Form Ct-33-A/att - Schedules A, B, C, D, And E - Attachment To Form Ct-33-A - Life Insurance Corporation Combined Franchise Tax Return - 2014
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1
2
3CT-33-A/ATT
New York State Department of Taxation and Finance
Schedules A, B, C, D, and E —
Attachment to Form CT-33-A
Life Insurance Corporation
Combined Franchise Tax Return
All filers must enter tax period:
beginning
ending
Employer identification number (EIN)
File number
Business telephone number
(
)
Legal name of corporation
Trade name/DBA
State or country of incorporation
Mailing name (if different from legal name above)
Date received (for Tax Department use only)
c/o
Number and street or PO box
Date of incorporation
City
State
ZIP code
Foreign corporations: date began
business in NYS
NAICS business code number
(from NYS Pub 910)
If you need to update your address or
Audit (for Tax Department use only)
If address/phone
above is new,
phone information for corporation tax,
mark an X in the box
or other tax types, you can do so online.
NYS principal business activity
See Business information in Form CT-1.
For all combined returns and attachments, the corporation responsible for filing Form CT-33-A is designated the parent. The other
corporations included in the combined return are designated subsidiaries.
Combined parent corporation legal name
Parent employer identification number
Metropolitan transportation business tax (MTA surcharge) — During the tax year did you do business, employ capital, own or
lease property, or maintain an office in the Metropolitan Commuter Transportation District (MCTD)? (The MCTD includes counties of
New York, Bronx, Kings, Queens, Richmond, Dutchess, Nassau, Orange, Putnam, Rockland, Suffolk, and Westchester.)
................................................................................................................................ Yes
No
(Mark an X in the appropriate box.)
This form must be completed for each corporation in the combined group.
Attach this form to Form CT-33-A, Life Insurance Corporation Combined Franchise Tax Return.
Schedule A — Allocation of reinsurance premiums when location of risks cannot be determined
(see Form CT-33-A-I,
Instructions for Forms CT-33-A, CT-33-A/ATT, and CT-33-A/B; attach separate sheet if necessary)
A
B
C
D
Name of ceding company
Reinsurance premiums
Reinsurance
Reinsurance premiums
received
allocation %
allocated to New York State
(see instructions)
(column B × column C)
Totals from attached sheet ................................
1 Total
1
(add column D amounts; enter here and include on line 37 of Form CT-33-A or Form CT-33-A/B)
499001140094
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