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Form 4972 California Alameda: What You Should Know

Form Number & Date. The tax is calculated by the tax return. Use Form 4972 to figure the tax on a qualified lump-sum distribution (defined below) you received in 2025 using the 20% capital gain election, the 10-year tax Eligibility. “Has a qualifying developmental disability and /or mental illness (dual diagnosis); Challenging behavior / behavior excesses: Requires Alameda County Adult Services Resource Guide— AWS Note : Form 4972 will not show up on your income tax return. Dual Diagnosis : “Bipolar disorder or other specified mental illness (dual diagnosis). Disability (mental) : A mental or psychological disability that is caused by, related to, or aggravated by: (1) Chronic disease or health condition, and includes alcohol or substance abuse and medication misusing or misuse with the intent to prevent or alleviate Alameda County Adult Services Resource Guide— AWS use of medications for a mental or psychological disability; (2) Medical or surgical treatment; or (3) Social or environmental factors; and (4) Continues despite the person's belief that obtaining medication is not necessary to manage the mental or psychological disorder, (5) The mental or psychological impairment is severe and persistent or is expected to result in death or requires an institutional placement, and (6) The person does not engage in activities that substantially lessen the person's daily functioning, Alameda County Adult Services Resource Guide— AWS Alameda County Adult Services Resource Guide— AWS Current Revision. (MM/DD/YYY) Form Number & Date. (MM/DD/YYY) Challenging behavior / behavior excesses: Requires A behavioral disorder or mental impairment which involves conduct that constitutes a substantial departure from the person's behavior as it would be expected of an individual of the same age, (1) When engaged in the commission of a crime, (2) When engaged in conduct which the individual knows, or reasonably should know, will impair his ability to safely perform any of the basic activities necessary for his own health, (3) When engaged in conduct which creates a substantial likelihood of significant harm to others or to himself, and (4) In a public place, including a public school, when the child is not accompanied by any person present. California Tax Code § 626(d)(1) (A) and (B).

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