Form Ct-33-C - Captive Insurance Company Franchise Tax Return - 1999
ADVERTISEMENT
1
2CT-33-C
New York State Department of Taxation and Finance
1999 calendar-yr. filers, check box
Captive Insurance Company
Other filers enter tax period:
Franchise Tax Return
beginning
Tax Law – Article 33
ending
For office use only
Employer identification number
File number
Check box if
overpayment claimed
Legal name of corporation
Trade name/DBA
Date received
Mailing name (if different from legal name) and address
State or country of incorporation
PLACE LABEL HERE
c/o
Number and street or PO box
Date of incorporation
F
City
State
ZIP code
oreign corporations; date began
business in NYS
Audit use
If address above is new, If your name, employer identification number, address, or owner/officer information has changed, Business telephone number
check box (see
you must file Form DTF-95, (see instructions). If you need Form DTF-95, call 1 800 462-8100 to
(
)
instructions)
request one. From areas outside the U.S. and outside Canada, call (518) 485-6800.
NAICS business code number
Principal business activity
(see instructions)
•
•
•
•
Federal return was filed on:
1120-L
1120-PC
Consolidated
Other: _____________
A. Payment — pay amount shown on line 19. Make check payable to: New York State Corporation Tax
Payment enclosed
....... Attach your payment here.
Computation of tax and installment payments of estimated tax
Tax on New York State gross direct premiums:
•
1 First $20,000,000 of gross direct premiums .......................................
× .004
1
•
2 $20,000,001-$40,000,000 of gross direct premiums .........................
× .003
2
•
3 $40,000,001-$60,000,000 of gross direct premiums .........................
× .002
3
•
4 Excess of $60,000,000 of gross direct premiums ..............................
× .00075
4
Tax on New York State reinsurance premiums:
•
5 First $20,000,000 of reinsurance premiums .......................................
× .00225
5
•
6 $20,000,001-$40,000,000 of reinsurance premiums .........................
× .0015
6
•
7 $40,000,001-$60,000,000 of reinsurance premiums .........................
× .0005
7
•
8 Excess of $60,000,000 of reinsurance premiums ..............................
× .00025
8
Computation of tax and estimated tax due:
9 Tax due based upon premiums
...............................................................................
9
(add lines 1 through 8)
10 Minimum tax ..............................................................................................................................................
10
5,000 00
11 Tax due
......................................................................................................
11
(enter the greater of line 9 or 10)
First installment of estimated tax for next period:
12a If you filed a request for extension, enter amount from Form CT-5, line 2 ................................................ 12a
12b If you did not file Form CT-5, enter 25% (.25) of line 11 ........................................................................... 12b
13 Total
...........................................................................................................
13
(add line 11 and line 12a or 12b)
14 Total prepayments from line 27 .................................................................................................................
14
15 Balance
.................................................................
15
(if line 14 is less than line 13, subtract line 14 from line 13)
16 Penalty for underpayment of estimated tax
......
16
(check box if Form CT-222 is attached
; if none, enter “0”)
17 Interest on late payment
.................................................................................................
17
(see instructions)
18 Late filing and late payment penalties
(see instructions)
............................................................................
18
19 Balance due
..........................................................
19
(add lines 15 through 18; enter payment on line A above)
20 Overpayment
........................................................
20
(if line 13 is less than line 14, subtract line 13 from line 14)
21 Amount of overpayment to be credited to next period ..............................................................................
21
22 Refund of overpayment
.................................................................................
22
(subtract line 21 from line 20)
Continued on the back
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial