Form Nd-1-2001 - Tax Calculation For Nonresidents And Part-Year Residents

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Schedule
North Dakota Office of State Tax Commissioner
Tax calculation for nonresidents
2001
ND-1NR
and part-year residents
Attach to Form ND-1
Please type or print in black or blue ink. Enter one letter or number in each box. Fill in circles completely.
See instructions on back of schedule.
Your name as shown on Form ND-1
Your Social Security Number
XXX-XX-XXXX
XXXXXXXXXXXXXXXXXXXXXXXX
If a part-year resident, enter dates you were a resident of North Dakota:
Name of other state in which you were a part-year resident:
XX / XX / XXXX to XX / XX / XXXX
XXXXXXXXXXXXXXXXXXXXXXXX
Column A
Column B
Total from federal return
North Dakota portion
US Dollars
US Dollars
1.
Wages, salaries, and tips (line 7 of Form 1040 or
1
1040A, or line 1 of Form 1040EZ)
1
2.
Interest and dividend income (Add lines 8a and 9 of Form
1040 or1040A, or amount from line 2 of Form 1040EZ)
2
2
3.
Business income or loss (line 12 of Form 1040)
3
3
4.
Ordinary and capital gains and losses (add lines 13 and
14 of Form 1040, or amount from line 10 Form 1040A)
4
4
5.
IRAs, pensions, and annuities (add lines 15b and 16b of Form
1040, or lines 11b and 12b of Form 1040A)
5
5
6.
Income from rents, royalties, partnerships, S corporations,
estates, and trusts (line 17 of Form 1040)
6
6
7.
Farm income or loss (line 18 of Form 1040)
7
7
8.
Other income (add lines 10, 11, 19, 20b and 21 of Form 1040,
or lines 13 and 14b of Form 1040A, or amount from line 3 of
Form 1040EZ)
8
8
9.
Add lines 1 through 8 of
Column B
9
10.
Medical savings account (line 25 of Form 1040)
10
10
11.
Moving expenses (line 26 of Form 1040)
11
11
12.
Self-employed deductions (add lines 27, 28, and 29
of Form 1040)
12
12
13.
IRA deduction (line 23 of Form 1040 or line16
Form 1040A)
13
13
14.
Other deductions (add lines 24, 30, and 31a of Form
14
1040, or amount from line 17 of Form 1040A)
14
15.
Add lines 10 through 14 of
Column B
15
16. North Dakota source income
(Subtract 15 from line 9. If zero or less, enter 0)
(N1) 16
17.
Federal adjusted gross income (line 33 of Form 1040, line 19 of Form 1040A, line 4 of
Form 1040EZ
17
18.
Enter amount from Form ND-1, line 6
18
19.
Modified federal adjusted gross income (Subtract line 18 from line 17. If less than zero, enter 0)
(N2) 19
20.
North Dakota income ratio (Divide line 16 by line 19. Round to nearest two decimal places. If line
16 is more than line 19, enter 1.00. If line 16 is zero or less, enter 0)
20
21.
Tax for the amount on Form ND-1, line 13 (See instructions)
(N3) 21
22. Tax
(Multiply line 21 by line 20) Enter the amount from this line on Form ND-1, line 14
22
For
Privacy Act
information - see inside front cover of Form ND-1 instruction booklet.

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