Form Ct-33.1 - Claim For Capco Credit - 2012 Page 2
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2Page 2 of 2 CT-33.1 (2012)
Part 4 — Computation of CAPCO credit recapture
22 100% recapture of CAPCO credit for failure to meet requirement of Tax Law, Article 1, section 11(c)(1)(A) ...
22
23 85% recapture of CAPCO credit for failure to meet requirements of Tax Law section 11(c)(1)(B) .......
23
24 70% recapture of CAPCO credit for failure to meet requirements of Tax Law section 11(c)(1)(C) ......
24
25 100% recapture of CAPCO credit if CAPCO certificate is revoked
.........................
25
(see instructions)
26 Total recapture of CAPCO credit taken in previous tax years
....
26
(add lines 22 through 25; enter here and on line 10)
Part 5 — Allocated CAPCO credit transferred to affiliates for the current tax year
(see instructions)
A
B
C
D
E
F
Description of CAPCO
Transferee
EIN
Unused credit allocated % of credit
Allocated credit
transferred to
corporation name
by the Superintendent
available
(Attach additional sheets if necessary)
of Insurance
for the
affiliates for the
transferred to
current
current tax year
affiliates
tax year
(column D x column E)
27 Total allocated CAPCO credit transferred to affiliates for the current tax year
(add column F amounts;
....................................................................................................................
27
enter here and on line 2 )
Part 6 — Allocated CAPCO credit transferred from affiliates for the current tax year
(see instructions)
A
B
C
D
E
F
Description of CAPCO
Transferor
EIN
Unused credit allocated % of credit
Allocated credit
transferred from
corporation name
by the Superintendent
available
(Attach additional sheets if necessary)
of Insurance
for the
affiliates for the
transferred from
current
current tax year
affiliates
tax year
(column D x column E)
28 Total allocated CAPCO credit transferred from affiliates for the current tax year
(add column F
.................................................................................................................
28
amounts; enter here and on line 4 )
Part 7 — CAPCO credit carryforward transferred from affiliates for the current tax year
(see instructions)
A
B
C
D
E
Description of CAPCO
Transferor
EIN
Date of
Credit carryforward
transferred from affiliates
corporation name
transfer or sale
(Attach additional sheets if necessary)
29 Total CAPCO credit carryforward transferred from affiliates for the current tax year
(add column E
...........................................................................................................
29
amounts; enter here and on line 7 )
Part 8 — CAPCO credit carryforward transferred to affiliates for the current tax year
(see instructions)
A
B
C
D
E
Description of CAPCO
Transferee
EIN
Date of
Credit carryforward
corporation name
transfer or sale
transferred to affiliates
(Attach additional sheets if necessary)
30 Total CAPCO credit carryforward transferred to affiliates for the current tax year
(add column E
..........................................................................................................
30
amounts; enter here and on line 19)
498002120094
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