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                         RENAISSANCE ZONE INCOME                                                             Schedule RZ
                         EXEMPTION AND TAX CREDITS
                         OFFICE OF STATE TAX COMMISSIONER                                                      2022
                         SFN 28706 (12-2022)                                                                Attach to Form ND-1,
                                                                                                             38, 40, 58, OR 60
Taxpayer's Name As Shown on Tax Return                                                            Social Security Number (Or FEIN, if Applicable)

Part 1  Business or investment income exemption
       See the instructions for Part 1 on page 3 of the instruction booklet.
       If the taxpayer directly owns or leases the zone project property, complete lines 1 through 17 of Part 1. On lines 8
       through 17, only include the numbers for the business that owns or leases the zone project property.
       If the taxpayer is completing Schedule RZ, Part 1, only to claim a business or investment income exemption shown on a
       North Dakota Schedule K-1, skip lines 1 through 17, and enter the income exemption amount on page 2, Part 1, line 18.
1.  Project number assigned by the local zone authority (Attach a copy of the final zone project
    approval letter)                                                                                        1
2.  Renaissance zone city in which the zone project property is located
3.  Street address of zone 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 (from final zone project approval letter):
    a    Purchase        b  Purchase with major improvements               c       Lease        d     Qualified rehabilitation
    e    Public utility infrastructure changes     f    Leasehold improvements
6.  If  aor  cis checked on line 5, enter the date on which title to the property was obtained or the date
    the lease took effect, whichever applies. If b , d ,e, or  fis checked on line 5, enter the date the
    improvement or rehabilitation work was completed                                                        6
7.  Exemption period start date (from final zone project approval letter)                                   7
       If the zone project property is being used solely for investment purposes, skip lines 8
       through 15, and go to line 16. See instructions for what is considered investment use.
8.  North Dakota business income for 2022 tax year (See instructions for the amount to enter on this line)  8
       If less than 100% of the taxpayer's North Dakota business real property is located at
       the zone project location, complete lines 9a through 9h; otherwise, enter "1.000000"
       on line 9h and go to line 10.
                                                                                      Column A            Column B
9.  Enter the average value at original cost of each of the following                 All property in     Property at zone
    real and tangible personal property items used in the business:                   North Dakota        project location
    a. Inventories                                                         9a
    b. Buildings and other fixed assets                                    9b
    c. Depletable assets                                                      9c
    d. Land                                                                9d
    e. Other assets (Attach a statement identifying assets)                9e
    f. Rented property (Annual rent x 8)                                      9f
    g. Total property. Add lines 9a through 9f                             9g
    h. Zone apportionment factor. Divide line 9g, Column B, by line 9g, Column A                            9h
10. North Dakota business income attributable to zone project. Multiply line 8 by line 9h                   10
       See the instructions to lines 11a through 11c before completing them.
11. a.  Amount of square feet added by the zone project                                              11a
    b. Total square footage of building after expansion                                              11b
    c. Expansion limitation factor. Divide line 11a by line 11b                                             11c
12. Multiply line 10 by line 11c. Enter the amount from this line on page 2, Part 1, line 13                12

Attach all 5 pages of Schedule RZ to the North Dakota income tax return



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2022 Schedule RZ
SFN 28706 (12-2022), Page 2
 Taxpayer's Name As Shown on Tax Return                                                          Social Security Number (Or FEIN, if Applicable)

 Part 1      continued
 13. Enter the amount from page 1, Part 1, line 12                                                                 13
        See the instructions to lines 14a through 14c before completing them.
 14. a.  Number of months of eligibility for the exemption during the 2022 tax year              14a
     b. Number of months in taxpayer's 2022 tax year                                             14b
     c. Exemption period eligibility factor. Divide line 14a by line 14b                                         14c
 15. North Dakota business income exemption for this project. Multiply line 13 by line 14c                         15
 16. North Dakota investment income exemption for this project   (See instructions)                                16
 17. Income exemption from directly-owned zone project property. Add lines 15 and 16                               17
 18. Income exemption from a passthrough entity. Enter the amount, if any, from North Dakota
     Schedule(s) K-1                                                                                               18
 19. Tentative business and/or investment income exemption for this project. Add lines 17 and 18.
     Enter the amount from this line on page 5, Part 7, line 1a                                                    19

