Form Ct-33-Nl - Non-Life Insurance Corporation Franchise Tax Return - 2013 Page 2

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Page 2 of 4 CT-33-NL (2013)
Computation of tax and installment payments of estimated tax
1 Accident and health insurance premiums from line 34
× .0175
1
(see instr.)
2 Other non‑life insurance company premiums from line 35
2
× .02
(see instr.)
3 Total tax on premiums
.........................................................................................
3
(add lines 1 and 2)
4 Minimum tax .....................................................................................................................................
4
250 00
5 Tax due before credits
5
...................................................
(line 3 or line 4 amount, whichever is greater)
6 Tax credits
...............................................................................................
6
(enter amount from line 47)
7 Tax due
....................................................................................................
7
(subtract line 6 from line 5)
First installment of estimated tax for next period:
8a If you filed a request for extension, enter amount from Form CT‑5, line 2 .....................................
8a
8b If you did not file Form CT‑5 and line 7 is over $1,000
see instructions .......................................
8b
,
9 Total
.........................................................................................................
9
(add line 7 and line 8a or 8b)
10 Total prepayments from line 46 ......................................................................................................
10
11 Balance
.............................................................
11
(if line 10 is less than line 9, subtract line 10 from line 9)
12 Estimated tax penalty
...............
12
(see instructions; mark an X in the box if Form CT-222 is attached)
13 Interest on late payment
13
........................................................................................
(see instructions)
14 Late filing and late payment penalties
...................................................................
14
(see instructions)
15 Balance due
.....
15
(add lines 11 through 14 and enter here; enter the payment amount on line A on page 1)
16 Overpayment
16
...................................................
(if line 9 is less than line 10, subtract line 9 from line 10)
17 Amount of overpayment to be credited to next period ..................................................................
17
18 Balance of overpayment
......................................................................
18
(subtract line 17 from line 16)
19 Amount of overpayment to be credited to Form CT‑33‑M .............................................................
19
20 Refund of overpayment
20
........................................................................
(subtract line 19 from line 18)
21a Refund of tax credits
.............................................................................................
21a
(see instructions)
21b Tax credits to be credited as an overpayment to next year’s return
.....................
21b
(see instructions)
22 Issuer’s allocation percentage from line 38 ....................................................................................
22
%
23 Reinsurance allocation percentage from line 33 ............................................................................
%
23
Schedule A — Allocation of reinsurance premiums when location of risks cannot be determined
(see instructions;
attach separate sheet if necessary)
A
B
C
D
Name of ceding company
Reinsurance premiums
Reinsurance
Reinsurance premiums
received
allocation %
allocated to New York State
(see instr.)
(column B × column C)
Totals from attached sheet ...........................................
24 Total
24
..............................................
(add column D amounts; enter here and include on line 28)
514002130094

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