Form 63-29a - Ocean Marine Profits Tax Return Page 2

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2016 FORM 63-29A, PAGE 2
Name of company
Federal Identification number
Calculation of Tax
14 Net underwriting profit for year ended December 31, 2016 (from Profit Schedule, line 13) . . . . . . . . . . . . . . . . . . . . . . 3 14
15 Net underwriting profit for year ended December 31, 2015 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 15
16 Net underwriting profit for year ended December 31, 2014 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 16
17 Total for three-year period. Add lines 14 through 16 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 17
18 Average. Divide line 17 by 3. Not less than “0” . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 18
19 Massachusetts apportionment percentage (from Apportionment Schedule, line 11) . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 19
20 Amount taxable (apply percentage in line 19 to line 18) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 20
21 Tax at 5.7% . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
22 Credit recapture (enclose Credit Recapture Schedule). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 22
23 Tax due before credits. Add lines 21 and 22. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
24 Economic Opportunity Area Credit (enclose Schedule EOAC) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 24
25 Economic Development Incentive Program Credit . . . . . . . . . . . . . . Certificate number 3
3 25
26 Low-Income Housing Credit . . . . . . . . . . . . . . . . . . . . . . Building Identification number 3
3 26
27 Brownfields Credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Certificate number 3
3 27
28 Film Incentive Credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Certificate number 3
3 28
29 Historic Rehabilitation Credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Certificate number 3
3 29
30 Medical Device Credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Certificate number 3
3 30
31 Employer Wellness Program Credit . . . . . . . . . . . . . . . . . . . . . . . . . Certificate number 3
3 31
32 Certified Housing Development Credit . . . . . . . . . . . . . . . . . . . . . . . Certificate number 3
3 32
33 Life Science Company Credit. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 33
34 Total credits. Add lines 24 through 33 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
35 Excise due before voluntary contribution. Subtract line 34 from line 23. Not less than “0” . . . . . . . . . . . . . . . . . . . . . . 3 35
36 Voluntary contribution for endangered wildlife conservation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 36
37 Excise due plus voluntary contribution. Add lines 35 and 36 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 37
38 2015 overpayment applied to 2016 estimated tax. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 38
39 2016 Massachusetts estimated tax payments. Do not include amount from line 38 . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 39
40 Payments made with extension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 40
41 Pass-through entity withholding . . . . . . . . . . . . . . . . . . . . . Payer Identification number 3
3 41
42 Refundable Film Credit. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 42
43 Refundable Dairy Credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Certificate number 3
3 43
44 Refundable Conservation Land Credit . . . . . . . . . . . . . . . . . . . . . . . Certificate number 3
3 44
45 Refundable Community Investment Credit . . . . . . . . . . . . . . . . . . . . Certificate number 3
3 45
46 Refundable Economic Development Incentive Credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 46
47 Refundable Life Science Credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 47
48 Total payments. Add lines 38 through 47 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48

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