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2000 North Dakota Schedule RZ

Page 2

Name as shown on your tax return

Social security number (or FEIN, if applicable)

Part 2

Investment income exemption

See the instructions for Part 2 on page 5 of the booklet

Project Number

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

ND Division of Community Services) ....................................................................................................................................

2 City in which renaissance zone is located:

Fargo

West Fargo

Casselton

Jamestown

Valley City

3 Street address of project property

4 Do you have more than one project at the address shown on line 3 above?

Yes

If you checked yes, enter all of the project num bers here:

5 Date on which you purchased this qualifying property .................................................................................................................

6 Exemption start date (per project approval letter issued by the ND Division of Community Services) ................................

For lines 7a and 7b, enter only the income or gain actually received during the period of time

you were eligible for this exemption during the 2000 tax year.

7 a Net rental income from this zone project property ......................................... 7a

b Gain from sale or other disposition of this project property

(Enter date of sale/disposition

) ........................................ 7b

8 Total investment income derived from this project property (Add lines 7a and 7b) .............................................. 8

9 Investment income exemption from a partnership, S corporation, or other pass-through entity (Attach a

copy of the Renaissance Zone Pass-Through Member Notice) ............................................................................... 9

10 Total investment income exemption for 2000 tax year (Add lines 8 and 9 )

Enter result here and on page 3, Part 6, line 2 of this Schedule RZ ........................................................................... 10

Part 3

Single-family residence tax credit

See the instructions for Part 3 on page 6 of the booklet

Project Number

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

ND Division of Community Services) ....................................................................................................................................

2 City in which renaissance zone is located:

Fargo

West Fargo

Casselton

Jamestown

Valley City

3 Street address of project property

4 Do you have more than one project at the address shown on line 3 above?

Yes

If you checked yes, enter all of the project num bers here:

5 Date on which you purchased this qualifying property ................................................................................................................

6 Date on which you first occupied this qualifying property ...........................................................................................................

7 Five-year credit period start date (per project approval letter issued by the ND Division of Community Services) ...........

Please read the instructions for line 8 before completing it .

8 Number of months you are eligible for this credit for the 2000 tax year .................................................................. 8

9 Single -family residence tax credit. Enter the applicable amount (as explained below) here and on page 3,

Part 6, line 4 of this Schedule RZ .................................................................................................................................... 9

• If line 8 shows 12 months, enter $10,000.

• If line 8 shows less than 12 months, multiply the number of months on line 8 by $833.33

Attach all 3 pages of Schedule RZ to your return