Form Ct-33-M - Insurance Corporation Mta Surcharge Return - 2013 Page 2
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2Page 2 of 2 CT-33-M (2013)
Computation of MTA surcharge
(continued; see instructions)
23 Overpayment
......................... 23
(if line 16 is less than line 17, subtract line 16 from line 17; see instructions)
24 Amount of overpayment to be credited to New York State franchise tax ......................................
24
25 Amount of overpayment to be credited to next year’s MTA surcharge ...........................................
25
26 Amount of overpayment to be refunded
...................................
26
(subtract lines 24 and 25 from line 23)
27 Amount of MTA surcharge retaliatory tax credit to be refunded
..................................
27
(from line 38)
28 Total refund claimed
28
........................................................................................
(add lines 26 and 27)
Claim for refund of MTA surcharge retaliatory tax credit
(see instructions)
A
B
C
D
E
For tax years before 2008, attach separate computation
2008
2009
2010
2011
2012
29 MTA surcharge payable
.............. 29
(see instructions)
30 MTA surcharge retaliatory tax credits previously
allowed
.................................... 30
(see instructions)
31 Balance
(subtract line 30 from line 29;
) ....................................... 31
if less than zero, enter 0
32 Ninety percent (.9) of retaliatory taxes paid this
year attributable to the 2008 MTA surcharge
32
(may not exceed line 31, column A; see instructions)
33 Ninety percent (.9) of retaliatory taxes paid this year attributable
33
to the 2009 MTA surcharge
(may not exceed line 31, column B; see instr.)
34 Ninety percent (.9) of retaliatory taxes paid this year attributable to the 2010
MTA surcharge
...................... 34
(may not exceed line 31, column C; see instructions)
35 Ninety percent (.9) of retaliatory taxes paid this year attributable to the 2011 MTA surcharge
....................................................................... 35
(may not exceed line 31, column D; see instructions)
36 Ninety percent (.9) of retaliatory taxes paid this year attributable to the 2012 MTA surcharge
............................................................................................... 36
(may not exceed line 31, column E; see instructions)
37 Total MTA surcharge retaliatory tax credits
allowed to date
....................... 37
(see instructions)
38 Total credits
........................................................ 38
(add lines 32 through 36; enter here and on line 27)
Composition of prepayments claimed on line 17
(see instructions)
Date paid
Amount
39 Mandatory first installment .............................................................................
39
40a Second installment from Form CT-400 ..........................................................
40a
40b Third installment from Form CT-400 ............................................................... 40b
40c Fourth installment from Form CT-400 ............................................................
40c
41 Payment with extension request, from Form CT-5, line 10, or Form CT-5.3, line 13 ....................... 41
42 Overpayment credited from prior years ........................................................................................... 42
43 Add lines 39 through 42 .................................................................................................................
43
44 Overpayment credited from Form CT-33-NL, CT-33, or CT-33-A
...................
44
Period
45 Total prepayments
........................................................ 45
(add lines 43 and 44; enter here and on line 17)
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.
432002130094
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