Form Ct-33-A/b - Subsidiary Detail Spreadsheet - Attachment To Form Ct-33-A - Life Insurance Corporation Combined Franchise Tax Return - 2012

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CT-33-A/B
New York State Department of Taxation and Finance
Subsidiary Detail Spreadsheet
Attachment to Form CT-33-A
Life Insurance Corporation
Combined Franchise Tax Return
Combined parent corporation legal name
Parent employer identification number
If there is only one subsidiary included in the combined return, this form is not required.
If there is more than one subsidiary included in the combined return, this form is required.
Attach all CT-33-A/B forms to Form CT-33-A, Life Insurance Corporation Combined Franchise Tax Return.
For all combined returns and attachments, the corporation responsible for filing Form CT-33-A is designated the parent. The other
corporations included in the combined return are designated subsidiaries.
Subsidiary
Subsidiary
EIN
EIN
Legal name of corporation
Legal name of corporation
Schedule A — Computation of allocation percentage
(see instructions)
34 New York taxable premiums .......................................................................
35 New York ocean marine premiums .............................................................
36 New York premiums for annuity contracts and for insurance for the elderly ...
37 New York premiums on reinsurance assumed ...........................................
38 Total New York gross premiums
............................
(add lines 34 through 37)
39 New York premiums ceded that are included on line 38 ............................
40 Total New York premiums
................................
(subtract line 39 from line 38)
41 Total everywhere premiums ........................................................................
%
%
42 New York premium percentage
................................
(divide line 40 by line 41)
%
%
43 Weighted New York premium percentage
.................
(multiply line 42 by nine)
44 New York wages, salaries, personal service compensation, and
commissions ...........................................................................................
45 Total everywhere wages, salaries, personal service compensation, and
commissions .............................................................................................
%
%
46 New York payroll percentage
...................................
(divide line 44 by line 45)
%
%
47 Total New York percentages
..........................................
(add lines 43 and 46)
48 Allocation percentage
%
%
(Divide line 47 by ten; if line 42 or 46 is zero, see instructions.)
Schedule B — Computation of subsidiary capital
(see instructions)
49 Average fair market value of subsidiary capital ..........................................
50 Average value of current liabilities attributable to subsidiary capital ..........
51 Net average fair market value of subsidiary capital ....................................
52 Net average value of subsidiary capital allocated to New York State ........
Schedule C — Computation of business and investment capital
(
see instructions)
53 Average value of total assets
...........................................
(see instructions)
54 Average fair market value adjustment .......................................................
55 Average value of nonadmitted assets from annual statement ...................
56 Total assets
.......................................
(add lines 53, 54, and 55 in Total column)
57 Average value of current liabilities ..............................................................
58 Total capital
..................................
(subtract line 57 from line 56 in Total column)
59 Subsidiary capital from line 51, Total column ...............................................
60 Business and investment capital
.....
(subtract line 59 from line 58 in Total column)
61 Average value of assets, excluding subsidiary assets included on line 51,
held as reserves under New York State Insurance Law sections 1303,
1304, and 1305 ........................................................................................
62 Adjusted business and investment capital
(subtract line 61 from line 60 in Total column)
500001120094

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