Form Ct-33-M - Insurance Corporation Mta Surcharge Return 2006 Page 2

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Page 2 of 2 CT-33-M (2006)
Computation of MTA surcharge
(continued)
23 Overpayment
................................................. 23.
(if line 16 is less than line 17, subtract line 16 from line 17)
24 Amount of overpayment to be credited to New York State franchise tax ......................................... 24.
25 Amount of overpayment to be credited to next year’s MTA surcharge ............................................ 25.
26 Amount of overpayment to be refunded
.................................... 26.
(subtract lines 24 and 25 from line 23)
27 Amount of MTA surcharge retaliatory tax credit to be refunded
.................................. 27.
(from line 38)
28 Total refund claimed
......................................................................................... 28.
(add lines 26 and 27)
Claim for refund of MTA surcharge retaliatory tax credit
(see instructions)
A
B
C
D
E
For tax years before 2001, attach separate computation
2001
2002
2003
2004
2005
29 MTA surcharge payable ....................................... 29.
30 MTA surcharge retaliatory tax credits previously
allowed
................................... 30.
(see instructions)
31 Balance
(subtract line 30 from line 29;
) ...................................... 31.
if less than zero, enter 0
32 Ninety percent (.9) of retaliatory taxes paid this
year attributable to the 2001 MTA surcharge
....................... 32.
(may not exceed line 31, column A)
33 Ninety percent (.9) of retaliatory taxes paid this year attributable
to the 2002 MTA surcharge
... 33.
(may not exceed line 31, column B)
34 Ninety percent (.9) of retaliatory taxes paid this year attributable to the 2003
.............................................. 34.
MTA surcharge
(may not exceed line 31, column C)
35 Ninety percent (.9) of retaliatory taxes paid this year attributable to the 2004 MTA surcharge
............................................................................................... 35.
(may not exceed line 31, column D)
36 Ninety percent (.9) of retaliatory taxes paid this year attributable to the 2005 MTA surcharge
....................................................................................................................... 36.
(may not exceed line 31, column E)
37 Total MTA surcharge retaliatory tax credits
....................... 37.
allowed to date
(see instructions)
38 Total credits
........................................................ 38.
(add lines 32 through 36; enter here and on line 27)
Composition of prepayments claimed on line 17
(see instructions)
Date paid
Amount
39 Mandatory first installment .............................................................................
39.
40a Second installment from Form CT-400 ........................................................... 40a.
40b Third installment from Form CT-400 ............................................................... 40b.
40c Fourth installment from Form CT-400 ............................................................. 40c.
41 Payment with extension request, from Form CT-5, line 10, or Form CT-5.3, line 13 ......................... 41.
42 Overpayment credited from prior years ............................................................................................ 42.
43 Add lines 39 through 42 ..................................................................................................................
43.
44 Overpayment credited from Form CT-33-NL, CT-33, or CT-33-A
44.
...................
Period
45 Total prepayments
........................................................ 45.
(add lines 43 and 44; enter here and on line 17)
Third –
Do you want to allow another person to discuss this return with the Tax Dept?
Yes
No
(see instructions)
(complete the following)
party
Designee’s name
Designee’s phone number
Personal identification
designee
(
)
number (PIN)
Certification: I certify that this return and any attachments are to the best of my knowledge and belief true, correct, and complete.
Signature of authorized person
Official title
Date
Signature of individual preparing this return
Firm’s name (
or yours if self-employed)
Address
City
State
ZIP code
ID number
Date
See instructions for where to file.
43202060094

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