Form Ct-33-A/b - Subsidiary Detail Spreadsheet Attachment To Form Ct-33-A Life Insurance Corporation Combined Franchise Tax Return - 2011 Page 6
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8Page 3a CT-33-A/B (2011)
Legal name of corporation
Employer identification number
Subsidiary
Subsidiary
EIN
EIN
Legal name of corporation
Legal name of corporation
Schedule F — Computation of premiums
(see instructions)
Life insurance company premiums taxable under Article 33 section 1510
93 Life insurance premiums .............................................................................
94 Accident and health insurance premiums ..................................................
95 Other insurance premiums
.........................................................
(attach list)
96 Total life insurance company premiums
..................
(add lines 93 through 95)
Life insurance company premiums included in the tax limitations computed
under Article 33 section 1505
97 Life insurance premiums .............................................................................
98 Accident and health insurance premiums ..................................................
99 Other insurance premiums .........................................................................
100 Total life insurance company premiums subject to the floor limitation on
tax under section 1505(b)
.....................................
(add lines 97 through 99)
Insurance corporations who receive more than 95% of their premiums from:
101 Annuity contracts, ocean marine insurance, and group insurance
on the elderly
..................................................................
(see instructions)
102 Total life insurance company premiums subject to the limitation on tax
under section 1505(a)(2)
.......................................
(add lines 100 and 101)
Schedule G — Computation of issuer’s allocation percentage
(see instructions)
103 New York gross direct premiums ................................................................
104 Total gross direct premiums........................................................................
50005110094
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