Form Ct-3-A - General Business Corporation Combined Franchise Tax Return - 2012 Page 7
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14CT-3-A (2012) Page 4b
Summary of credits claimed on line 78 against current year’s franchise tax
(see instructions for lines 78, 100a and 100b, 101a and 101b)
CT-38 ...
CT-242 ......
CT-603 ......
CT-634 ................
CT-40 ...
CT-243 ......
CT-604 ......
CT-635 ................
CT-41 ...
CT-246 ......
CT-605 ......
DTF-619 .............
CT-43 ...
CT-248 ......
CT-606 ......
DTF-621 .............
CT-44 ...
CT-249 ......
CT-607 ......
DTF-622 .............
CT-46 ...
CT-250 ......
CT-611 ......
DTF-624 .............
CT-47 ...
CT-259 ......
CT-611.1 ...
DTF-630 .............
CT-236 ..
CT-261 ......
CT-612 ......
Servicing
mortgages credit ...
CT-238 ..
CT-601 ......
CT-613 ......
Other credits .........
CT-239 ..
CT-601.1 ...
CT-631 ......
CT-633 ......
CT-241 ..
CT-602 ......
If you claimed the QEZE tax reduction credit and you had a 100% zone allocation factor, mark an X in the box ..............................
101a Total credits listed above
101a
(enter here and on line 78; attach appropriate form or statement for each credit claimed)
101b Total refund eligible tax credits
101b
(see instructions; the amount of the credit claimed as a refund should be shown only on line 100a)
Composition of prepayments included on line 87
Date paid
Amount
(see instructions)
102 Mandatory first installment of combined group .....................................................
102
103a Second installment of combined group from Form CT-400 ................................... 103a
103b Third installment of combined group from Form CT-400 ....................................... 103b
103c Fourth installment of combined group from Form CT-400 ..................................... 103c
104 Payment with extension request, from Form CT-5.3, line 8 ...................................
104
105 Overpayment credited from prior years .......................................................................................... 105
Period
106 Overpayment credited from Form CT-3M/4M
..................... 106
107 Total prepayments from subsidiaries not previously included in the combined return
107
(from Form(s) CT-3-A/C)
108 Total prepayments
............................................. 108
(add lines 102 through 107; enter here and on line 87)
109 Interest deducted in computing federal taxable income ..............................................................
109
110 If the IRS has completed an audit of any of your returns within the last five years, list years:
111 If a member of an affiliated federal group, enter name of primary corporation and EIN:
Name
EIN
112 If more than 50% owned by another corporation, enter name of parent corporation and EIN:
Name
EIN
113 Corporations organized outside New York State, complete the following for capital stock issued and outstanding:
Number of par shares
Value
Number of no-par shares
Value
$
$
Interest paid to shareholders
114
Did this corporation make any payments treated as interest in the computation of ENI to shareholders
owning directly or indirectly, individually or in the aggregate, more than 50% of the corporation’s issued
and outstanding capital stock (mark an X in the appropriate box)? If Yes, complete the following and mark
114
............................................
an X in the appropriate box on line 115
(if more than one, attach separate sheet)
Yes
No
Shareholder’s name
Social security number or EIN
Interest paid to shareholder
Total indebtedness to shareholder described above
Total interest paid
115 Is there written evidence of the indebtedness? ............................................................................
115
Yes
No
116a Is the combined group claiming small business taxpayer status for lower ENI tax rates? .......... 116a
Yes
No
116b If you marked Yes on line 116a, enter total capital contributions
......................
116b
(see instructions)
117a Is the combined group claiming qualified New York manufacturer status for lower capital base
117a
Yes
No
tax limitation?
.................................................
(see instructions; mark an X in the appropriate box)
117b Is the combined group claiming qualified New York manufacturer status for lower ENI tax rates?
117b
.........................................................................
Yes
No
(see instructions; mark an X in the appropriate box)
117c Is the combined group claiming eligible qualified New York manufacturer status for lower tax
rates?
117c
Yes
No
(see instructions; mark an X in the appropriate box) ......................................................................
434007120094
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