Form Ct-33-A - Insurance Corporation Combined Franchise Tax Return 2002 - New York State Department Of Taxation And Finance Page 6

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Page 4 CT-33-A (2002)
Computation of prepayments
Date paid
Amount
121 Mandatory first installment of combined group ................................................. 121.
122 Second combined group installment from Form CT-400 ................................... 122.
123 Third combined group installment from Form CT-400 ....................................... 123.
124 Fourth combined group installment from Form CT-400 .................................... 124.
125 Payment with extension request from Form CT-5.3, line 8 ............................... 125.
126 Tax credits credited as an overpayment from prior year’s combined return .................................... 126.
127 Overpayment credited from prior year’s combined return ................................................................ 127.
Period
128 Overpayment credited from Form CT-33-M
.................................................... 128.
129 Total prepayments from subsidiaries not previously included in combined return .......................... 129.
130 Total prepayments
............................................. 130.
(add lines 121 through 129; enter here and on line 23)
131 Amount of tax credits to be credited as an overpayment to next year’s combined return ............... 131.
Recap of tax credits claimed against current year’s franchise tax:
EZ and ZEA tax credits (attach appropriate form for each credit claimed)
Form CT-602
Form CT-601
Form CT-601.1
EZ capital
EZ wage tax credit ..
ZEA wage tax credit ...
tax credit ....
132 Total EZ and ZEA tax credits claimed above; amount cannot reduce the tax to less than the minimum
tax
................................................................................................................
132.
(enter here and on line 11b)
Tax credits (attach appropriate form or statement for each credit claimed)
Fire insurance premiums tax credit
Form CT-249, Long-term care
insurance credit ................................
(enter amount claimed) .............................
Form CT-33-R
Form CT-250
Retaliatory tax credits ........................
Defibrillator credit ..............................
Form CT-33.1
Form CT-604
CAPCO credit ....................................
QEZE credit for real property taxes ...
Form CT-41, Credit for employment of
Form CT-604
persons with disabilities ......................
QEZE tax reduction credit .................
Form CT-43, Special additional mortgage
Form DTF-624
recording tax credit ..............................
Low-income housing credit ...............
Form CT-44, Investment tax credit for the
Form DTF-630
financial services industry .................
Green building credit ........................
Other credits ........................................
133 Total tax credits claimed above; do not include EZ and ZEA tax credits claimed on
line 132
............................................................................................................ 133.
(enter here and on line 18)
134 Total tax credits claimed above that are refund eligible
134.
(see instructions) .........................................................
Primary corporation name
EIN
(if a member of an affiliated group)
Parent corporation name
EIN
(if more than 50% owned by another corporation)
Certification. I certify that this return and any attachments are to the best of my knowledge and belief true, correct, and complete.
Signature of elected officer or authorized person
Official title
Date
Firm’s name
ID number
Date
(or yours if self-employed)
Address
Signature of individual preparing this return
Mail your return to:
NYS CORPORATION TAX
PROCESSING UNIT, PO BOX 22038
ALBANY NY 12201-2038
Also mail a copy to:
THE NEW YORK STATE INSURANCE DEPARTMENT
AGENCY BUILDING 1, EMPIRE STATE PLAZA
43006020094
ALBANY NY 12257

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