Form Ct-33 - Life Insurance Corporation Franchise Tax Return - 2012 Page 3

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CT-33 (2012) Page 3 of 7
Schedule B — Computation of allocation percentage
(if you do not claim an allocation, enter 100 on line 45; see instructions )
31 New York taxable premiums
31
.............................................................................
32 New York ocean marine premiums ...........................................................
32
33 New York premiums for annuity contracts and insurance for the elderly ...
33
34 New York premiums on reinsurance assumed
34
................
(see instructions)
35 Total New York gross premiums
..........................
35
(add lines 31 through 34)
36 New York premiums ceded that are included on line 35 ..........................
36
37 Total New York premiums
37
..............................
(subtract line 36 from line 35)
38 Total premiums .........................................................................................
38
39 New York premium percentage
..................................
39
%
(divide line 37 by line 38; enter here and on line 29)
40 Weighted New York premium percentage
........................................................
40
%
(multiply line 39 by nine)
41 New York wages, salaries, personal service compensation,
and commissions ..................................................................................
41
42 Total wages, salaries, personal service compensation,
42
and commissions ..................................................................................
43 New York payroll percentage
..........................................................................
43
%
(divide line 41 by line 42)
44 Total New York percentages
.................................................................................
44
%
(add lines 40 and 43)
45 Allocation percentage
..................................
%
45
(divide line 44 by ten; if line 39 or 43 is zero, see instructions)
Schedule C — Computation and allocation of subsidiary capital
(attach separate sheets displaying the information
formatted as below if necessary)
A — Description of subsidiary capital
(list the name of each corporation and the EIN here; for each corporation, complete columns B through G on the corresponding
lines below)
Item
Name
EIN
A
B
C
D
E
F
G
H
A
B
C
D
E
F
G
Item
% of voting
Average fair market value
Average value of current
Net average fair
Issuer’s
Value allocated
stock
liabilities attributable to
market value
allocation
to New York State
owned
subsidiary capital
(column C - column D)
%
(column E x column F)
A
B
C
D
E
F
G
H
Totals from
attached sheet ....
46 Totals
(add amounts
in columns C, D,
46
and E)
47 Allocated subsidiary capital
....................
47
(add column G amounts; enter here and in the first box on line 5)
426003120094

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