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2000 North Dakota Schedule RZ

Page 3

Name as shown on your tax return

Social security number (or FEIN, if applicable)

Part 4

Historic property preservation or renovation tax credit

See the instructions for Part 4 on page 8 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 Amount you paid during the 2000 tax year to preserve or renovate this qualifying historic property ................ 5

6 Multiply line 5 by 50% ...................................................................................................................................................... 6

7 Historic tax credit from partnership, S corporation, or other pass-through entity (Attach a copy of the

Renaissance Zone Pass-Through Member Notice) .................................................................................................... 7

8 Carryforward from prior year(s) (See instructions) ...................................................................................................... 8

9 Total available credit (Add lines 6, 7, and 8) ................................................................................................................. 9

10 Credit for 2000 tax year (See instructions) Enter here and on line 5, Part 6 (below) of this Schedule RZ ......... 10

11 Carryforward to 2001 tax year (See instructions) ...............................................

Part 5

Renaissance fund corporation investment tax credit

See the instructions for Part 5 on page 9 of the booklet

1 City in which renaissance zone is located:

Fargo

West Fargo

Casselton

Jamestown

Valley City

2 Amount you invested in the renaissance fund corporation during the 2000 tax year (Attach a copy of the

Renaissance Fund Corporation Investment Reporting Form that you received from the corporation) .......... 2

3 Multiply line 2 by 50% ...................................................................................................................................................... 3

4 Renaissance fund corporation investment tax credit from partnership, S corporation, or other pass-through

entity (Attach a copy of the Renaissance Zone Pass-Through Member Notice) ................................................... 4

5 Carryforward from prior year(s) (See instructions) ...................................................................................................... 5

6 Total available credit (Add lines 3, 4, and 5) ................................................................................................................. 6

7 Credit for 2000 tax year (See instructions) Enter here and on line 6, Part 6 (below) of this Schedule RZ ......... 7

8 Carryforward to 2001 tax year (See instructions) ................................................. 8

Part 6

Summary of exemptions and credits

See the instructions for Part 6 on page 10 of the booklet

1 Business income exemption (from line 14, Part 1) .............................................. 1

2 Investment income exemption (from line 10, Part 2) ........................................... 2

3 Renaissance zone income exemption (Add lines 1 and 2 ) (See the instructions for where to enter this

amount on your return) ...................................................................................................................................................... 3

4 Single -family residence tax credit (from line 9, Part 3) ...................................... 4

5 Historic property preservation or renovation tax credit (from line 10, Part 4) 5

Renaissance fund corporation investment tax credit (from line 7, Part 5) .......

7 Renaissance zone credit (Add lines 4, 5, and 6) (See the instructions for where to enter this amount on

your return) .......................................................................................................................................................................... 7

Attach all 3 pages of Schedule RZ to your return