Form 1120-L - U.s. Life Insurance Company Income Tax Return - 2017 Page 5

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5
Form 1120-L (2017)
Page
Schedule H
Small Life Insurance Company Deduction (section 806(a)) (see instructions)
Part I—Controlled Group Information
Tentative LICTI
Name of company
(a) Income
(b) (Loss)
1
2
3
4
5
6
Add lines 1 through 5 in both columns .
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Net controlled group tentative LICTI. Subtract line 6, column (b) from line 6, column (a).
Enter here and on line 11 below
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Part II—Small Life Insurance Company Deduction If total assets (Schedule L, Part I, line 6, column (b)), are $500
million or more, complete lines 8 through 12, line 16, and enter -0- on line 17 (see instructions).
8
Gain or (loss) from operations from page 1, line 22 .
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8
9a
9a
Noninsurance income
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b
Noninsurance deductions
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9b
10 a
Gain or (loss) on insurance operations. Subtract line 9a from line 8 and add
line 9b .
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10a
b
10b
Adjustments (attach statement) .
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c
Tentative LICTI. Combine lines 10a and 10b .
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10c
11
Net controlled group tentative LICTI from line 7 .
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11
12
Combined tentative LICTI. Add line 10c and line 11. If $15 million or more, skip
lines 13 through 15 and enter -0- on line 17 below and on page 1, line 23
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12
13
13
Enter 60% of line 12, but not more than $1,800,000 .
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14a
Maximum statutory amount .
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14a
b
14b
Subtract line 14a from line 12. If zero or less, enter -0- .
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c
Enter 15% of line 14b, but not more than $1,800,000
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14c
15
Tentative small life insurance company deduction. Subtract line 14c from line 13
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15
16
Taxpayer’s share. Divide line 10c by the total of line 6, column (a) and line 10c. If line 10c is zero or less, enter
-0- on this line .
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16
17
Small life insurance company deduction. Multiply line 15 by line 16. Enter here and on page 1, line 23, and
17
on Schedule J, Part I, line 2b
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Schedule I
Limitation on Noninsurance Losses (section 806(b)(3)(C)) (see instructions)
1
1
Noninsurance income (attach statement) .
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2
Noninsurance deductions (attach statement) .
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2
3
3
Noninsurance operations loss deductions .
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4
Add lines 2 and 3 .
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4
5
Noninsurance loss. Subtract line 1 from line 4. If line 1 is greater than line 4, skip lines 5 through 8 and enter
-0- on line 9
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5
6
Enter 35% of line 5
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6
7
Enter 35% of the excess of LICTI (page 1, line 24) over any noninsurance loss included on page 1 .
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7
8
Enter the lesser of line 6 or line 7
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8
9
Limitation on noninsurance losses. Subtract line 8 from line 5. Enter here and on page 1, line 25 .
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9
1120-L
Form
(2017)

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