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

North Dakota Office of State Tax Commissioner

2016 Schedule RZ, page 4

Taxpayer's name as shown on tax return

Social security number (or FEIN, if applicable)

Part 5 Renaissance fund organization (RFO) investment tax credit

See the instructions for Part 5 on page 9 of the instruction booklet.

1. Renaissance zone city having the RFO in which the investment was made

2. Amount invested in the RFO during the 2016 tax year (Attach a copy of the Renaissance Fund

Organization Investment Reporting Form received from the RFO) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3. Multiply line 2 by 50% (.50) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

5. Carryforward from 2015 tax year (from 2015 Schedule RZ, Part 5, line 8) . . . . . . . . . . . . . . . . . . . . . . . .

6. Total available credit (Add lines 3, 4, and 5) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

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

Part 6 Nonparticipating property owner tax credit

See the instructions for Part 6 on page 10 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. Approved cost of making utility changes (from final zone project approval letter) . . . . . . . . . . . . . . . . . . .

6. Nonparticipating property owner tax credit from a passthrough entity (Attach copy of North Dakota

Schedule K-1) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

7. Carryforward from 2015 tax year (from 2015 Schedule RZ, Part 6, line 10) . . . . . . . . . . . . . . . . . . . . . . . 7

8. Total available credit (Add lines 5, 6, and 7) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

9. Credit for 2016 tax year (See instructions) (Attach statement) Enter here and on page 5, Part 7, line 6 . . . 9

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

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 4