Form Ct-3-A - General Business Corporation Combined Franchise Tax Return - 2012
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14CT-3-A
New York State Department of Taxation and Finance
General Business Corporation Combined
Franchise Tax Return
Tax Law — Article 9-A
All filers must enter tax period:
Final return
Amended return
beginning
ending
Employer identification number (EIN)
File number
Business telephone number
If you have any subsidiaries
If you claim an
incorporated outside NYS,
overpayment, mark
(
)
mark an X in the box
an X in the box
Legal name of corporation
Trade name/DBA
State or country of incorporation
Date received (for Tax Department use only)
Mailing name (if different from legal name above)
c/o
Date of incorporation
Number and street or PO box
Foreign corporations: date began
City
State
ZIP code
business in NYS
If address/phone above
NAICS business code number
Audit (for Tax Department use only)
(from federal return)
If you need to update your address or
is new, mark
an X in the box
phone information for corporation tax, or
other tax types, you can do so online. See
Principal business activity
Business information in Form CT-1
Metropolitan transportation business tax (MTA surcharge)
During the tax year, did any corporation in the combined group do business, employ capital, own or lease
property, or maintain an office in the Metropolitan Commuter Transportation District (MCTD)? If Yes,
the parent must file Form CT-3M/4M
................................................................................................. Yes
No
(see instructions)
Payment enclosed
A. Pay amount shown on line 94. Make payable to: New York State Corporation Tax
Attach your payment here. Detach all check stubs.
(See instructions for details.)
A
B.
..............................................................
B
%
Combined issuer’s allocation percentage
(from line 41)
C. If any member of the combined group is the parent of a QSSS, mark an X in the box and attach Form CT-60-QSSS ...............
D. Federal return filed
: Attach a complete copy of your federal return.
(mark an X in one)
Form 1120
Consolidated basis
Other:
E. Have you underreported your tax due on past returns? To correct this without penalty, visit our Web site (see Need help?).
F. If any member in the combined group is a captive real estate investment trust (REIT) or captive regulated investment
company (RIC), mark an X in the box
...................................................................................................................
(see instructions)
G. If any member in the combined group is an overcapitalized captive insurance company, mark an X in the box ........................
H. If you marked the Consolidated basis box in line D above, complete the following:
1. Number of corporations included in the federal consolidated group .................................................
2. Total consolidated federal taxable income (FTI) before the net operating loss deduction (NOLD) ....
3. Total consolidated FTI before the NOLD of corporations that are included in the federal
consolidated return but that are not included in a combined return for New York State tax ..........
4. Total FTI before the NOLD of corporations that are not included in the federal consolidated
return but that are included in a combined return for New York State tax ......................................
5. If substantially all of the voting stock of this corporation is owned or controlled, directly or indirectly,
by another corporation, give the name and EIN of that corporation below.
Legal name of corporation
EIN
I. Do you have an interest in any partnerships?
.................................................... Yes
No
( mark an X in the appropriate box )
J. Did you include a disregarded entity in this return?
Yes
No
(mark an X in the appropriate box) .................................................
If Yes, enter the name and EIN below. If more than one, attach list with names and EINs.
Legal name of disregarded entity
EIN
K. If only one subsidiary is included in this return, provide the name and EIN of that subsidiary below.
434001120094
Legal name of corporation
EIN
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