 Part 2  Business purchase or expansion tax credit
        See the instructions for Part 2 on page 6 of the instruction booklet.
 1.  Fill in this circle only if the taxpayer is eligible for this credit and is irrevocably electing to claim it
     instead of the business income exemption
 2.  Project number assigned by the local zone authority (Attach a copy of the final zone project approval letter)
 3.  Renaissance zone city in which the zone project is located
 4.  Street address of zone project property
 5.  Does taxpayer have more than one zone project at the address shown on line 4 above?                 Yes     No
     If yes, enter all of the project numbers here
 6.  Type of qualifying transaction (from final zone project approval letter):
     abPurchase of new business                Expansion of existing business     c Leasehold improvement
 7.  If  ais checked on line 6, enter the date on which title to the property was obtained. If  bor   isc
     checked on line 6, enter the date the expansion or leasehold improvement work was completed                   7
 8.  Credit period start date (from final zone project approval letter)                                            8
        See the instructions to line 9 before completing it.
 9.  Number of months of eligibility for the credit for the 2022 tax year                                          9
 10. Business purchase or expansion tax credit. If the number on line 9 is less than 12, multiply the
     number on line 9 by $166.67; otherwise, enter $2,000. Enter the amount from this line on  page 5,
     Part 7, line 2                                                                                                10

 Attach all 5 pages of Schedule RZ to the North Dakota income tax return



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2022 Schedule RZ
SFN 28706 (12-2022), Page 3
Taxpayer's Name As Shown on Tax Return                                                       Social Security Number (Or FEIN, if Applicable)

 Part 3  Single-family residence tax credit
         See the instructions for Part 3 on page 8 of the instruction 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 zone project is located
 3. Street address of zone 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 (from final zone project approval letter):
    a    Purchase      b       Qualified rehabilitation
6.  If  ais checked on line 5, enter the date on which title to the qualifying property was obtained         6
 7. If  ais checked on line 5, enter the date on which the taxpayer first occupied the qualifying property   7
8.  If  bis checked on line 5, enter the date on which the rehabilitation work was completed                 8
 9. Credit period start date (from final zone project approval letter)                                       9
       See instructions to line 10 before completing it.
10. Number of months of eligibility for this credit for the 2022 tax year                                    10
11. Single-family residence tax credit. If the number on line 10 is less than 12, multiply the number on
    line 10 by $833.33; otherwise, enter $10,000. Enter the amount from this line on page 5, Part 7,
    line 3                                                                                                   11

 Part 4  Historic property preservation or renovation tax credit
       See the instructions for Part 4 on page 9 of the instruction 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 zone project is located
3.  Street address of zone 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.  Total amount paid to preserve or renovate the qualifying historic property                               5
6. a. Multiply line 5 by 25% (.25)                                                      6a
    b. Maximum tax credit per project                                                   6b          250,000
    c. Enter the smaller of line 6a or line 6b                                                               6c
 7. Historic tax credit from a passthrough entity (Attach copy of North Dakota Schedule K-1)                 7
 8. Carryforward from 2021 tax year (from 2021 Schedule RZ, Part 4, line 11)                                 8
 9. Total available credit. Add lines 6c, 7 and 8                                                            9
10. Credit for 2022 tax year (See instructions) (Attach statement) Enter here and on page 5, Part 7, line 4  10
11. Carryforward to 2023 tax year (See instructions) (Attach statement)                 11

 Attach all 5 pages of Schedule RZ to the North Dakota income tax return



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 2022 Schedule RZ
 SFN 28706 (12-2022), Page 4
 Taxpayer's Name As Shown on Tax Return                                                  Social Security Number (Or FEIN, If Applicable)

