Form Ct-33 - Life Insurance Corporation Franchise Tax Return - 2012 Page 4
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7Page 4 of 7 CT-33 (2012)
Schedule D — Computation and allocation of business and investment capital
(see instructions)
A
B
C
Beginning of year
End of year
Average fair market
value basis
48 Total assets from annual statement
.............................
48
(balance sheet)
49 Fair market value adjustment
(attach
computation; if negative amount, use
.............................
49
a minus (-) sign)
50 Nonadmitted assets from annual statement
50
51 Total assets
51
(add lines 48, 49, and 50)
52 Current liabilities ............................
52
53 Total capital
...................................................................................
53
(subtract line 52 from line 51)
54 Subsidiary capital from line 46, column E ................................................................................. 54
55 Business and investment capital
..................................................
(subtract line 54 from line 53)
55
56 Assets, excluding subsidiary assets
Beginning of year
End of year
included on line 54, held as reserves
under New York State Insurance Law
sections 1303, 1304, and 1305
....
56
(use same method to value assets as on line 51)
57 Adjusted business and investment capital (
57
...................................
subtract line 56 from line 55)
58 Allocated business and investment capital
(multiply line 57 by the allocation percentage
..................................................................... 58
from line 45; enter here and in the first box on line 2)
Schedule E — Computation of adjustment for gains or losses on disposition of property acquired before January 1, 1974
(you may no longer report gain or loss in the same manner you report it on your federal income tax return; see instructions)
A
B
C
D
E
F
Description of property
Cost
Fair market price
Value realized
New York
Federal
or value on
on disposition
gain or loss
gain or loss
(attach separate sheet if necessary)
January 1, 1974
Totals from attached sheet
59 Totals
.................................................................. 59
(add amounts in columns E and F)
60 New York adjustment
(subtract line 59, column F, from line 59, column E; enter here and on line 66;
..................................................................................................... 60
use a minus (-) sign for negative amounts)
Schedule F — Officers (appointed or elected) and certain stockholders
(include all officers, whether or not receiving any
compensation, and all stockholders owning more than 5% of taxpayer’s issued capital stock who received any compensation)
A
B
C
D
Name and address
Social security
Official title
Salary and all other
number
compensation received
(give actual residence;
from corporation
attach separate sheet if necessary)
Totals from attached sheet ...................................................................................................................................
61 Totals (
...............................................................................................................
61
add column D amounts)
426004120094
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