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

North Dakota Office of State Tax Commissioner

2012 Schedule RZ, page 4

Taxpayer's name as shown on tax return

Social security number (or FEIN, if applicable)

Part 6 Nonparticipating property owner credit

See the instructions for Part 6 on page 10 of the booklet.

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

Renaissance zone city in which the project is located ________________________________________

Street address of project property __________________________________________________________________

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 ____________________________________________________

Costs to make utility changes (enter approved costs shown on final zone project approval letter) . . . . .

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

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

Carryforward from 2011 tax year (from 2011 Schedule RZ, Part 6, line 10) . . . . . . . . . . . . . . . . . . . . .

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

Credit for 2012 tax year (See instructions) (Attach statement) Enter here and in Part 7, line 6,

of this schedule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

10.

Carryforward to 2013 tax year (See instructions) (Attach statement) . . . . . .

Part 7 Exemption and tax credit summary

See the instructions for Part 7 on page 11 of the booklet.

Business or investment income exemption (from Part 1, line 16) See the instructions on page 11

for where to enter this amount on the North Dakota return . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Business purchase or expansion tax credit (from Part 2, line 10) . . . . . . . . . . .

Single-family residence tax credit (from Part 3, line 11) . . . . . . . . . . . . . . . . .

Historic property preservation or renovation tax credit (from Part 4, line 10) . . .

Renaissance fund organization investment tax credit (from Part 5, line 7) . . . .

Nonparticipating property owner credit (from Part 6, line 9) . . . . . . . . . . . . . .

Renaissance zone credit (Add lines 2 through 6) See the instructions on page 11 for where to

enter this amount on the North Dakota return . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Attach all 4 pages of Schedule RZ to the North Dakota return

Schedule Rz - Schedule For Renaissance Zone Income Exemption And Tax Credits - 2012 Page 4