Form FTB 3804 (2024) — Pass-Through Entity Elective Tax Calculation

# preamble

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# TAXABLE YEAR

Pass-Through Entity Elective Tax Calculation

# CALIFORNIA FORM

Attach to Form 100S, Form 565, or Form 568. Electing Qualified PTE Business name (as shown on tax return) FEIN CA Corp no. CA SOS file no.

# Part I Elective Tax

1 Total qualified net income from all qualified taxpayers (combine all box a amounts from the Schedule of Qualified Taxpayers below, Side 2, and any additional pages) 2 Elective tax rate 9.3% 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. Part II Schedule of Qualified Taxpayers (SMLLCs, estates, and trusts, see instructions.) (If there are more than seven qualified taxpayers, use Side 2 to continue. Do not attach Side 2 of the Schedule of Qualified Taxpayers, if blank.) 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.). 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.). 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.). 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.). 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.). 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.). 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.). For Privacy Notice, get FTB 1131 EN-SP.

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__________________________________ _________________________ ............... ................................. a 00 b 00 ............... ................................. a 00 b 00 ............... ................................. a 00 b 00 ............... ................................. a 00 b 00 ............... ................................. a 00 b 00 ............... ................................. a 00 b 00 ............... ................................. a 00 b 00 ............... ................................. a 00 b 00 ............... ................................. a 00 b 00 Side 2 FTB 3804 2024 8762243 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

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.). 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.). 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.). 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.). 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.). 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.). 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.). 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.). 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.).