Form 3582-2026

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If your form FTB 3582 is preprinted with your information, verify that your name, address, SSN or ITIN, and payment amount are correct. If changes are needed, use a black or blue ink pen to correct the information.
If no balance is due, do not complete the voucher. If there is a balance due, print your name(s), address, SSN or ITIN, and payment amount in the designated spaces using black or blue ink in capital letters.
Make your check or money order payable to 'Franchise Tax Board.' Include your SSN or ITIN and '2011 FTB 3582' on it. Ensure all payments are in U.S. dollars from a U.S. financial institution.
Detach the payment voucher from the bottom of the page if an amount is due. Enclose your payment with the voucher and mail it to the specified address without stapling.

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