Form 63-29a - Ocean Marine Profits Tax Return (Page 6 of 6) in pdf

2016 FORM 63-29A, PAGE 6

Name of company

Federal Identification number

Net Loss Schedule.

The standard cut-off date for lines 1 to 8 is December 31, 1944.

11 Payments during the taxable year on marine losses (salvage deducted) incurred since December 31, 1944, less

recoveries on reinsurance on losses incurred since December 31, 1944 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

12 Add reinsurance recoverable December 31 of previous year on paid marine losses incurred since December 31, 1944. . 2

13 Total. Add lines 1 and 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

14 Deduct reinsurance recoverable December 31 of taxable year on paid marine losses incurred since December 31,

1944 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

15 Balance. Subtract line 4 from line 3. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

16 Add net amount unpaid December 31 of taxable year on marine losses incurred since December 31, 1944 (net

as to recoveries on reinsurance ceded) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

17 Total. Add lines 5 and 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

18 Deduct net amount unpaid December 31 of previous year on marine losses incurred since December 31, 1944

(net as to recoveries on reinsurance ceded) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

19 Net losses incurred during taxable year of 2016. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

Apportionment Schedule

Net premiums means direct premiums plus reinsurance assumed, both net of returned premiums, and less net

reinsurance premiums ceded.

11 Net premiums on marine business written in United States in 2016 (from Supplementary Schedule, line 5, col. d) . . . . . 1

12 Net premiums on marine business written in United States in 2015 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

13 Net premiums on marine business written in United States in 2014 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

14 Total for three-year period. Add lines 1 through 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

15 Average. Divide line 4 by 3. Not less than “0” . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

16 Net premiums on marine business written in Massachusetts in 2016 (from Supplementary Schedule, line 5, col. g) . . . . 6

17 Net premiums on marine business written in Massachusetts in 2015 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

18 Net premiums on marine business written in Massachusetts in 2014 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

19 Total for three-year period. Add lines 6 through 8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

10 Average. Divide line 9 by 3. Not less than “0”. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

11 Massachusetts apportionment percentage. Divide line 10 by line 5. Carry decimal to six places . . . . . . . . . . . . . . . . . . 11