Form Ct-33-A - Life Insurance Corporation Combined Franchise Tax Return - 2013 Page 5

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CT-33-A (2013) Page 3b
A
B
C
D
E
Parent
Total subsidiaries
Subtotal
Intercorporate
Combined total
eliminations
(column A + column B)
(column C – column D)
Schedule D — Computation and allocation of combined ENI
(continued; see instructions)
Subtractions
76
76
77
77
78
78
79
79
80
80
81
81
82
82
83
83
84
84
85
85
86
86
Schedule E — Computation and allocation of combined alternative base
87
87
88
88
89
89
90
90
91
91
92
92
Schedule F — Computation of combined premiums
(see instructions)
Combined life insurance company premiums taxable under Article 33 section 1510
93
93
94
94
95
95
96
96
Combined 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 combined issuer’s allocation percentage
103
103
104
104
105
105
%
Computation of prepayments
(see instructions)
Date paid
Amount
106 Mandatory first installment of combined group ....................................... 106
107 Second combined group installment from Form CT-400 ......................... 107
108 Third combined group installment from Form CT-400 ............................. 108
109 Fourth combined group installment from Form CT-400 ........................... 109
110 Payment with extension request from Form CT-5.3, line 8 ...................... 110
111 Overpayment credited from prior year’s combined return
............................. 111
(see instructions)
Period
112 Overpayment credited from Form CT-33-M
.......................................... 112
113 Total prepayments from subsidiaries not previously included in combined return ................. 113
114 Total prepayments
..................................... 114
(add lines 106 through 113; enter here and on line 21)
430005130094

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