Form 60 - S Corporation Income Tax Return - 2013 Page 29

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North Dakota Office of State Tax Commissioner
Final
Amended
North Dakota
Schedule K-1
2013
Calendar year 2013
(Jan. 1 - Dec. 31, 2013)
Corporation's
tax year:
(Form 60)
Fiscal year:
Beginning _______________, 2013
Shareholder's Share of North Dakota Income (Loss),
Ending _______________, 20 ____
Deductions, Adjustments, Credits, and Other Items
Part 3 continued . . .
See separate instructions
9 Geothermal credit - after 12/31/08
Part 1
Corporation information
10 Employer internship program tax credit
A Corporation's federal EIN
11 Microbusiness tax credit
12 Research expense tax credit
B Corporation's name, address, city, state, and ZIP code
13 a Endowment fund tax credit
b Endowment fund contribution adjustment
14 Workforce recruitment tax credit
15 Credit for wages paid to mobilized employee
Shareholder information
Part 2
16 Angel fund investment tax credit
C Shareholder's SSN or FEIN (from Federal Schedule K-1)
17 Housing incentive fund tax credit
18 Automation tax credit
D Shareholder's name, address, city, state, and ZIP code
(from Federal Schedule K-1)
Nonresident individual, estate or trust
Part 4
shareholder only - North Dakota income (loss)
19 Corporation's apportionment factor
20 Ordinary income (loss)
E What type of entity is this shareholder? ____________________________
21 Net rental real estate income (loss)
F If shareholder is an individual, estate, or trust, shareholder is a:
22 Other net rental income (loss)
Full-year resident
of North Dakota
Part-year resident
of North Dakota
23 Interest income
Full-year nonresident of North Dakota
24 Ordinary dividends
Yes
No
G Is shareholder included in a composite return?
25 Royalties
H Shareholder's stock ownership percentage: ____________%
26 Net short-term capital gain (loss)
Part 3
All shareholders - North Dakota adjustments
27 Net long-term capital gain (loss)
and tax credits
28 Net section 1231 gain (loss)
29 Other income (loss)
1 Interest from U.S. obligations
30 Section 179 deduction
2 Renaissance zone income exemption
31 Other deductions
a For projects approved before August 1, 2013
32 I.R.C. Section 179 property disposition
b For projects approved after July 31, 2013
gain (loss)
3 New or expanding business exemption
Nonresident individual or tax-exempt
Part 5
organization shareholder only
4 a Renaissance zone: Historic property
preservation/renovation tax credit
33 North Dakota distributive share of income
b Renaissance zone: Renaissance fund
(loss)
organization investment tax credit
c Renaissance zone: Nonparticipating
34 North Dakota income tax withheld
property owner tax credit
35 North Dakota composite income tax
5 Seed capital investment tax credit
6 Agricultural commodity processing
facility investment tax credit
7 Supplier biodiesel or green diesel fuel tax credit
8 Seller biodiesel or green diesel fuel tax credit

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