Form 592 v 2017-2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering the withholding agent’s business or individual name in capital letters, followed by the address and taxpayer identification number in the designated fields.
  3. Indicate the amount of payment and provide a telephone number. Ensure all information is complete for timely processing.
  4. Select whether Form 592 was submitted electronically or on paper by checking the appropriate box.
  5. Enter the total number of payees reported on Form 592 in the specified field.
  6. Make your check or money order payable to 'Franchise Tax Board' and include your identification number along with '2017 Form 592-V' on it.
  7. Detach the payment voucher from the bottom of the page and mail it along with Form 592 to the provided address, ensuring not to staple any documents together.

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Form 1095-B is not required to file your state or federal taxes and you may self‑attest to your health coverage without it. You should get a Form 1095-B in the mail by January 31 following the reported tax year.
If you have a permanent place of business in California or you are qualified to do business through the California Secretary of State, then complete: Franchise Tax Board Form 590 Withholding Exemption Certificate.
Detach the payment voucher from the bottom of this page and enclose, but do not staple, your payment with the voucher and mail to: WITHHOLDING SERVICES AND COMPLIANCE FRANCHISE TAX BOARD PO BOX 942867 SACRAMENTO CA 94267-0651 Do not send paper copies of Form(s) 592 or 592-F to the FTB if submitted electronically.
California LLCs formed after January 1, 2024: Meaning, there is no more waiver (its $800 per year), and the California LLC Annual Franchise Tax is due in the 4th month after your LLC is formed. For example, if your LLC was approved on June 1, 2025: Your first $800 Annual Franchise Tax is due by September 15, 2025.
Form 592‑B, Resident and Nonresident Withholding Tax Statement The withholding agent must provide Form 592-B to each payee which shows the total amount withheld and reported for the tax year. The withholding agent does not submit Form 592-B to the FTB.

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Payment Voucher for Resident or Nonresident Withholding Use Form 592-V to remit backup withholding payments. Backup withholding supersedes all types of withholding. For more information on backup withholding, go to ftb.ca.gov and search for backup withholding.
Tax Exempt Status A confirmation page will display your confirmation number if you have chosen to confirm your claim for tax exemption. If you are already claiming exemption from federal and California state tax withholding for the current tax year, the Tax Exempt Status page informs you of your tax exemption status.
Form 592B is required to report to the payee the amount of payment or distribution subject to withholding and tax withheld as reported on Form 592, Resident and Nonresident.

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