Form Ct-33-A - Life Insurance Corporation Combined Franchise Tax Return - 2013 Page 6
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6Page 4 CT-33-A (2013)
Summary of tax credits claimed against current year’s franchise tax:
EZ and ZEA tax credits (attach appropriate form for each credit claimed)
Form CT-601 ...
Form CT-601.1 ...
Form CT-602 ........
115 Total EZ and ZEA tax credits claimed above; amount cannot reduce the tax to less than
the minimum tax
................................................. 115
(enter here and on line 11a; see instructions)
Tax credits (attach appropriate form or statement for each credit claimed)
Fire insurance
premiums tax
credit ............
Form CT-259 ...
Form CT-612 .....
Form CT-33-R ...
Form CT-501 ...
Form CT-613 .....
Form CT-33.1....
Form CT-502 ...
Form CT-631 .....
Form CT-41 ....
Form CT-604 ...
Form CT-633 .....
Form CT-43 ....
Form CT-606 ...
Form CT-634 .....
Form CT-44 ....
Form CT-607 ...
Form DTF-624 ....
Form CT-238 ..
Form CT-611 ...
Form DTF-630 ....
Form CT-249 ..
Form CT-611.1 ...
Other credits .....
Form CT-250 ..
116 Total tax credits claimed above; do not include EZ and ZEA tax credits claimed on
line 115
................................................................. 116
(enter here and on line 16; see instructions)
117 Total tax credits claimed above that are refund eligible
............................... 117
(see instructions)
118 If any member in the combined group is a captive REIT or captive RIC, mark an X in the box
......
(see instructions for definitions)
Primary corporation name
EIN
(if a member of an affiliated group)
Parent corporation name
EIN
(if more than 50% owned by another corporation)
Amended return information
If filing an amended return, mark an X in the box for any items that apply and attach documentation.
Final federal determination ...............
If marked, enter date of determination:
NOL or operations loss carryback .....
Capital loss carryback ..........................
Federal return filed:
Form 1139
Amended consolidated Form 1120-L
Amended consolidated Form 1120-PC
Net operating loss (NOL) or operations loss information
New York State NOL or operations loss carryover total available for use this tax year from all prior tax years ...
Federal NOL or operations loss carryover total available for use this tax year from all prior tax years ..........
New York State NOL or operations loss carryforward total for future tax years .............................................
Federal NOL or operations loss carryforward total for future tax years ..........................................................
If an unauthorized insurance corporation is included in this return, mark an X in the box ...................................................................
Designee’s name
Designee’s phone number
(print)
Third – party
Yes
No
(
)
designee
Designee’s e-mail address
(see instructions)
PIN
Certification: I certify that this return and any attachments are to the best of my knowledge and belief true, correct, and complete.
Printed name of authorized person
Signature of authorized person
Official title
Authorized
person
E-mail address of authorized person
Telephone number
Date
(
)
Firm’s name
Firm’s EIN
Preparer’s PTIN or SSN
Paid
(or yours if self-employed)
preparer
Signature of individual preparing this return
Address
City
State
ZIP code
use
only
E-mail address of individual preparing this return
Preparer’s NYTPRIN
Date
(see instr.)
See instructions for where to file.
430006130094
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