Ndw R Form PDF Details

Navigating the complexities of state income tax can often be a cumbersome process for employees and employers alike, especially when residency and work locations span across state lines. The NDW-R form, developed by the North Dakota Office of State Tax Commissioner, serves as a valuable resource for residents of Minnesota and Montana working in North Dakota, providing a pathway to exemption from North Dakota income tax withholding. This reciprocity exemption form not only specifies the criteria for eligibility but also requires detailed information including the employee's personal and employment details, alongside declarations affirming the accuracy and completeness of the information provided under the penalty of perjury. The form emphasizes the importance of the calendar year for which the exemption is sought and outlines procedural steps for both employees and employers, signaling the necessity of thoroughness and timeliness in its submission. Moreover, the form delineates the conditions under which North Dakota income tax would not be withheld and the implications for residents of Minnesota regarding their residency status and frequency of return to their permanent residence. Additionally, the document highlights the confidential nature of the information collected and its potential use, underscoring the legal and procedural framework designed to facilitate the reciprocal income tax exemption process for qualifying residents of Minnesota and Montana working in North Dakota.

QuestionAnswer
Form NameNdw R Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesNorth_Dakota, Minnesota, form ndw r, ndw r

Form Preview Example

For m

Nor t h Dak ot a Office of St at e Tax Com m issioner

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

N D W - R

Re cip r ocit y e x e m p t ion f r om w it h h old in g f or q u a lif y in g M in n e sot a a n d

M on t a n a r e sid e n t s w or k in g in N or t h D a k ot a

Ple a se t y p e or pr in t in bla ck or blu e in k . Fill in cir cle s com p le t e ly .

 

Se e in st r u ct ion s on b a ck b e f or e com p le t in g

 

 

For calendar year: 2 0

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Em ploy e e in for m a t ion

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Employee's name (last, first, middle initial)

 

 

Employee's social security number

 

 

 

 

 

 

 

 

 

 

 

 

Employee's permanent address

State (fill in

 

 

 

 

 

 

 

 

applicable circle)

 

 

 

 

Minnesota

 

 

 

 

Montana

 

City

 

 

 

Zip code

 

Em p loy e e r e side n cy in for m a t ion

1 . I have lived at the above address since (month/day/year):

2 . Will you return to the above address at least once a month?

Yes

Month/Day/Year

No If you are a resident of Minnesota and answer "No" to this question, you do not qualify for this exemption.

3 . Were you ever a resident of North Dakota in the past three years?

Yes

No

If yes, fill in the dates you were a North

 

 

Dakota resident (month/day/year):

 

to

Month/Day/YearMonth/Day/Year

4 . Fill in the wages you earned in North Dakota during the previous calendar year:

Em p loy e r in for m a t ion

Current employer's name

Employer's mailing address

Employer's federal ID

Phone number

City

State

Zip code

Em ploy e e ' s sign a t u r e

I declare under the penalties of North Dakota Century Code §12.1-11-02, which provides for a Class A misdemeanor for making a false statement in a governmental matter, that this form has been examined by me and to the best of my knowledge and belief is true, correct, and complete.

Employee's signature

Date signed

Employee's daytime phone number

Em p lo y e e - Make a copy for your records. Give this completed form to your employer.

Em p lo y e r - Verify that the Employer's Federal ID is correct. Make a copy for your records.

Mail this form to: Office of State Tax Commissioner, 600 E Boulevard Ave., Dept. 127, Bismarck, ND 58505-0599.

w w w . n d . g ov / t a x

For m N D W - R

In st r u ct ion s f or e m p loy e e

North Dakota has income tax reciprocity agreements with Minnesota and Montana. If you are a resident of one of these states, the agreements provide that

you do not have to pay North Dakota income tax on wages you earn for work in North Dakota. If you are a resident of Minnesota, this applies only if you return to your permanent residence in Minnesota at least once a month.

Note: The wages you earn for work in North Dakota are subject to income tax in your state of residence.

