California Form Sr 10 PDF Details

Form SR 10 is a California state tax form used to report certain types of income. This form is due by April 15th of each year, and must be filed with the California Franchise Tax Board. In order to complete this form correctly, you will need to calculate your taxable income and deductions. The instructions for Form SR 10 can be very complicated, so it is important to consult a tax professional if you have any questions. Filing your taxes late can result in significant penalties, so it is important to submit your Form SR 10 on time.

QuestionAnswer
Form NameCalifornia Form Sr 10
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namessr10 certification of audited cost data form

Form Preview Example

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES

CERTIFICATION OF

AUDITED COST DATA

The Group Home or Foster Family Agency corporation should have their Certified Public Accountant (CPA) complete and submit this form as part of the required financial audit if the CPA has not otherwise provided written documentation which clearly shows that the required cost data reports were audited and that the information was fairly stated in all material respects in relation to the basic financial statements taken as a whole.

Please have the completed and signed form sent to:

California Department of Social Services

Program and Financial Audits Bureau

ATTENTION: Financial Audits Unit Manager

744 P Street, MS 9-23

Sacramento, California 95814.

GROUP HOME OR FOSTER FAMILY AGENCY CORPORATE NAME

PROGRAM NUMBERS(S)

STREET ADDRESS

PROGRAM FISCAL YEAR (MO/YR-MO/YR)

CITY, STATE, AND ZIP CODE

PROVIDER PHONE NUMBER

The attached supplementary cost data reports are presented for the purposes of additional analysis and are not a required part of the basic financial statements but are required as supplementary information by the California Department of Social Services in accordance with Manual of Policies and Procedures Section 11-405.214. Such information has been subjected to the auditing procedures applied in the audit of the basic financial statements, and in our opinion, is fairly stated in all material respects in relation to the basic fianancial statements taken as a whole.

Check only the forms which apply:

SR 3___ SR 4___ FCR 12FFA___

In compliance with the False Claims Act (31 U.S.C. §3729-3733), I certify that the information on this form is true and correct.

PRINTED NAME OF CPA

SIGNATURE OF CPA

DATE

ADDRESS

CITY, STATE AND ZIP CODE

SR 10 (2/06)

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Writing section 1 in California Form Sr 10

2. Once your current task is complete, take the next step – fill out all of these fields - PRINTED NAME OF CPA, SIGNATURE OF CPA, DATE, ADDRESS, CITY STATE AND ZIP CODE, and SR with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

Step # 2 of submitting California Form Sr 10

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