Form 38 - Fiduciary Income Tax Return - 2010 Page 4

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North Dakota Office of State Tax Commissioner
Final
Amended
North Dakota
Schedule K-1
2010
Calendar year 2010
(Jan. 1 - Dec. 31, 2010)
Estate's or
trust's tax
(Form 38)
Fiscal year:
Beginning _______________, 2010
year:
Beneficiary's Share of North Dakota Income (Loss),
Ending _______________, 20 ____
Deductions, Adjustments, Credits, and Other Items
Part 3 continued . . .
See separate instructions
10 Supplier biodiesel fuel tax credit
Part 1
Estate or trust information
11 Seller biodiesel fuel tax credit
A Estate's or trust's federal EIN
12 Geothermal energy device tax credit
B Name of estate or trust
13 Employer internship program tax credit
C Fiduciary's name, address, city, state, and ZIP code
14 Microbusiness tax credit
15 Research expense tax credit
16 Angel fund investment tax credit
17 Endowment fund tax credit
Beneficiary information
Part 2
18 Workforce recruitment credit
D Beneficiary's SSN or FEIN (from Federal Schedule K-1)
19 Credit for wages paid to mobilized
employee
E Beneficiary's name, address, city, state, and ZIP code
Part 4
Nonresident individual, estate or trust
(from Federal Schedule K-1)
beneficiary only - North Dakota income (loss)
20 Interest income
21 Ordinary dividends
22 Net short-term capital gain
F What type of entity is this beneficiary? ____________________________
23 Net long-term capital gain
G If beneficiary is an individual, estate, or trust, beneficiary is a:
24 Other portfolio and nonbusiness income
Full-year resident
of North Dakota
Part-year resident
of North Dakota
Full-year nonresident of North Dakota
25 Ordinary business income
H If beneficiary is a full-year nonresident
26 Net rental real estate income
Yes
No
individual, is beneficiary included in a
i
composite return?
27 Other rental income
Part 3
All beneficiaries - North Dakota
28 Directly apportioned deductions
adjustments and tax credits
29 Final year deductions
1 Federally-exempt income from non-ND state
and local bonds and foreign securities
30 Other
2 State and local income taxes deducted in
calculating ordinary income (loss)
Part 5
Nonresident individual beneficiary only
3 Interest from U.S. obligations
31 North Dakota distributive share of
4 Renaissance zone income exemption
income (loss)
5 New or expanding business exemption
32 North Dakota income tax withheld
6 College SAVE contribution deduction
33 North Dakota composite income tax
7 a Renaissance zone: Historic property
preservation/renovation tax credit
b Renaissance zone: Renaissance fund
organization investment tax credit
c Renaissance zone: Nonparticipating
property owner credit
8 Seed capital investment tax credit
9 Agricultural commodity processing
facility investment tax credit

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