Form Ct-33-A - Life Insurance Corporation Combined Franchise Tax Return - 2013 Page 2

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Page 2a CT-33-A (2013)
Schedule A — Computation of combined allocation percentage
(If you do not claim an allocation, enter 100 on line 48; see instructions)
34 New York taxable premiums
(see instructions) ........................................................................................................................................................
35 New York ocean marine premiums
.............................................................................................................................
(see instructions)
36 New York premiums for annuity contracts and for insurance for the elderly
..............................................................
(see instructions)
37 New York premiums on reinsurance assumed
...........................................................................................................
(see instructions)
38 Total New York gross premiums
.....................................................................................................................
(add lines 34 through 37)
39 New York premiums ceded that are included on line 38
............................................................................................
(see instructions)
40 Total New York premiums
.........................................................................................................................
(subtract line 39 from line 38)
41 Total everywhere premiums
........................................................................................................................................
(see instructions)
42 Combined New York premium percentage
......................................................................................
(divide column E, line 40 by line 41)
43 Combined weighted New York premium percentage
......................................................................................
(multiply line 42 by nine)
44 New York wages, salaries, personal service compensation, and commissions
.........................................................
(see instructions)
45 Total everywhere wages, salaries, personal service compensation, and commissions
.............................................
(see instructions)
46 Combined New York payroll percentage
..........................................................................................
(divide column E, line 44 by line 45)
47 Total combined New York percentages
................................................................................................................
(add lines 43 and 46)
48 Combined allocation percentage
.....................................................................
(divide line 47 by ten; if line 42 or 46 is 0, see instructions)
Schedule B — Computation and allocation of combined subsidiary capital
(see instructions for each line in this schedule)
49 Average fair market value of subsidiary capital ...................................................................................................................................
50 Average value of current liabilities attributable to subsidiary capital ...................................................................................................
51 Net average fair market value of subsidiary capital .............................................................................................................................
52 Net average value of subsidiary capital allocated to New York State
(enter column E amount in the first box on line 5) ..............................
Schedule C — Computation and allocation of combined business and investment capital
(see instructions)
53 Average value of total assets
(see instructions) ......................................................................................................................................................
54 Average fair market value adjustment
(show a negative amount with a minus (-) sign) .......................................................................................
55 Average value of nonadmitted assets from annual statement
...................................................................................
(see instructions)
56 Total combined assets
.....................................................................................................................
(add column E, lines 53, 54, and 55)
57 Average value of current liabilities
..............................................................................................................................
(see instructions)
58 Total combined capital
...............................................................................................................
(subtract column E, line 57 from line 56)
59 Combined subsidiary capital from column E, line 51 ..........................................................................................................................
60 Combined business and investment capital
.............................................................................................
(subtract line 59 from line 58)
61 Average value of assets, excluding subsidiary assets included on line 51, held as reserves under New York State Insurance Law
sections 1303, 1304, and 1305
...........................................................
(use same method to value assets as on line 56; see instructions)
62 Adjusted combined business and investment capital (
...............................................................
subtract column E, line 61 from line 60)
63 Combined allocated business and investment capital
(multiply line 62 by the combined allocation percentage on line 48; enter here and in the first box on line 2)
Schedule D — Computation and allocation of combined ENI
(see instructions)
64 FTI before operations or net operating loss
(see instructions; include disallowed dividends paid deduction:
)
Additions
65 Dividends-received deduction
.......................................................................................................................
(used to compute line 64)
66 Dividend or interest income not included in line 64 (
....................................................................................
attach list; see instructions)
67 Interest to stockholders:
minus 10% or $1,000, whichever is larger
..............................................
(see instructions)
68 Adjustment for gains or losses on disposition of property acquired before January 1, 1974
....................................
(see instructions)
69 Deductions attributable to subsidiary capital (
.............................................................................................
attach list; see instructions)
70 New York State franchise tax deducted on federal return
..........................................................................
(attach list; see instructions)
71 Amount deducted on your federal return as a result of a safe harbor lease
..............................................................
(see instructions)
72 Amount that would have been required to be included on your federal return except for a safe harbor lease
.........
(see instructions)
73 Total amount of federal depreciation from Form CT-399
...........................................................................................
(see instructions)
74 Other additions
(see instructions)
IRC section 199 deduction:
...............................................................
75 Total
.................................................................................................................................................
(add column E, lines 64 through 74)
430002130094

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