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North Dakota Office of State Tax Commissioner

Final

Amended

North Dakota

Schedule K-1

2012

Calendar year 2012

(Jan. 1 - Dec. 31, 2012)

Estate's or

trust's tax

(Form 38)

Fiscal year:

Beginning _______________, 2012

year:

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

Ending _______________, 20 ____

Deductions, Adjustments, Credits, and Other Items

Part 3 continued . . .

See separate instructions

10 Supplier biodiesel/green diesel fuel credit

Part 1

Estate or trust information

11 Seller biodiesel/green diesel fuel credit

A Estate's or trust's federal EIN

12 Geothermal energy device tax credit

B Name of estate or trust

13 Employer internship program tax credit

C Fiduciary's name, address, city, state, and ZIP code

14 Microbusiness tax credit

15 a Research expense tax credit

b Research credit purchased from

another taxpayer

16 a Angel fund investment tax credit

Beneficiary information

Part 2

b Angel fund credit purchased from

another taxpayer

D Beneficiary's SSN or FEIN (from Federal Schedule K-1)

17 Endowment fund tax credit

E Beneficiary's name, address, city, state, and ZIP code

18 Workforce recruitment credit

(from Federal Schedule K-1)

19 Credit for wages paid to mobilized

employee

20 Housing incentive fund credit

Part 4

Nonresident individual, estate or trust

beneficiary only - North Dakota income (loss)

F What type of entity is this beneficiary? ____________________________

G If beneficiary is an individual, estate, or trust, beneficiary is a:

21 Interest income

Full-year resident

Part-year resident

of North Dakota

22 Ordinary dividends

Full-year nonresident of North Dakota

23 Net short-term capital gain

H If beneficiary is a full-year nonresident

Yes

individual, is beneficiary included in a

24 Net long-term capital gain

composite return?

25 Other portfolio and nonbusiness income

Part 3

All beneficiaries - North Dakota

adjustments and tax credits

26 Ordinary business income

1 Federally-exempt income from non-ND state

27 Net rental real estate income

and local bonds and foreign securities

2 State and local income taxes deducted in

28 Other rental income

calculating ordinary income (loss)

29 Directly apportioned deductions

3 Interest from U.S. obligations

30 Final year deductions

4 Renaissance zone income exemption

5 New or expanding business exemption

31 Other

6 College SAVE contribution deduction

Part 5

Nonresident individual beneficiary only

7 a Renaissance zone: Historic property

preservation/renovation tax credit

32 North Dakota distributive share of

b Renaissance zone: Renaissance fund

income (loss)

organization investment tax credit

33 North Dakota income tax withheld

c Renaissance zone: Nonparticipating

property owner credit

34 North Dakota composite income tax

8 Seed capital investment tax credit

9 Agricultural commodity processing

facility investment tax credit

Form 38 - Fiduciary Income Tax Return - North Dakota Office Of State Tax Commissioner - 2012 Page 4

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