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Final

Amended

North Dakota Office of State Tax Commissioner

Schedule K-1

(Form 58)

2015

Partnership's tax year:

Calendar year 2015

(Jan. 1 - Dec. 31, 2015)

Partner's Share of North Dakota Income (Loss),

Fiscal year:

Beginning _________, 2015, Ending _________, 20____

Deductions, Adjustments, Credits, and Other Items

See separate instructions

12 a Geothermal tax credit

Part 1

Partnership information

b Biomass, solar, or wind device tax credit

A Partnership's federal EIN

13 Employer internship program tax credit

14 Microbusiness tax credit

B Partnership's name, address, city, state, and ZIP code

15 Research expense tax credit

16 a Endowment fund tax credit

b Endowment fund contribution adjustme

17 Workforce recruitment tax credit

Part 2

Partner information

18 Credit for wages paid to mobilized empl yee

C Partner's SSN or FEIN (from Federal Schedule K-1)

19 Angel fund investment ax cred

20 Housing incentiv

d ta credit

D Partner's name, address, city, state, and ZIP code

(from Federal Schedule K-1)

21 Automation ta credit

22 Nonprofit pri ate prim ry

hool tax credit

23 Non ro t priva e high chool tax credit

24 Nonprof private ollege tax credit

E What type of entity is this partner? ________________________________

Nonresident individual, estate, or trust

Part 4

F If partner is an individual, estate, or trust, partner is a:

partner: North Dakota income (loss)

Full-year resident

of North Dakota

Part-year resident

of North Dakota

25 Part ership's apportionment factor

Full-year nonresident

of North Dakota

26 Ordinary income (loss)

G Is this an eligible nonresident partner who elected

Yes

to be included in a composite filing?

27 Net rental real estate income (loss)

H Partner's share of profit and loss:

Beginning

Ending

28 Other net rental income (loss)

(from Federal Schedule K-1)

Profit

29 Guaranteed payments

Loss

30 Interest income

I Partner's ownership percentage: __________ _%

31 Ordinary dividends

All partners: ND adjustmen s and tax credits

Part 3

32 Royalties

1 Federally-exempt income from non-ND s te

33 Net short-term capital gain (loss)

and local bonds and foreign securities

34 Net long-term capital gain (loss)

2 State and local income taxes deducted

calculating ordinary income loss)

35 Net section 1231 gain (loss)

3 Interest from U.S. oblig ions

36 Other income (loss)

4 Renaissance zone income ex mption:

37 Section 179 deduction

a For projects pproved efore August 1, 2013

38 Other deductions

b For projects pproved af er July 31, 2013

39 I.R.C. § 179 property disposition gain (loss)

5 New or expanding b sine s income exemption

Nonresident partner and tax-exempt

Part 5

organization partner

6 Gain from eminent domain sale

7 Renaissance zone:

40 ND distributive share of income (loss)

a Historic property preservation tax credit

41 North Dakota income tax withheld

b Renaissance fund organization tax credit

42 North Dakota composite income tax

c Nonparticipating property owner tax credit

Part 6

Partnership or corporation partner

8 Seed capital investment tax credit

9 Agricultural commodity processing

Property

Payroll

Sales

facility investment tax credit

43 ND

10 Biodiesel/green diesel fuel blending tax credit

44 Total

11 Biodiesel/green diesel fuel sales equipment

tax credit

Form 58 - Schedule K-1 Draft - Partner'S Share Of North Dakota Income (Loss), Deductions, Adjustments, Credits, And Other Items - 2015

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