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These instructions provide a summary of California tax law related to health coverage exemptions and the individual shared responsibility penalty. It includes information on federal premium tax credits, minimum essential coverage mandates, and exemptions available to California residents.

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How to fill out ftb 3853

01

Gather necessary documentation, including your income statements and tax information related to health coverage.

02

Start by filling out the personal information section at the top of the form, including your name, address, and Social Security number.

03

Indicate your filing status (single, married, etc.) in the appropriate section.

04

Report your total household income and determine if you meet the income eligibility criteria for the premium assistance.

05

Fill out the sections detailing the months you had health coverage and information on any gaps in coverage.

06

Calculate your premium assistance amount if applicable, ensuring to provide accurate figures.

07

Review your entries for accuracy before signing and dating the form.

08

Submit the form alongside your California state tax return.

Who needs ftb 3853?

01

Anyone who received health coverage through the California Health Benefit Exchange (Covered California) and qualified for premium assistance.

02

Individuals or families who had significant changes in income or health coverage throughout the year.

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What is ftb 3853?

FTB 3853 is a form used by California taxpayers to report the California earned income tax credit (CalEITC) for individuals and families who qualify.

Who is required to file ftb 3853?

Taxpayers who qualify for the California earned income tax credit and meet certain income eligibility requirements are required to file FTB 3853.

How to fill out ftb 3853?

To fill out FTB 3853, taxpayers need to provide information about their earned income, filing status, and any qualifying children. Instructions are included with the form to guide through the necessary steps.

What is the purpose of ftb 3853?

The purpose of FTB 3853 is to allow eligible taxpayers to claim the California earned income tax credit, which can provide significant tax relief and support low-to-moderate-income earners.

What information must be reported on ftb 3853?

FTB 3853 requires reporting of the taxpayer's earned income, filing status, number of qualifying children, and other relevant financial details to determine eligibility for the credit.

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