Form 3832 - Limited Liability Company Nonresident Members Consent - 2016

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Limited Liability Company Nonresident
TAXABLE YEAR
CALIFORNIA FORM
2016
3832
Members’ Consent
For use by limited liability companies (LLCs) with one or more nonresident members. Attach to Form 568 and give a copy
to each nonresident member. Use additional sheets if necessary. Separate forms FTB 3832 for each nonresident member (or
groups of nonresident members) may be used.
Limited liability company name
California Secretary of State (SOS) file number
FEIN
-
Note: Completion of this form does not satisfy the requirements for filing a California income tax return. See General Information C, Nonresidents Who
Must File a California Return.
List the names and identification numbers below, of the nonresident members of record at the end of the LLC’s taxable year.
I consent to the jurisdiction of the State of California
to tax my distributive share of the LLC income
Nonresident member’s
attributable to California sources.
Number
Nonresident member’s name
SSN, ITIN, or FEIN
Signature
Date
1
2
3
4
5
6
7
List the names and identification numbers below, of the nonresident members who sold or transferred their ownership interests before the end of the LLC’s
taxable year.
I consent to the jurisdiction of the State of California
to tax my distributive share of the LLC income
Nonresident member’s
attributable to California sources.
Number
Nonresident member’s name
SSN, ITIN, or FEIN
Signature
Date
1
2
3
4
5
6
7
FTB 3832
2016
7591163
C1
For Privacy Notice, get FTB 1131 ENG/SP.

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