Form Ftb 4803e - Head Of Household Schedule - 2007
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22007 Head of Household Schedule (FTB 4803e)
1. Using the chart below, identify the relationship of the person you believe qualified you for the head of
household filing status. Enter the code number of that relationship in the code box to the right.
Relationship
Code
Son, daughter, stepson, or stepdaughter
1
Grandchild, brother, sister, half-brother, half-sister, stepbrother,
stepsister, nephew, or niece
2
Eligible foster child
3
Father or mother
4
Grandfather, grandmother, stepfather, stepmother; son-in-law,
Code
daughter-in-law, father-in-law, mother-in-law, brother-in-law,
5
sister-in-law, uncle, or aunt
Other (please explain)
6
(
You cannot claim yourself, your spouse/Registered Domestic Partner
(RDP), or your tax preparer.)
2. Provide the social security number, name, and age of the qualifying person you indicated in Question 1.
Social Security Number: __________________
Name: _____________________________
_________
Age in years as of 12/31/2007:
If less than one year old, age in months: _____
3. Was your qualifying person’s gross income less than $3,400 in 2007?
Yes
No
4. Did you provide more than half the support for your qualifying person in 2007?
Yes
No
5. Was your qualifying person a full-time student at a recognized educational institution for at least five
months during 2007?
Yes
No
6.
Did the qualifying person live with you the entire year in 2007?
Yes. Go to Question 8.
No. List the beginning and ending dates of each period the qualifying person lived with you
during 2007, or provide the total number of days the qualifying person lived with you during
2007, and then answer question 7.
From ___________ To______________
OR
Total number of days
From ___________ To______________
(More than 12 hours each day)
7. If your qualifying person did not live with you for the entire year during 2007, select the code below that
best explains the main reason your qualifying person was absent from your home. Enter the code letter
in the code box to the right.
FTB 4803e (REV 08-2007)
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