If you do not want North Dakota income tax withheld from your wages,

you must complete this form and give it to your employer by February 28 of the calendar year for which you want it to apply, or within 30 days after you begin working or change your permanent residence. You must complete a new form and give it to your employer each year to continue the exemption from withholding.

If you do not complete this form and give it to your employer as explained above, your employer must withhold North Dakota income tax from your wages.

If North Dakota income tax was

already withheld from your wages, you must complete and fi le a North Dakota income tax return at the end of the year to obtain a refund.

in st r u ct ion s

Fill out t he for m com plet ely

If you do not fi ll in every item on this form, your employer must withhold North Dakota income tax from your wages. Sign and date the form. Your phone number is not required, but we ask for it so we can contact you if we have questions.

Your employer will be able to provide you with the correct federal ID number if you do not have this information.

Make a copy of this form for your records and give the original to your employer.

Use of infor m at ion

All information on this form is

confi dential by state law. It may only be given to your state of residence, the Internal Revenue Service, other states that guarantee the same confidentiality, and to other state agencies as provided by law. The information may be compared with other information you furnished to the Offi ce of State Tax Commissioner.

Your name, address and social security number are required for identification. Your address is also required to verify your state of residence. Your employer’s name, address, federal ID number and phone number are required in case we have to contact your employer regarding withholding income tax from your wages. If you do not complete any of this information, your employer is required to withhold North Dakota income tax from your wages.

In st r u ct ion s f or e m p loy e r

Employees who reside in Minnesota or Montana who ask you not to withhold North Dakota income tax from their wages must complete this form and give it to you by February 28 or within 30 days after they begin working for you or change their residence. Employees who live in other states, including North Dakota, cannot use this form.

For forms received by February 28, mail the original on or before March 31 to: Offi ce of State Tax Commissioner 600 E. Boulevard Ave., Dept. 127 Bismarck, ND 58505-0599

For new employees or employees who change their permanent home address, mail the original to the above address within 30 days of receipt.

Please verify your federal ID number is

correct. Make a copy of the completed form for your records.

If an employee does not fi ll in every item on this form and the employee does not correct the omission, you must withhold North Dakota income tax from the employee’s wages.

An employee must complete this form and give it to you each year to continue the exemption from withholding.

N e e d f or m s or a ssist a n ce ?

V isit ou r W e b sit e

You can download tax forms, ask us a question or send us a message via e-mail, and fi nd other useful information on our Web site at: www.nd.gov/tax.

Ca ll u s

For additional NDW-R forms, you may call (701) 328-1243.

For questions about this form or about income tax withholding, please call (701) 328-1248.

The speech or hearing impaired may call us through Relay North Dakota at 1-800-366-6888.

W r it e t o u s

You may also write to: Offi ce of State Tax Commissioner, 600 E. Boulevard Ave., Dept. 127, Bismarck, ND 58505-0599.

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1. The form ndw r requires certain details to be entered. Be sure the following fields are finalized:

Step # 1 for filling out gov

2. Soon after the previous array of blank fields is done, proceed to type in the relevant information in all these - Were you ever a resident of, Yes, If yes fill in the dates you were, MonthDayYear, MonthDayYear, Fill in the wages you earned in, Em ploye r infor m a t ion, Current employers name, Employers mailing address, City, Em ploye e s sign a t ur e, Employers federal ID, Phone number, State, and Zip code.

Zip code, Fill in the wages you earned in, and Employers federal ID in gov

3. Completing I declare under the penalties of, Employees signature, Date signed, Employees daytime phone number, Em ploy e e Make a copy for your, Em ploy e r Verify that the, and w w w ndgov t a x is essential for the next step, make sure to fill them out in their entirety. Don't miss any details!

gov writing process outlined (stage 3)

Always be really careful when filling out Employees daytime phone number and w w w ndgov t a x, since this is the part in which many people make mistakes.

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