 Part 5  Renaissance fund organization (RFO) investment tax credit

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

 1.  Renaissance zone city having the RFO in which the investment was made
 2.  Amount invested in the RFO during the 2022 tax year (Attach a copy of the Renaissance Fund
     Organization Investment Reporting Form received from the RFO)                                            2
 3.  Multiply line 2 by 50% (.50)                                                                             3
 4.  RFO tax credit from a passthrough entity (Attach copy of North Dakota Schedule K-1)                      4
 5.  Carryforward from 2021 tax year (from 2021 Schedule RZ, Part 5, line 8)                                  5
 6.  Total available credit. Add lines 3, 4, and 5                                                            6
 7.  Credit for 2022 tax year (See instructions) (Attach statement) Enter here and on page 5, Part 7, line 5  7
 8.  Carryforward to 2023 tax year (See instructions) (Attach statement)               8

 Part 6  Nonparticipating property owner tax credit

     See the instructions for Part 6 on page 10 of the instruction 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 zone project is located ________________________________________
 3.  Street address of zone 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.  Approved cost of making utility changes (from final zone project approval letter)                        5
 6.  Nonparticipating property owner tax credit from a passthrough entity (Attach copy of North Dakota
     Schedule K-1)                                                                                            6
 7.  Carryforward from 2021 tax year (from 2021 Schedule RZ, Part 6, line 10)                                 7
 8.  Total available credit. Add lines 5, 6, and 7                                                            8
 9.  Credit for 2022 tax year (See instructions) (Attach statement) Enter here and on page 5, Part 7, line 6  9
 10. Carryforward to 2023 tax year (See instructions) (Attach statement)               10

 Attach all 5 pages of Schedule RZ to the North Dakota income tax return



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2022 Schedule RZ
SFN 28706 (12-2022), Page 5
Taxpayer's Name As Shown on Tax Return                                                     Social Security Number (Or FEIN, If Applicable)

Part 7  Exemption and tax credit summary

   Interest in multiple zone projects. A separate Schedule RZ (for Parts 1 through 6) must be completed for each
   zone project. If more than one Schedule RZ is completed for the tax year, add the separate amounts from all of the
   Schedule RZ forms and enter the total on the appropriate line of Part 7 on only one of the Schedule RZ forms.

1. a. Tentative business and/or investment income exemption from
       Part 1, line 19                                                          1a
   b. Maximum exemption per year                                                 1b           500,000
   c. Enter lesser of line 1a or line 1b. Enter this amount on the 2022 North Dakota return
      as instructed below                                                                          1c
      If filing:               Enter amount from line 1c on:
      Form ND-1 . . . . . . . Schedule ND-1SA, line 1
      Form 38 . . . . . . . . . Form 38, Tax Computation Schedule, line 4d
      Form 40 . . . . . . . . . Form 40, line 10, or Schedule CR, Part I, line 10
      Form 58 . . . . . . . . . Form 58, Schedule K, line 4
      Form 60 . . . . . . . . . Form 60, Schedule K, line 2
2. Business purchase or expansion tax credit from Part 2, line 10                2
3. Single-family residence tax credit from Part 3, line 11                       3
4. Historic property preservation or renovation tax credit from Part 4, line 10  4
5. Renaissance fund organization investment tax credit from Part 5, line 7       5
6. Nonparticipating property owner tax credit from Part 6, line 9                6
7. Total renaissance zone credit. Add lines 2 through 6. Enter this amount on the 2022 North Dakota
   return as instructed below                                                                      7
      If filing:                        Enter amount from line 7 on:
      Form ND-1 . . . . . . . Schedule ND-1TC, line 2
      Form 38 . . . . . . . . . Schedule 38-TC, line 1
      Form 40 . . . . . . . . . Form 40, Schedule TC, line 8, or Schedule CR, Part III, line 8
      Form 58 . . . . . . . . . Form 58, Schedule K, line 6
      Form 60 . . . . . . . . . Form 60, Schedule K, line 4

Attach all 5 pages of Schedule RZ to the North Dakota income tax return






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