Form 38 - Fiduciary Income Tax Return - 2016 Page 4

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Final
Amended
North Dakota Office of State Tax Commissioner
Schedule K-1
(Form 38)
Calendar year 2016
(Jan. 1 - Dec. 31, 2016)
Estate's or
2016
trust's tax
Fiscal year:
Beginning _______________, 2016
year:
Beneficiary's Share of North Dakota Income (Loss),
Ending _______________, 20 ____
Deductions, Adjustments, Credits, and Other Items
Part 3 continued . . .
See separate instructions
Part 1
Estate or trust information
12 Geothermal energy device tax credit
A Estate's or trust's federal EIN
13 Employer internship program tax credit
B Name of estate or trust
14 Microbusiness tax credit
15 a Research expense tax credit
C Fiduciary's name, address, city, state, and ZIP code
b Purchased research tax credit
16 Angel fund investment tax credit
17 a Endowment fund tax credit
b Endowment fund contribution adjustment
Beneficiary information
Part 2
18 Workforce recruitment tax credit
D Beneficiary's SSN or FEIN (from Federal Schedule K-1)
19 Wages paid to mobilized employee credit
E Beneficiary's name, address, city, state, and ZIP code
20 a Housing incentive fund (HIF) tax credit
(from Federal Schedule K-1)
b HIF contribution adjustment
21 Automation tax credit
22 Nonprofit private primary school credit
23 Nonprofit private high school credit
F What type of entity is this beneficiary? ____________________________
G If beneficiary is an individual, estate, or trust, beneficiary is a:
24 Nonprofit private college credit
Full-year resident
Part-year resident
of North Dakota
Nonresident individual, estate, or trust
Part 4
of North Dakota
beneficiary: North Dakota income (loss)
Full-year nonresident of North Dakota
H Is this an eligible nonresident beneficiary
Yes
No
who elected to be included in a composite filing?
25 Interest income
All beneficiaries:
26 Ordinary dividends
Part 3
North Dakota adjustments and tax credits
27 Net short-term capital gain
1 Income from non-ND bonds and securities
28 Net long-term capital gain
2 State and local income taxes deducted
29 Other portfolio and nonbusiness income
3 Interest from U.S. obligations
30 Ordinary business income
4 Renaissance zone income exemption:
a For projects approved before August 1, 2013
31 Net rental real estate income
i
b For projects approved after July 31, 2013
32 Other rental income
5 New or expanding business income exemption
33 Directly apportioned deductions
6 College SAVE contribution deduction
7 Renaissance zone:
34 Final year deductions
a Historic property preservation tax credit
35 Other
b Renaissance fund organization tax credit
Nonresident beneficiary: North Dakota
c Nonparticipating property owner tax credit
Part 5
income tax withheld or composite tax paid
8 Seed capital investment tax credit
36 North Dakota distributive share of
9 Agricultural commodity processing
income (loss)
facility investment tax credit
10 Biodiesel/green diesel fuel blending tax credit
37 North Dakota income tax withheld
11 Biodiesel/green diesel fuel sales equipment
38 North Dakota composite income tax
tax credit

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