U.S. TREAS Form treas-irs-1120-l-1993
Form
1120-L
U.S. Life Insurance Company Income Tax Return
For calendar year 1993, or tax year beginning
Department of the Treasury
Internal Revenue Service
A
�
Check if:
Please
Print
or
Type
(1) Consolidated Return
(attach Form 851)
(2) Nonlife insurance
companies are
included
Tax and Payments
Deductions (See instructions for limitations on deductions.)
Income
E
F
, 1993, and ending
OMB No. 1545-0128
, 19
.
Instructions are separate. See page 1 For Paperwork Reduction Act Notice.
Name
B Employer identification number
Number, street, and room or suite no. (If a P.O. box, see page 5 of instructions.)
C Date incorporated
City or town, state, and ZIP code
Check applicable boxes:
(1)
Final return
(2)
Change of address
Check applicable box if an election has been made under section(s) �
(3)
(1)
Amended return
953(c)(3)(C)
(2)
953(d)
1
Gross premiums, etc., less return premiums, etc. Enter balance
1
2
Net decrease, if any, in reserves (see instructions)
2
3
10% of any decrease in reserves under section 807(f)(1)(B)(ii)
3
4
3 ⁄3% of year end balance of reserves under section 807(e)(7)(B)
4
5
Investment income (Schedule B, line 8) (see instructions)
5
6
7
8
Net capital gain (Schedule D, line 12 (Form 1120))
Other income (attach schedule)
Life insurance company gross income. Add lines 1 through 7
6
9
Death benefits, etc.
9
10
11
Net increase, if any, in reserves (Schedule F, line 37)
10
10% of any increase in reserves under section 807(f)(1)(B)(i)
11
12
Deductible policyholder dividends (Schedule E, line 7)
12
13
Consideration paid for assumption by another person of liabilities
13
14
Dividends reimbursable by taxpayer
1
7
8
14
�
b Less tax-exempt interest expense
15a
Interest
16
Deductible policy acquisition expenses (Schedule G, line 20) �
c Bal
15c
16
17
Other deductions (attach schedule)
17
18
Dividends-received deduction (Schedule A, line 16, column (c))
18
19
Operations loss deduction (see instructions) (attach schedule)
19
20
Total deductions. Add lines 9 through 19
20
21
Gain or (loss) from operations. Subtract line 20 from line 8
21
22
Small life insurance company deduction (Schedule H, line 17)
22
23
24
25
Life insurance company taxable income (LICTI). Subtract line 22 from line 21 Limitation on noninsurance losses (Schedule I, line 9) Amount subtracted from policyholder surplus account (Schedule J, Part II, line 10)
23
26
27
Total taxable income. Add lines 23, 24, and 25; however, the total may not be less than line 25 Total tax (Schedule K, line 10)
26
27
28a 1992 overpayment credited to 1993
28a
b 1993 estimated tax payments
c Less 1993 refund applied for on Form 4466
28b
28c (
) d Bal
�
24
25
28d
28e
e Tax deposited with Form 7004
f Credit from regulated investment companies (attach Form 2439)
g Credit for Federal tax on fuels (attach Form 4136)
28f
28g
h
U.S. income tax paid or withheld at source (attach Form 1042S)
28h
28i
29
Estimated tax penalty (see page 8 of instructions). Check if Form 2220 is attached
�
29
30
31
32
TAX DUE. If line 28i is smaller than the total of lines 27 and 29, enter AMOUNT OWED
OVERPAYMENT. If line 28i is larger than the total of lines 27 and 29, enter AMOUNT OVERPAID
Enter amount of line 31 you want: Credited to 1994 estimated tax � $
Refunded
30
Please
Sign
Here
Paid
Preparer’s
Use Only
31
�
32
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge
and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which the preparer has any knowledge.
�
Date
Signature of officer
Preparer’s
signature
�
Firm’s name (or
yours if self-employed)
and address
�
Title
Date
Preparer’s social security no.
Check if self­
employed
�
E.I. No.
�
ZIP Code �
Cat. No. 11480E