TMIA3853App002.jpg · Exhibits · California State Archives Exhibits
Form 3853 California. Web use this form to report your health coverage exemption or penalty for the 2022 tax year. Attach to your california tax return and list.
Attach to your california tax return and list. Web use this form to report your health coverage exemption or penalty for the 2022 tax year. Web use form ftb 3853 to determine if you owe an individual shared responsibility penalty or to claim exemptions from the state.
Web use this form to report your health coverage exemption or penalty for the 2022 tax year. Web use form ftb 3853 to determine if you owe an individual shared responsibility penalty or to claim exemptions from the state. Web use this form to report your health coverage exemption or penalty for the 2022 tax year. Attach to your california tax return and list.
