INCOME YEAR
CALIFORNIA FORM
1998
S Corporation’s List of Shareholders and Consents
3830
For use by S corporations with one or more nonresident shareholders or trusts with nonresident fiduciaries. Attach to Form 100S
and give a copy to each nonresident shareholder or fiduciary. Use additional sheet(s) if necessary.
California corporation number
Corporation name
Note: Completion of this form does not satisfy the requirements for filing an individual income tax return for California.
List below the names and identification numbers of shareholders of record at the end of the corporation’s income year.
Only nonresident shareholders and nonresident fiduciaries must sign: I
Shareholder’s
Number
Shareholder’s name
consent to the jurisdiction of the State of California to tax my pro rata
Social security no./Federal
share of the S corporation income attributable to California sources.
employer identification no.
Signature
Date
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
List below the names and identification numbers of shareholders who sold or transferred their ownership interests before the end of the corporation’s income year.
Only nonresident shareholders and nonresident fiduciaries must sign: I
Shareholder’s
Number
Shareholder’s name
consent to the jurisdiction of the State of California to tax my pro rata
Social security no./Federal
share of the S corporation income attributable to California sources.
employer identification no.
Signature
Date
1
2
3
4
5
•
General Information
Caution: Failure to obtain required signatures,
You were married in 1998, and you and your
complete and attach this form, is grounds for the
spouse had a combined gross income, from
A Purpose
Franchise Tax Board to retroactively revoke the
all sources, of more than $21,246; or
S corporation election. (R&TC Section 23801(b)).
adjusted gross income from all sources of
When an S corporation has one or more
more than $16,996; or
•
shareholders who are nonresidents of California,
You can be claimed as a dependent as set
B Nonresidents Who Must
or trusts with nonresident fiduciaries, use form
in Internal Revenue Code (IRC)
FTB 3830 to:
File a California Return
Section 63(c)(5) when the individual’s gross
•
income from all sources exceeds the
List the names and social security
If you are a nonresident shareholder, in addition
standard deduction allowed under the IRC; or
numbers or federal employer identification
•
to signing form FTB 3830, you may also need to
If you owe the state of California $1 or more
numbers of all shareholders; and
•
file Form 540NR, California Nonresident or
of tax. (R&TC Section 18507).
Obtain the signature of each nonresident
Part-Year Resident Income Tax Return.
shareholder or fiduciary evidencing
Form 540NR must be filed if you had income
consent to the jurisdiction of California
C Group Nonresident
from California sources and:
to tax their pro rata share of income
•
Shareholder Return
You were single or unmarried in 1998 and
attributable to California sources. For
your gross income from all sources was
ease in gathering proper signatures,
Nonresident shareholders of an S corporation
more than $10,623; or adjusted gross
multiple copies of the form FTB 3830 may
doing business in California may elect to file a
income from all sources was more than
be used. All shareholders required to
group nonresident return using Form 540NR. For
$8,498; or
sign need not sign on one form.
more information, get FTB Pub. 1067, Guidelines
for Filing a Group Form 540NR.
383098109
FTB 3830
1998
For Privacy Act Notice, see form FTB 1131.
C1