Form Ct-33-M - Insurance Corporation Mta Surcharge Return - 2014
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1
2CT-33-M
New York State Department of Taxation and Finance
Insurance Corporation MTA
Surcharge Return
Tax Law — Article 33, Section 1505-a
All filers must enter tax period:
Amended
beginning
ending
return
Employer identification number (EIN)
File number
Business telephone number
State or country of incorporation
If you claim an
overpayment, mark
(
)
an X in the box
Legal name of corporation
Date of incorporation
Date received (for Tax Department use only)
Mailing name (if different from legal name above)
If you need to update
your address or
c/o
phone information for
Number and street or PO box
corporation tax, or
other tax types, you
can do so online. See
City
State
ZIP code
Audit (for Tax Department use only)
Business information in
Form CT-1.
If you do business, employ capital, own or lease property, or maintain an office in the Metropolitan Commuter
Transportation District (MCTD) (the counties of New York, Bronx, Kings, Queens, Richmond, Dutchess, Nassau, Orange,
Putnam, Rockland, Suffolk, and Westchester), you must complete this form. If not, you do not have to file this form.
However, you must disclaim liability for the MTA surcharge on Form CT-33-NL, Form CT-33, or Form CT-33-A.
Payment enclosed
A. Pay amount shown on line 22. Make payable to: New York State Corporation Tax
Attach your payment here. Detach all check stubs.
(See instructions for details.)
A
Computation of MCTD allocation percentage
Authorized non-life insurance corporations MCTD allocation percentage
(see instructions)
1a New York State direct premiums
(total amounts from
1a
...............................
Form CT-33-NL, lines 34 and 35 and enter here)
1b MCTD premiums included on line 1a ............................................
1b
2 MCTD allocation percentage
......................................................................
%
(divide line 1b by line 1a)
2
Life insurance corporations and unauthorized insurance corporations MCTD allocation percentage
(see instr.)
3a Net New York State premiums
(from Form CT-33, line 37, or
3a
............................................................
CT-33-A, line 40, column E)
3b MCTD premiums included on line 3a
...................
3b
(see instructions)
4 MCTD premium percentage
4
%
.......................................................................
(divide line 3b by line 3a)
5 Weighted MCTD premium percentage
...........................................................
5
%
(multiply line 4 by nine)
6a New York State wages
(from Form CT-33, line 41, or CT-33-A,
6a
..........................................................................
line 44, column E)
6b MCTD wages included on line 6a
........................
6b
(see instructions)
7 MCTD wage percentage
............................................................................
7
%
(divide line 6b by line 6a)
8 Total MCTD percentages
8
%
.......................................................................................
(add lines 5 and 7)
9 MCTD allocation percentage
%
........................
(divide line 8 by ten; if line 4 or line 7 is 0, see instructions)
9
Computation of MTA surcharge
10 Net New York State franchise tax
10
(from Form CT-33-NL, line 7; Form CT-33 and Form CT-33-A filers, see instructions)
11 Allocated tax
(Form CT-33-NL filers multiply line 10 by line 2; Form CT-33 and Form CT-33-A filers
.................................................................................................................
11
multiply line 10 by line 9)
12 MTA surcharge before MTA surcharge retaliatory tax credit
................
12
(multiply line 11 by 17% (.17))
13 MTA surcharge retaliatory tax credit
13
......................................................................
(see instructions)
14 Total MTA surcharge due
.....................................................................
14
(subtract line 13 from line 12)
15a If you filed a request for extension, enter amount from Form CT-5, line 7, or Form CT-5.3, line 10
15a
15b If you did not file Form CT-5 or Form CT-5.3, see instructions ....................................................... 15b
16 Total
........................................................................................................ 16
(add lines 14 and 15a or 15b)
17 Total prepayments
........................................................................................................ 17
(from line 45)
18 Balance
.......................................................... 18
(if line 17 is less than line 16, subtract line 17 from line 16)
19 Estimated tax penalty
.............
19
(see instructions; mark an X in the box if Form CT-222 is attached)
20 Interest on late payment
........................................................................................
20
(see instructions)
21 Late filing and late payment penalties
...................................................................
21
(see instructions)
22 Balance due
22
............
(add lines 18 through 21 and enter here; enter the payment amount on line A above)
432001140094
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