Schedule Rz - Booklet - Renaissance Zone Act Exemptions And Tax Credits - 2011 Page 17

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North Dakota Office of State Tax Commissioner
2011 Schedule RZ, page 2
Social security number (or FEIN, if applicable)
Taxpayer's name as shown on tax return
Part 2 Business purchase or expansion tax credit
See the instructions for Part 2 on page 6 of the booklet.
1.
Fill in this circle only if the taxpayer is eligible for this credit and is irrevocably electing to claim it in
lieu of the business income exemption (in Part 1 of this schedule) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
2.
Project number assigned by the local zone authority (Attach a copy of final zone project approval letter) . . . . . . . . . .
3.
Renaissance zone city in which the project is located
4.
Street address of project property
5.
Does taxpayer have more than one zone project at the address shown on line 3 above?
Yes
No
If yes, enter all of the project numbers here
6.
Type of qualifying transaction:
a
b
c
Purchase of new business
Expansion of existing business
Leasehold improvement
7.
a
b
c
If
is checked on line 6, enter the date the qualifying property was obtained. If
or
is checked on line 6,
7
enter the date the expansion or leasehold improvement work was completed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8
8.
Credit period start date (per final zone project approval letter) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
See page 7 for instructions to line 9 before attempting to complete it.
9
9.
Number of months of eligibility for this credit for the 2011 tax year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10.
Business purchase or expansion tax credit for the 2011 tax year. Enter the applicable amount (as explained below)
10
here and on page 4, Part 7, line 2, of this schedule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
If "12" was entered on line 9, enter $2,000 on line 10.
If a number less than "12" was entered on line 9, multiply the number on line 9 by $166.67, and
enter the result on line 10.
Part 3 Single-family residence tax credit
See the instructions for Part 3 on page 7 of the 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 project is located
3.
Street address of project property
4.
Does taxpayer have more than one zone project at the address shown on line 3 above?
Yes
No
If yes, enter all of the project numbers here
5.
Type of qualifying transaction (per final zone project approval letter):
a
b
Purchase
Qualified rehabilitation
6
a
6.
If
was checked on line 5, enter the date title to the qualifying property was obtained . . . . . . . . . . . . . . . . . . . . . . . .
7
a
7.
If
was checked on line 5, enter the date on which the taxpayer first occupied the qualifying property . . . . . . . . . . .
8
b
8.
If
was checked on line 5, enter the date on which the rehabilitation work was completed . . . . . . . . . . . . . . . . . . . .
9
9.
Credit period start date (per final zone project approval letter) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
See page 8 for instructions to line 10 before attempting to complete it.
10
10.
Number of months of eligibility for this credit for the 2011 tax year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11.
Single-family residence tax credit for the 2011 tax year. Enter the applicable amount (as explained below) here and
11
on page 4, Part 7, line 3, of this schedule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
If "12" was entered on line 10, enter $10,000 on line 11.
If a number less than "12" was entered on line 10, multiply the number on line 10 by $833.33, and
enter the result on line 11.
Attach all 4 pages of Schedule RZ to the North Dakota return

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