Form Ct-33-A - Life Insurance Corporation Combined Franchise Tax Return - 2014 Page 8
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8Page 6 CT-33-A (2014)
Summary of tax credits claimed against current year’s franchise tax:
Has any member of the combined group that is claiming tax credits (or has an entity of which such member
is an owner) been convicted of an offense defined in New York State Penal Law Article 200 or 496, or
section 195.20?
................................................................................................... Yes
No
(see Form CT-1; mark an X in one box)
EZ and ZEA tax credits
(attach appropriate form for each credit claimed)
Form CT-601 ...
Form CT-601.1 ...
Form CT-602 ........
115 Total EZ and ZEA tax credits claimed above; amount cannot reduce the tax to less than
................................................. 115
the minimum tax
(enter here and on line 11a; see instructions)
Tax credits
(attach appropriate form or statement for each credit claimed)
Fire insurance
premiums tax
credit ............
Form CT-611 ..
Form CT-33-R
Form CT-611.1
Form CT-33.1
Form CT-612 ..
Form CT-41 ...
Form CT-613 ..
Form CT-43 ...
Form CT-631 ...
Form CT-44 ...
Form CT-633 ...
Form CT-238
Form CT-634 ...
Form CT-249
Form CT-639 ...
Form CT-250
Form DTF-624
Form CT-259
Form DTF-630
Form CT-501
Other credits ...
Form CT-502
Form CT-604
Form CT-606
Form CT-607
116 Total tax credits claimed above; do not include EZ and ZEA tax credits claimed on
line 115
................................................................. 116
(enter here and on line 16; see instructions)
117 Total tax credits claimed above that are refund eligible
............................... 117
(see instructions)
118 If any member in the combined group is a captive REIT or captive RIC, mark an X in the box
......
(see instructions for definitions)
Primary corporation name
EIN
(if a member of an affiliated group)
Parent corporation name
EIN
(if more than 50% owned by another corporation)
Designee’s name
Designee’s phone number
(print)
Third – party
Yes
No
(
)
designee
Designee’s e-mail address
(see instructions)
PIN
Certification: I certify that this return and any attachments are to the best of my knowledge and belief true, correct, and complete.
Printed name of authorized person
Signature of authorized person
Official title
Authorized
person
E-mail address of authorized person
Telephone number
Date
(
)
Firm’s name
Firm’s EIN
Preparer’s PTIN or SSN
Paid
(or yours if self-employed)
preparer
Signature of individual preparing this return
Address
City
State
ZIP code
use
only
E-mail address of individual preparing this return
Preparer’s NYTPRIN
Date
(see instr.)
See instructions for where to file.
430008140094
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