Form Ct-33-A/b - Subsidiary Detail Spreadsheet - 2013 Page 6

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CT-33-A/B (2013) Page 3b
Subsidiary
Subsidiary
Subsidiary
Subsidiary
Total
EIN
EIN
EIN
EIN
Legal name of corporation
Legal name of corporation
Legal name of corporation
Legal name of corporation
Schedule F — Computation of premiums
(see instructions)
Life insurance company premiums taxable under Article 33 section 1510
93
93
94
94
95
95
96
96
Life insurance company premiums included in the tax limitations computed
under Article 33 section 1505
97
97
98
98
99
99
100
100
Insurance corporations who receive more than 95% of their premiums from:
101
101
102
102
Schedule G — Computation of issuer’s allocation percentage
(see instructions)
103
103
104
104
500006130094

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