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TAXABLE YEAR2023Health Coverage Exemptions and Individual Shared Responsibility PenaltyCALIFORNIA FORM3853Attach to your California Form 540, Form 540NR, or Form 540 2EZ. Name(s) as shown on your

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How to fill out 2023 california form 3853

01

To fill out the 2023 California Form 3853, follow these steps:

02

Start by providing your personal information, such as your name, address, and contact details.

03

Fill in the employee information section, including their name, SSN, and address.

04

Specify the reason for completing the form, whether it is for withholding authorization or changing previous authorization.

05

Indicate the amount of additional withholding or any changes to existing withholding.

06

If necessary, provide any comments or explanations related to the form.

07

Sign and date the form to validate it.

08

Finally, submit the completed form to the relevant authorities or employer.

Who needs 2023 california form 3853?

01

The 2023 California Form 3853 is typically needed by California employees who want to authorize or modify their withholding for state income tax purposes.

02

It is also required by individuals who need to change their previous withholding authorization or provide additional withholding.

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What is California form 3853 health?

California Form 3853 is a tax form used to report health coverage information for California residents as part of the state’s health care laws.

Who is required to file California form 3853 health?

Individuals who had health coverage for any part of the year and are filing California state taxes must file Form 3853 to demonstrate compliance with the state health coverage mandate.

How to fill out California form 3853 health?

To fill out California Form 3853, you need to gather your health coverage information for the year, indicate the months of coverage, and complete the sections on household members and their coverage status.

What is the purpose of California form 3853 health?

The purpose of California Form 3853 is to provide information about health insurance coverage to ensure that taxpayers comply with California's individual mandate for health insurance.

What information must be reported on California form 3853 health?

Form 3853 requires reporting details such as the months you and your family members had coverage, the name of your health insurance provider, and any exemptions from coverage.

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