Form Ct-33-A/b - Subsidiary Detail Spreadsheet - Attachment To Form Ct-33-A Insurance Corporation Combined Franchise Tax Return Page 6
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8Page 3a CT-33-A/B (2002)
Name
Employer identification number
Subsidiary
Subsidiary
EIN
EIN
Name
Name
Schedule F — Computation of premiums
Life insurance company premiums taxable under section 1510
102 Life insurance premiums ......................................................................................
103 Accident and health insurance premiums ............................................................
104 Other insurance premiums
.................................................................
(attach list)
105 Total life insurance company premiums
........................
(add lines 102 through 104)
Nonlife insurance company premiums taxable under section 1510
106 Accident and health insurance premiums ...........................................................
107 Other insurance premiums ..................................................................................
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 life insurance company premiums subject to section 1505
(add lines 108
..................................................................
through 110 and lines 113 through 115)
117 Total nonlife insurance company premiums subject to section 1505
(add
..........................................................................................
lines 111 through 115)
Schedule G — Computation of issuer’s allocation percentage
118 New York gross direct premiums ..........................................................................
119 Total gross direct premiums .................................................................................
50005020094
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