Form Ct-3-A/att - Schedules A, B, And C - Attachment To Form Ct-3-A - 2013
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3CT-3-A/ATT
New York State Department of Taxation and Finance
Schedules A, B, and C —
Attachment to Form CT-3-A
General Business Corporation Combined
Franchise Tax Return
Legal name of corporation
Employer identification number (EIN)
Combined parent corporation legal name
Parent EIN
This form must be completed for each corporation in the combined group with investment capital (Schedule A) or subsidiary capital
(Schedule B).
Schedule C of this form must be completed for each corporation in the combined group that is a qualified public utility and transferee,
qualified power producer, or qualified pipeline corporation.
See page 3 and Form CT-3-A-I, Instructions for Forms CT-3-A, CT-3-A/ATT, and CT-3-A/B, for assistance in completing this form.
Attach this form to Form CT-3-A, General Business Corporation Combined Franchise Tax Return.
Schedule A — Investment capital information
(see instructions)
Attach separate sheets, if necessary, displaying this information formatted as below.
Section 1 — Corporate and governmental debt instruments
(breakdown of information on Form CT-3-A, line 196)
A — Description of investment
(identify each debt instrument here; for each debt instrument complete columns B through G on the
corresponding lines below; see instructions)
Item
Debt instrument
A
B
C
D
A
B
C
D
E
F
G
Item Maturity date
Average value
Liabilities directly or
Net average value
Issuer’s
Value allocated to
indirectly attributable to
allocation
New York State
(mm-dd-yy)
(see instructions)
(column C – column D)
investment capital
%
(see instructions)
(column E × column F)
(see instructions)
(see instr.)
A
B
C
D
Amounts from attached list
1 Totals of
1
Section 1
Section 2 — Corporate stock, stock rights, stock warrants, and stock options
(breakdown of information on Form CT-3-A, line 197)
A — Description of investment
(identify each investment here; for each investment complete columns B through G on the corresponding lines below; see instr.)
Item
Investment
A
B
C
D
A
B
C
D
E
F
G
Item
Number of
Average value
Liabilities directly or
Net average value
Issuer’s
Value allocated to
shares
indirectly attributable to
allocation
New York State
(see instructions)
(column C – column D)
investment capital
%
(see instructions)
(column E × column F)
(see instructions)
(see instr.)
A
B
C
D
Amounts from attached list
2 Totals of
Section 2
2
(continued)
435001130094
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