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CA Form FTB 3895

I received an FTB 3895 from Covered California for 2021. I was a non-resident all of last year since I now live in another state. Will I need to file California state return?

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5 Replies
MayaD
Employee Tax Expert

CA Form FTB 3895

Yes. You must complete form FTB 3849 and file it with your tax return (Form 540, California Resident Income Tax Return or Form 540NR, California Nonresident or Part-Year Resident Income Tax Return) if any amount other than zero is shown in Part II, column (c), of this form FTB 3895 (meaning that you received financial help through advance payments of the premium assistance subsidy (also called advance subsidy payments))

 

If you received the premium assistance subsidy, you are required to file a tax return regardless of California’s income tax return filing thresholds.

 

2021 Recipient Instructions for Form FTB 3895

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CA Form FTB 3895

Thanks. Does she do the same thing for her return? Will it affect her tax?

CA Form FTB 3895

Please clarify who “she” is.

Is this a wife, daughter, or another relative?

Did she receive a Form FTB 3895, as well?

Was she a non-resident, too?

CA Form FTB 3895

"She" is my daughter and she is a California resident.

KrisD15
Employee Tax Expert

CA Form FTB 3895

No, unless the FTB 3895 shows you as your daughter's dependent. 

 

If you each received your own FTB 3895, or only you received one, your daughter would not need to report your FTB 3895.  

 

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