Form Ct-33-A - Insurance Corporation Combined Franchise Tax Return 2002 - New York State Department Of Taxation And Finance Page 4

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Page 3a CT-33-A (2002)

Schedule D — Computation and allocation of combined entire net income

(continued; see instructions)

Subtractions

81 Interest, dividends, and capital gains from subsidiary capital

....................................................................................................

(attach list)

82 Fifty percent of dividends from nonsubsidiary corporations

.......................................................................................................

(attach list)

83 Gain on installment sales made before January 1, 1974

...........................................................................................................

(attach list)

84 Combined New York net operating loss or operations loss

...............................................................

(attach statement showing computation)

85 Amount included on your federal return as a result of a safe harbor lease .................................................................................................

86 Amount that could have been deducted on your federal return except for a safe harbor lease ..................................................................

87 Depreciation allowed by section 1503(b)(10)

....................................................................................................................

(see instructions)

Property and casualty insurance adjustments:

(see instructions)

88 Amount included in federal gross income on Form 1120-PC, under IRC sections 847(5) and 847(6) ........................................................

89 Unearned premiums at the end of the tax year included in premiums earned as a result of the reduction in the deduction for unearned

premiums .................................................................................................................................................................................................

90 Amount of the difference between unpaid losses and discounted unpaid losses at the end of the tax year

...........

(attach separate sheet)

91 Reduction in deduction for losses incurred ..................................................................................................................................................

92 Other subtractions

(attach explanation on separate sheet)

...............................................................................................................................

93 Total combined subtractions

.................................................................................................................

(add lines 81 through 92 in column E)

94 Combined entire net income

.............................................................................................................................

(subtract line 93 from line 80)

95 Combined allocated entire net income

.....

(multiply line 94 by combined allocation percentage on line 50; enter here and in the first box on line 1)

Schedule E — Computation and allocation of combined alternative base

96 Officer salaries and other compensation

..........................................................................................................................

(see instructions)

97 Combined alternative base

.......................................................................................................................

(add line 94 and line 96, column E)

98 Statutory deduction (

) ............................................................................................................................................................

see instructions

99 Combined alternative base less deduction

......................................................................................................

(subtract line 98 from line 97)

100 Combined alternative base multiplied by 30%

..........................................................................................................

(multiply line 99 by .30)

101 Combined allocated alternative base

.....

(multiply line 100 by combined allocation percentage on line 50; enter here and in the first box on line 3)

Schedule F — Computation of combined premiums

(see instructions)

Combined life insurance company premiums taxable under section 1510

102 Combined life insurance premiums ..............................................................................................................................................................

103 Combined accident and health insurance premiums ...................................................................................................................................

104 Combined other insurance premiums

(attach list) ............................................................................................................................................................

105 Total combined life insurance company premiums

...................

(add lines 102 through 104 in column E; enter here and in the first box on line 7)

Combined nonlife insurance company premiums taxable under section 1510

106 Combined accident and health insurance premiums

...........................................................

(enter column E amount in the first box on line 8)

107 Combined other insurance premiums

...................................................................................

(enter column E amount in the first box on line 9)

Life insurance company premiums included in the tax limitation computation under section 1505

108 Life insurance premiums ..............................................................................................................................................................................

109 Accident and health insurance premiums ....................................................................................................................................................

110 Other insurance premiums ...........................................................................................................................................................................

Nonlife insurance company premiums included in the tax limitation computation under section 1505

111 Accident and health insurance premiums ....................................................................................................................................................

112 Other insurance premiums ...........................................................................................................................................................................

Insurance corporations who receive 95% of their premiums from:

113 Annuity contracts ..........................................................................................................................................................................................

114 Ocean marine insurance ..............................................................................................................................................................................

115 Group insurance on the elderly (Insurance Law, section 4236) ...................................................................................................................

116 Total combined life insurance company premiums subject to section 1505

(add lines 108 through 110 and lines 113 through 115 in column E; enter here and in the first box on line 14)

117 Total combined nonlife insurance company premiums

.........................

(add lines 111 through 115 in column E; enter here and in the first box on line 15)

Schedule G — Computation of combined issuer’s allocation percentage

(see instructions)

118 New York gross direct premiums ..................................................................................................................................................................

119 Total gross direct premiums .........................................................................................................................................................................

120 Combined issuer’s allocation percentage

...................................................

(in column E, divide line 118 by line 119; enter here and on line 35)

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