Schedule Rz - Schedule For Renaissance Zone Income Exemption And Tax Credits

North Dakota Office of State Tax Commissioner

2016 Schedule RZ, page 3

Taxpayer's name as shown on tax return

Social security number (or FEIN, if applicable)

Part 3 Single-family residence tax credit

See the instructions for Part 3 on page 8 of the instruction booklet.

1. Project number assigned by the local zone authority (Attach a copy of final zone project approval letter)

2. Renaissance zone city in which the zone project is located

3. Street address of zone project property

4. Does taxpayer have more than one zone project at the address shown on line 3 above?

Yes

If yes, enter all of the project numbers here

5. Type of qualifying transaction (from final zone project approval letter):

Purchase

Qualified rehabilitation

6. If a is checked on line 5, enter the date on which title to the qualifying property was obtained . . . . . . . . . .

7. If a is checked on line 5, enter the date on which the taxpayer first occupied the qualifying property . . . . .

8. If b is checked on line 5, enter the date on which the rehabilitation work was completed . . . . . . . . . . . . . .

9. Credit period start date (per final zone project approval letter) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

See instructions to line 10 before completing it.

10. Number of months of eligibility for this credit for the 2016 tax year . . . . . . . . . . . . . . . . . . . . . . . . . . . .

11. Single-family residence tax credit. If the number on line 10 is less than 12, multiply the number on

line 10 by $833.33; otherwise, enter $10,000. Enter the amount from this line on page 5, Part 7,

line 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Part 4 Historic property preservation or renovation tax credit

See the instructions for Part 4 on page 9 of the instruction booklet.

1. Project number assigned by the local zone authority (Attach a copy of final zone project approval letter)

2. Renaissance zone city in which the zone project is located

3. Street address of zone project property

4. Does taxpayer have more than one zone project at the address shown on line 3 above?

Yes

If yes, enter all of the project numbers here

5. Total amount paid to preserve or renovate the qualifying historic property . . . . . . . . . . . . . . . . . . . . . . .

6. a. Multiply line 5 by 25% (.25) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

250,000

b. Maximum tax credit per project . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6b

c. Enter the smaller of line 6a or line 6b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6c

7. Historic tax credit from a passthrough entity (Attach copy of North Dakota Schedule K-1) . . . . . . . . . . . . .

8. Carryforward from 2015 tax year (from 2015 Schedule RZ, Part 4, line 11) . . . . . . . . . . . . . . . . . . . . . .

9. Total available credit (Add lines 6c, 7 and 8) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

10. Credit for 2016 tax year (See instructions) (Attach statement) Enter here and on page 5, Part 7, line 4 . .

11. Carryforward to 2017 tax year (See instructions) (Attach statement) . . . . . . . . . . 11

Attach all 5 pages of Schedule RZ to the North Dakota income tax return

Schedule Rz - Schedule For Renaissance Zone Income Exemption And Tax Credits - 2016 Page 3