Form Ct-33-Nl - Non-Life Insurance Corporation Franchise Tax Return - 2013 Page 4
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4Page 4 of 4 CT-33-NL (2013)
Summary of tax credits claimed against current year’s franchise tax
(see instructions; attach applicable credit forms)
Fire insurance premiums tax credit
Form CT‑602 .....................................
.........................
(enter amount claimed)
Form CT‑604 .....................................
Form CT‑33‑R ...................................
Form CT‑606 .....................................
Form CT‑33.1 ....................................
Form CT‑607 .....................................
Form CT‑41 .......................................
Form CT‑611 .....................................
Form CT‑43 ........................................
Form CT‑611.1 ..................................
Form CT‑44 .......................................
Form CT‑612 .....................................
Form CT‑238 .....................................
Form CT‑613 .....................................
Form CT‑249 .....................................
Form CT‑631 .....................................
Form CT‑250 .....................................
Form CT‑633 .....................................
Form CT‑259 .....................................
Form CT‑634 .....................................
Form CT‑501 .....................................
Form DTF‑624 ..................................
Form CT‑502 .....................................
Form DTF‑630 ...................................
Form CT‑601 .....................................
Other credits .....................................
Form CT‑601.1 ..................................
47 Total tax credits claimed above
.............................................
47
(enter here and on line 6; see instructions)
48 Total tax credits claimed above that are refund eligible
.............................................
48
(see instructions)
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:
Federal return filed:
Form 1139
Amended Form 1120‑L
Amended Form 1120‑PC
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.
514004130094
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