Form Ct-33-A/att - Schedules A, B, C, D, And E -Attachment To Form Ct-33-A - Life Insurance Corporation Combined Franchise Tax Return - 2013 Page 2

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Page 2 of 3 CT-33-A/ATT (2013)
Legal name of corporation
EIN
Schedule B — Computation and allocation of subsidiary capital
(see instructions; attach separate sheet if necessary)
A — Description of subsidiary capital (list the name of each corporation and the EIN here; for each corporation complete columns B through G on the
corresponding lines below)
Item
Name
EIN
A
B
C
D
E
A
B
C
D
E
F
G
Item
% of
Average fair
Current liabilities
Net average fair
Issuer’s
Value allocated
voting
market value
attributable to
market value
allocation
to New York State
stock
subsidiary capital
%
(see instructions)
(column C – column D)
(column E × column F)
owned
(see instructions)
(see instr.)
A
B
C
D
E
Totals from attached sheet
2 Totals
(add amounts in columns C, D, and E)
2
3 Allocated subsidiary capital
(add column G amounts; enter here and on line 52 of Form CT-33-A or
..............................................................................................................................
3
Form CT-33-A/B)
Schedule C — Computation of business and investment capital
( see instructions )
A
B
C
Beginning of year
End of year
Average fair market
value basis
4 Total assets
.................................
4
(see instructions)
5 Fair market value adjustment
(attach computation;
5
........
show any negative amounts with a minus (-) sign)
6 Nonadmitted assets from annual statement ........
6
7 Current liabilities
..........................
7
(see instructions)
8 Assets, excluding subsidiary assets included
on line 2, column C, held as reserves under
New York State Insurance Law sections 1303,
1304, and 1305
(use same method to value
8
assets as on lines 4 through 6) ..................................
499002130094

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