North Dakota Individual Income Tax Form (EZ Version)

Individual Income Tax Form (EZ Version)
Form ND-EZ
INDIVIDUAL INCOME TAX RETURN
OFFICE OF STATE TAX
TAX COMMISSIONER
COMMISSIONER

Form
FormND-EZ
ND-EZ

SFN 28745 (12-2025)

2025
2025

No Adjustments
Adjustments or
Or Credits
Credits
For Full-Year Residents With
with No
Your First Name and Middle Initial

Last
Last Name
name

Deceased

Date Of
of Death
Date

Your Social Security
Security Number
Number
Your

Spouse's First Name and MI
If Joint Return, Spouse’s

Last Name
name
Last

Deceased

Date
Date Of
of Death

Spouse's
Spouse’s Social
Social Security
Security Number
Number

Current Mailing Address

Apt. Number
Number
Apt.
	

City

State

A. Filing
Filing
status
used
on federal
return:
only one)
A.
status
used
on federal
return:
(Fill in(Fill
onlyin
one)
	

	
	

1. Single
Single	
2. Married filing jointly
jointly	
separately	
3. Married filing separately

4. Head of household
5. Qualifying surviving
	 spouse
spouse

ZIP Code
Code
ZIP

	

Attacha acopy
copy
your
entire
federal
Attach
of of
your
entire
20252025
federal
income
tax
return
income
tax return
AttachW-2s,
W-2s,
1099s,
and/or
ND K-1s
Sch. showing
K-1s
Attach
1099s,
and/or
ND Sch.
ND
IncomeND
taxincome
withholding
showing
tax withholding

B. School District Code:
B.
	
(See instructions)

D.
D.
	
	

C. Income
Income Source
Source Code:
Code:
C.
	 (See
(Seeinstructions)
instructions)

Fill in
in ifif you
you obtained
obtained
Fill
an extension to file:
(See instructions)
Extension
Extension

Tax Calculation

	 1.	
a.	 Federal
Federal adjusted
adjusted gross
gross income
income from
from Form
Form 1040 or 1040-SR, line
(SX)1a
1a __________________
1. a.
line 11a.
11a. If
If zero,
zero, enter
enter 0_  _  _ (SX)
0
		
b.	 Federal taxable income from Form 1040 or 1040-SR, line 15. If zero, enter 0 _  _  _  _  _  _  _ (ND)
(ND)
1b1b __________________
b. Federal taxable income from Form 1040 or 1040-SR, line 15. If zero, enter 0
	2.	Tax - Enter tax on amount on Line 1b from Tax Table in instructions _  _  _  _  _  _  _  _  _  _  _  _  _  _  _ (SB)
(SB)22 __________________
2. Tax - Enter tax on amount on Line 1b from Tax Table in instructions

Tax Paid

	3.	North
3. North Dakota income tax withheld from wages and
and other
other payments.
payments. (Attach
(Attach Form
Form W-2,
W-2,
(SF) 3
K-1) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ (SF)
		 Form
Form 1099, and/or North Dakota Schedule K-1)
3

__________________

Refund
	4.	Overpayment
from line
line 3;
3; otherwise,
otherwise,
4. Overpayment - If line 3 is MORE than line 2, subtract line 2 from
(SG) 4
		
go to line 7. If less than $5.00, enter
4 __________________
enter 0
0 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _  (SG)
	5.	Voluntary
(AS) _________
5. Voluntary contribution(s): Veterans’
Veterans' Postwar
Postwar Trust
Trust Fund	
Fund (AS)
		

Enter
Enter
Watchable Wildlife Fund
(SP) __________ 	 Trees
Trees for
(SW) _________ 	 total
total	 55 __________________
Watchable
Fund (SP)
For ND
NDTrust
TrustFund	
Fund (SW)

	6.	Refund.
(SR)6
6. Refund. Subtract line 5 from line 4. If less
less than
than $5.00,
$5.00, enter
enter 0
0 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ (SR)
6 __________________
To direct deposit
To
a. Type of
b. Routing
Routing Number
Number
Of Account
Account
b.
refund, complete
complete items
refund,
Checking
Savings
	
Checking	
Savings
a,b,
a,
b, and
and c.
c. (See
(See instructions)
instructions)

AccountNumber
Number
c.c.Account

Tax Due
from line
line 2.
2.
	 7.
7.	 Tax
Tax due
due - If line 3 is LESS than line 2, subtract line 3 from
(SZ) 77 __________________
		
If less
less than
than $5.00,
$5.00, enter
enter 0
0 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ (SZ)

	8.	Voluntary
8. Voluntary contribution(s): Veterans’
Veterans' Postwar
Postwar Trust
TrustFund	
Fund
		

(AT) _________
(AT)

Enter
Enter
(SY) __________ 	 total
Watchable Wildlife Fund
(SU) __________ 	 Trees
forFor
NDND
Trust
Fund	
total	 88 __________________
Watchable
Fund (SU)
Trees
Trust
Fund (SY)

	 9.
9.	 Balance due.
ND Office of State Tax Commissioner
Commissioner _ _ _ _ _ _ _ _ _ _ 99 __________________
due. Add
Add lines
lines 77 and
and 8.
8. Pay
Pay to:
to: ND
	

Fill
Fill in
in the circles that apply:
apply:	

		
(See page 10 of instructions)
	
	

1099-G consent-I
consent: I agree
agree to
to obtain
obtain Form
Form 1099-G
1099-G electronically at www.tax.nd.gov.

authorize the
the ND
ND Office of State Tax Commissioner
Disclosure authorization:
authorization-II authorize
Commissioner to
to
below.
discuss this return with the paid preparer identified below.

I declare that this return is correct
Privacy Act
Act -- See
See inside
inside front
front cover
cover of
of booklet.
booklet.
correct and
and complete
complete to
to the
the best
best of
of my
my knowledge
knowledge and
and belief.
belief. ** Privacy
Your Signature

Date

Telephone Number
Number
Telephone

Spouse’s Signature
Spouse's

Date

Telephone
Telephone Number
Number

Paid
Paid Preparer
Preparer Signature
Signature

Preparer Tax ID Number

Print
Print Name
Name Of
of Paid Preparer Signature

 Mail

Mailto:
to:Office
Officeof
ofState
State Tax
Tax Commissioner,
Commissioner,
ND 58506-5621
58506-5621
		 PO
POBox
Box5621,
5621, Bismarck,
Bismarck ND
	

This
Spaceis
Isfor
For Tax
Tax Department
Use
Only
This
Space
Department
Use
Only

Date

TelephoneNumber
Number
Telephone

IIT