Form Ct-33-R - Claim For Retaliatory Tax Credits - 2013
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1
2CT-33-R
New York State Department of Taxation and Finance
Claim for Retaliatory
Tax Credits
All filers must enter tax period:
Tax Law — Article 33
beginning
ending
Legal name of corporation
Employer identification number
File this form with Form CT-33, CT-33-NL, or CT-33-A; but send documentation to address under Retaliatory prints.
Part 1 — Computation of Article 33 section 1511(c) retaliatory tax credit for insurance corporations organized or domiciled in New York State
(see instr.)
A
B
C
For tax years before 2011, attach separate computation.
2011
2012
2013
1 Tax less credits
(except for section 1511(c)
1
.....................................
retaliatory tax credit)
2 Section 1511(c) retaliatory tax credit
claimed in 2011 and 2012 ........................
2
3 Balance
.................
3
(subtract line 2 from line 1)
4 90% of retaliatory taxes paid in 2013 on
2011 premiums and income
........
4
(line 4 may not exceed line 3, column A)
5 90% of retaliatory taxes paid in 2013 on
2012 premiums and income
(line 5 may not
.........................................................................
5
exceed line 3, column B)
6 90% of retaliatory taxes paid in 2013 on 2013 premiums and income
..............................................................................................
6
(line 6 may not exceed line 1, column C)
7 Total section 1511(c) retaliatory tax credit claimed this year
............................
7
(add lines 4, 5, and 6)
Part 2 — Computation of section 1511(i) retaliatory tax credit for insurance corporations organized or domiciled in New York State
(relating to assessments imposed under Public Health Law section 2807-t)
(see instructions)
A
B
C
For tax years before 2011, attach separate computation.
2011
2012
2013
8 Amount of assessment paid under
Public Health Law section 2807-t ............
8
9 Tax less credits
(except for section 1511(i)
9
.....................................
retaliatory tax credit)
10 Section 1511(i) retaliatory credit claimed
in 2011 and 2012 ...................................... 10
11 Balance
............... 11
(subtract line 10 from line 9)
12 90% of retaliatory taxes paid to other states
in 2013 because of 2011 section 2807-t
assessments
(may not exceed lesser of line 8,
12
....................
column A, or line 11, column A)
13 90% of retaliatory taxes paid to other states in 2013 because of 2012
2807-t assessments
13
(may not exceed lesser of line 8, column B, or line 11, column B)
14 90% of retaliatory taxes paid to other states in 2013 because of 2013 section 2807-t assessments
(
............................................................
14
may not exceed lesser of line 8, column C, or line 9, column C)
15 Total section 1511(i) retaliatory tax credit claimed this year
........................
15
(add lines 12, 13, and 14)
Part 3 — Computation of total retaliatory tax credits claimed and amount to be credited as an overpayment and/or refunded
(sections 1511(c) and 1511(i))
16 Total retaliatory tax credits claimed this year
.......................................................
16
(add lines 7 and 15)
17 Retaliatory tax credits from line 16 used to reduce tax liability
17
...............................
(see instructions)
18 Balance of retaliatory tax credits
....................................
18
(subtract line 17 from line 16; see instructions)
19 Amount of retaliatory tax credits to be credited as an overpayment to next period
19
(see instructions)
20 Amount of retaliatory tax credits to be refunded
20
............
(subtract line 19 from line 18; see instructions)
See instructions on page 2.
501001130094
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