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Complete the Enter your county at time of, e c n e d i s e R, l a p i c n i r P, s u t a t S g n, i l i, If your address above is the same, If not enter below your, Apt nosteno, City, State, ZIP code, If your California filing status, Single, Qualifying widower Enter year, and MarriedRDP filing jointly even if field with all the particulars demanded by the application.

Describe the most vital details of the Your name, Your SSN or ITIN, Senior If you or your spouseRDP, Dependents Do not include, Dependent, Dependent, Dependent, First Name, Last Name, SSN see instructions, Dependents relationship to you, Whole dollars only, Total wages federal Form W box, Total interest income federal, and Total dividend income federal segment.

Inside of section Total dividend income federal, Total pension income Total, See instructions Taxable amount, box a See instructions, Add line line line line and, Caution If you checked the box on, Senior exemption See instructions, box on line enter If you entered, Nonrefundable renters credit See, Credits Add line and line, Tax Subtract line from line If, Total tax withheld federal Form W, Earned Income Tax Credit EITC See, Young Child Tax Credit YCTC See, and Total payments Add line line, identify the rights and responsibilities.

Check the fields If line is zero check if, No use tax is owed, You paid your use tax obligation, x a T e s U, R S, y t l a n e P, If you and your household had, or C coverage is qualifying health, and Side Form EZ and then fill them in.

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