Form Ct-207k - Insurance/health Care Tax Credit Schedule - 2014 Page 3

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Part 3 - 70% Tax Credit Limitation
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30. Multiply Line 1 by 70% (.70).
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31. Add Line 23, Column C and Line 29, Column C.
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32. Part 3 - 70% Tax Credit Limitation: Subtract Line 31 from Line 30.
A
C
D
E
B
Carryforward Amount From
2014 Credit Amount Claimed
Amount Applied
Carryforward Amount to 2015
Carryback Amount
Part 3A - 70% Tax Credits
Previous Income Years
00
00
00
00
33. Insurance Reinvestment - Form CT-IRF
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00
00
00
34. Second Insurance Reinvestment - Form CT-SIRF
35. Total Part 3: Add Line 33 and Line 34. The total from
00
00
00
00
Column C must not exceed amount from Line 32.
A
C
D
E
B
Amount Applied
Carryforward Amount to 2015
Carryback Amount
Carryforward Amount From
2014 Credit Amount Claimed
Part 4 - Total Tax Credits
Previous Income Years
00
00
00
00
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36. Total Tax Credits: Add Line 23, Line 29, and Line 35.
Form CT-207K ( Rev. 06/14 )

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