Form FTB 3804 (2025) — Pass-Through Entity Elective Tax Calculation

Pass-Through Entity

# TAXABLE YEAR

2025 Elective Tax Calculation CALIFORNIA FORM 3804
Attach to Form 100S, Form 565, or Form 568.
Electing Qualified PTE Business name (as shown on tax return)

# Part I Elective Tax

□ □ □
FEIN CA Corp no. CA SOS file no.
Total qualified net income from all qualified taxpayers (combine all box a amounts from the Schedule 1 00 … of Qualified Taxpayers below, Side 2, and any additional pages) 2 Elective tax rate … 9.3% Multiply line 1 by line 2. This is the total amount of elective tax. Enter the result here and on Form 100S, line 29; or Form 565, line 25; or Form 568, line 4. See instructions.
…

Text version of this table

1	First name	Initial	Last name	□ SSN or ITIN □FEIN
	a. Sum of pro-rata or distributive share and guaranteed payments included in qualified net income . . . . . . . . . . . . . . . b. Elective tax credit amount (Multiply box a by 9.3% and enter the result.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .				a	00
					b	00
2	First name	Initial	Last name	□ SSN or ITIN □ FEIN
	a. Sum of pro-rata or distributive share and guaranteed payments included in qualified net income . . . . . . . . . . . . . . . b. Elective tax credit amount (Multiply box a by 9.3% and enter the result.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .				a	00
					b	00
3	First name	Initial	Last name	□ SSN or ITIN □ FEIN
	a. Sum of pro-rata or distributive share and guaranteed payments included in qualified net income . . . . . . . . . . . . . . . b. Elective tax credit amount (Multiply box a by 9.3% and enter the result.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .				a	00
					b	00
4	First name	Initial	Last name	□ SSN or ITIN □ FEIN
	a. Sum of pro-rata or distributive share and guaranteed payments included in qualified net income . . . . . . . . . . . . . . . b. Elective tax credit amount (Multiply box a by 9.3% and enter the result.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .				a	00
					b	00
5	First name	Initial	Last name	□ SSN or ITIN □ FEIN
	a. Sum of pro-rata or distributive share and guaranteed payments included in qualified net income . . . . . . . . . . . . . . . b. Elective tax credit amount (Multiply box a by 9.3% and enter the result.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .				a	00
					b	00
6	First name	Initial	Last name	□ SSN or ITIN □ FEIN
	a. Sum of pro-rata or distributive share and guaranteed payments included in qualified net income . . . . . . . . . . . . . . . b. Elective tax credit amount (Multiply box a by 9.3% and enter the result.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .				a	00
					b	00
7	First name	Initial	Last name	□ SSN or ITIN □ FEIN
	a. Sum of pro-rata or distributive share and guaranteed payments included in qualified net income . . . . . . . . . . . . . . . b. Elective tax credit amount (Multiply box a by 9.3% and enter the result.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .				a	00
					b	00

…
For Privacy Notice, get FTB 1131 EN-SP.
Side 1

□ □
□ □
□ □
□ □
□ □
□ □
□ □
□ □
□ □

…
… a b
…
… a b
…
… a b
…
… a b
…
… a b
…
… a b
…
… a b
…
… a b
…
… a b
Side 2 FTB 3804 2025 8762253
Electing Qualified PTE Name: Electing Qualified PTE ID Number:
Schedule of Qualified Taxpayers
(Qualified Taxpayer Information, continued from Side 1. Do not attach Side 2 of the Schedule of Qualified Taxpayers, if blank.)

# PRINT CLEARLY

Text version of this table

8	First name	Initial	Last name	□ SSN or ITIN □ FEIN
	a. Sum of pro-rata or distributive share and guaranteed payments included in qualified net income . . . . . . . . . . . . . . . b. Elective tax credit amount (Multiply box a by 9.3% and enter the result.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .				a	00
					b	00
9	First name	Initial	Last name	□ SSN or ITIN □ FEIN
	a. Sum of pro-rata or distributive share and guaranteed payments included in qualified net income . . . . . . . . . . . . . . . b. Elective tax credit amount (Multiply box a by 9.3% and enter the result.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .				a	00
					b	00
10	First name	Initial	Last name	□ SSN or ITIN □ FEIN
	a. Sum of pro-rata or distributive share and guaranteed payments included in qualified net income . . . . . . . . . . . . . . . b. Elective tax credit amount (Multiply box a by 9.3% and enter the result.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .				a	00
					b	00
11	First name	Initial	Last name	□ SSN or ITIN □ FEIN
	a. Sum of pro-rata or distributive share and guaranteed payments included in qualified net income . . . . . . . . . . . . . . . b. Elective tax credit amount (Multiply box a by 9.3% and enter the result.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .				a	00
					b	00
12	First name	Initial	Last name	□ SSN or ITIN □ FEIN
	a. Sum of pro-rata or distributive share and guaranteed payments included in qualified net income . . . . . . . . . . . . . . . b. Elective tax credit amount (Multiply box a by 9.3% and enter the result.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .				a	00
					b	00
13	First name	Initial	Last name	□ SSN or ITIN □ FEIN
	a. Sum of pro-rata or distributive share and guaranteed payments included in qualified net income . . . . . . . . . . . . . . . b. Elective tax credit amount (Multiply box a by 9.3% and enter the result.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .				a	00
					b	00
14	First name	Initial	Last name	□ SSN or ITIN □ FEIN
	a. Sum of pro-rata or distributive share and guaranteed payments included in qualified net income . . . . . . . . . . . . . . . b. Elective tax credit amount (Multiply box a by 9.3% and enter the result.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .				a	00
					b	00
15	First name	Initial	Last name	□ SSN or ITIN □ FEIN
	a. Sum of pro-rata or distributive share and guaranteed payments included in qualified net income . . . . . . . . . . . . . . . b. Elective tax credit amount (Multiply box a by 9.3% and enter the result.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .				a	00
					b	00
16	First name	Initial	Last name	□ SSN or ITIN □ FEIN
	a. Sum of pro-rata or distributive share and guaranteed payments included in qualified net income . . . . . . . . . . . . . . . b. Elective tax credit amount (Multiply box a by 9.3% and enter the result.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .				a	00
					b	00