirement Board
(S5) 10
11. Adjustment for income from an S corporation that elected
to be taxed as a C corporation
(S6) 11
12. National Guard/Reserve member federal active duty pay
(NI) 12
exclusion (Attach copy of Title 10 orders)
13. Nonresident only: Servicemembers Civil Relief Act adjustment
(Attach copy of Form W-2 showing this compensation)
(NJ) 13
14. College SAVE account deduction
(AA) 14
15. Qualified dividend exclusion
(AO) 15
16. Total other subtractions (Attach Schedule ND-1SA)
(AB) 16
17. Total subtractions. Add lines 7 through 16
17
18. North Dakota taxable income. Subtract line 17 from line 6. If less than zero, enter 0
(ND) 18
North Dakota Office of State Tax Commissioner
2017 Form ND-1, page 2
19. Enter your North Dakota taxable income from line 18 of page 1
19
Tax calculation
20. Tax - If a full-year resident, enter amount from Tax Table on page 20 of instructions; however,
if you have farm income or sold a research tax credit, see page 13 of instructions; OR
If a full-year nonresident or part-year resident, enter amount from Schedule ND-1NR,
line 21; however, if you sold a research tax credit, see page 13 of instructions
(SB) 20
Credits
21. Credit for income tax paid to another state or local jurisdiction
(Attach Schedule ND-1CR)
(SD) 21
22. Marriage penalty credit for joint filers
(From worksheet on page 14 of instructions)
(AC) 22
23. Total other credits (Attach Schedule ND-1TC)
(AE) 23
24
24. Total credits. Add lines 21 through 23
25. Net tax liability. Subtract line 24 from line 20. If less than zero, enter 0
(SE) 25
Tax paid
26. North Dakota income tax withheld from wages and other
payments (Attach Form W-2, Form 1099, and North Dakota
(SF) 26
Schedule K-1)
27. Estimated tax paid on 2017 Forms ND-1ES and ND-1EXT
plus an overpayment, if any, applied from your 2016 return
(S&) 27
28. Total payments. Add lines 26 and 27
(AJ) 28
Refund
29. Overpayment - If line 28 is MORE than line 25, subtract line 25 from line 28;
otherwise, go to line 33. If less than $5.00, enter 0
(SG) 29
30. Amount of line 29 that you want applied to your 2018 estimated tax
(SQ) 30
31. Voluntary
Watchable
Trees For ND
Enter
contribution to:
Wildlife Fund
Program Trust Fund
(SP)
(SW)
31
total
(SR) 32
32. Refund. Subtract lines 30 and 31 from line 29. If less than $5.00, enter 0
To direct deposit your refund,
a.
Routing number:
complete items a, b, and c.
b. Account number:
(See page 15)
Type of account:
Checking
Savings
c.
Tax Due
33. Tax due - If line 28 is LESS than line 25, subtract line 28 from line 25.
If less than $5.00, enter 0
(SZ) 33
34
34. Penalty
Interest
Enter total
(AL)
(AK)
Watchable
35. Voluntary
Trees For ND
Enter
35
Wildlife Fund
Program Trust Fund
contribution to:
(SU)
(SY)
total
36. Balance due. Add lines 33, 34, 35, and, if applicable, line 37.
Pay to: ND State Tax Commissioner
36
(SO) 37
37. Interest on underpaid estimated tax from Schedule ND-1UT
Fill in the circles that apply:
1099-G consent-I agree to obtain Form 1099-G electronically at www.nd.gov/tax.
Disclosure authorization-I authorize the ND Office of State Tax Commissioner to
(See page 16 of instructions)
discuss this return with the paid preparer identified below.
I declare that this return is correct and complete to the best of my knowledge and belief.
* Privacy Act - See inside front cover of booklet.
Your signature
Date
Telephone number (land line)
This Space Is For Tax Department Use Only
Spouse's signature
Telephone number (cell)
Date
Paid preparer signature
PTIN
Date
IIT
Telephone number
Print name of paid preparer
i
t
Mail to: Office of State Tax Commissioner,
PO Box 5621, Bismarck, ND 58506-5621
North Dakota Office of State Tax Commissioner
Form
ND-1PRV
2017
Paper Return Payment Voucher
(for Individuals)
How to make payment
What is Form ND-1PRV?
The 2017 Form ND-1PRV is a payment voucher that you
Make your check or money order payable to “ND State
complete and send in with your return if you:
Tax Commissioner.” Write the last four digits of your
social security number and “2017 ND-1PRV” on your
● are filing your 2017 Form ND-EZ or Form ND-1 on
check or money order. Complete the payment voucher,
paper,
detach it from this page, and enclose it with your payment
● have a balance due on your return, and
and return. Do not send cash.
● are paying the balance due with a paper check or money
Don’t staple or otherwise attach your check or money
order.
order to the payment voucher or your return. Instead, just
Do not use Form ND-1PRV if you filed or are going
place them in the envelope with your return.
to file your return electronically, or are paying a
balance due electronically.
Mail your return, payment and voucher to:
Also do not use this form to make an extension
payment; instead, if you have an extension of time
Office of State Tax Commissioner
to file your Form ND-1 and you want to make an
PO Box 5621
advance payment of an expected balance due on it,
use Form ND-1EXT.
Bismarck, ND 58506-5621
When is the payment due?
Privacy Act Notification. In compliance with the Privacy Act of 1974,
A balance due on a 2017 Form ND-EZ or 2017
disclosure of a social security number or Federal Employer Identification
Form ND-1 must be paid on or before April 15, 2018, to
Number (FEIN) on this form is required under N.D.C.C. §§ 57-01-15
and 57-38-31, and will be used for tax reporting, identification, and
avoid any late payment penalty and interest charges.
administration of North Dakota tax laws. Disclosure is mandatory. Failure
to provide the social security number or FEIN may delay or prevent the
processing of this form.
Detach here and enclose with payment
Form ND-1PRV Paper Return Payment Voucher
(for Individuals)
North Dakota Office of State Tax Commissioner
28756
2017
Do not use this voucher if filing or paying electronically
Name (first, middle initial and last)
Your social security number
Spouse's name (first, middle initial and last)
Spouse's social security number
Mailing address
Amount of payment
City, state and ZIP code
For Tax
Make check or money order payable to "ND State Tax Commissioner."
Department
Write last four digits of social security number and "2017 ND-1PRV" on
use only
check or money order.
Enclose payment and voucher in envelope with return.
ND-1PRV
ADVERTISEMENT
Page of 3