Form 540A PDF Details

Filing taxes in California requires a detailed understanding of various forms, among which the 540A Form plays a crucial role for residents. This form, designated for the California Resident Income Tax Return for the year 2011, encompasses multiple sections that collectively capture the taxpayer's financial activities over the year. It starts with basic information such as the taxpayer's name, Social Security Number (SSN) or Individual Taxpayer Identification Number (ITIN), and address, extending to more detailed entries concerning filing status, exemptions, taxable income, and California income adjustments. Additionally, the form deals with tax and credits, including state wages, federal adjusted gross income, and deductions either itemized or standard depending on the filer's situation. Taxpayers are guided through calculating their adjusted gross income after these adjustments, leading to what is ultimately their taxable income. The form also provides space for declaring exemption credits, nonrefundable credits such as those for child and dependent care expenses, renters' credit, and even accounting for specific contributions to California funds - displaying the state's unique provisions for taxpayer participation in supporting various social causes. Lastly, the calculation of overpaid tax versus tax due, alongside options for direct deposit of refunds or application toward future estimated taxes, underscores the thoroughness with which this form addresses the taxpayer’s annual fiscal responsibility to the state of California.

QuestionAnswer
Form NameForm 540A
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesDonot, SSN, 2011, California

Form Preview Example

For Privacy Notice, get form FTB 1131.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FORM

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CALIFORNIA RESIDENT INCOME TAX RETURN 2011

 

 

540A C1 SIDE 1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Your first name

Initial

Last name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Your SSN or ITIN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

P

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AC

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If joint tax return, spouse’s/RDP’s first name

Initial

Last name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Spouse’s/RDP’s SSN or ITIN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

A

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address (number and street, PO Box, or PMB no.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Apt. no/Ste. no.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

R

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City (If you have a foreign address, see page 7.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

State

ZIP Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

RP

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Dateof

Birth

Your DOB (mm/dd/yyyy) ______/______/

___________ Spouse’s/RDP’s DOB (mm/dd/yyyy) ______/______/

 

___________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Prior

Name

If you filed your 2010 tax return under a different last name, write the last name only from the 2010 tax return.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Taxpayer

 

 

 

 

 

 

 

_______________________________________________

 

 

 

 

 

 

 

Spouse/RDP

 

 

 

 

 

 

 

_____________________________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Status

1

Single

 

 

 

 

4

Head of household (with qualifying person). (see page 3)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Filing

2

Married/RDP filing jointly. (see page 3)

5

Qualifying widow(er) with dependent child. Enter year spouse/RDP died __________

3

Married/RDP filing separately. Enter spouse’s/RDP’s SSN or ITIN above and full name here____________________________________________

 

 

 

 

If your California filing status is different from your federal filing status, fill in the circle here . . . . . . . . . . . . . . . . . . .

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6

If someone can claim you (or your spouse/RDP) as a dependent, fill in the circle here (see page 7). . . . . . . . . . . . . 6

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

฀For line 7, line 8, line 9, and line 10: Multiply the amount you enter in the box by the pre-printed dollar amount for that line.

 

 

 

 

 

 

 

Whole dollars only

7Personal: If you filled in 1, 3, or 4 above, enter 1 in the box. If you filled in 2 or 5, enter 2 in the box.

Exemptions

 

If you filled in the circle on line 6, see page 7

. . . . 7

฀X $102 = $_________________

 

8

Blind: If you (or your spouse/RDP) are visually impaired, enter 1; if both are visually impaired, enter 2

. . . . 8

฀X $102 = $_________________

 

9

Senior: If you (or your spouse/RDP) are 65 or older, enter 1; if both are 65 or older, enter 2

9

฀X $102 = $_________________

 

10

Dependents: Enter name and relationship. Do not include yourself or your spouse/RDP. _______________________

 

 

______________________ _______________________ Total dependent exemptions

10

X $315 = $_________________

 

11

Exemption amount: Add line 7 through line 10. Transfer this amount to line 32

. . . 11

$_________________

Taxable Income and California Income Adjustments

Tax and Credits

12

State wages from your Form(s) W-2, box 16

12

,

,

 

.

00

 

 

 

 

 

13

Enter federal adjusted gross income from Form 1040, line 37; 1040A, line 21; or 1040EZ, line 4

. 13.

14California Income Adjustments. See pages 8 and 9 for line 14a through line 14f.

a

. . . . . . . . . . .State income tax refund

14a

 

00

 

 

b

Unemployment compensation

14b

 

00

 

 

c

U.S. social security or railroad retirement

14c

 

00

 

 

d

California non-taxable interest or dividend income

14d

 

00

 

 

e

California IRA distributions

14e

 

00

 

 

f

Non-taxable pensions and annuities

14f

 

00

14g

g Total California income adjustments. Add line 14a through line 14f

. . .

17 Subtract line 14g from line 13. This is your California adjusted gross income

. . .

.

17

18Enter the larger of your California itemized deductions or standard deduction for your filing status

Single or Married/RDP filing separately . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $3,769

Married/RDP filing jointly, Head of household, or Qualifying widow(er) . . . . . . . . . . . $7,538

If the circle on line 6 is filled in, STOP. (see page 9). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

19 Subtract line 18 from line 17. This is your taxable income. If less than zero, enter -0-. . . . . . . . . . . . . . . . . .19

31

Tax. (see Tax Table)

. . . .

31

32

Exemption credits. Enter the amount from line 11. If line 13 is more than $166,565, see page 10

. . . .

32

40

Nonrefundable Child and Dependent Care Expenses Credit (see page 11). Attach form FTB 3506

฀ 40

46

Nonrefundable renter’s credit. (see page 12)

฀ 46

47

Total credits. Add line 32, line 40, and line 46

. . . .

47

48

Subtract line 47 from line 31

. . . .

48

62

Mental Health Services Tax. (see page 13)

.

62

64

Add line 48 and line 62. This is your total tax. If less than zero, enter -0-

.

64

, , . 00

,

,

. 00

,

,

. 00

,

,

. 00

,

,

. 00

,

,

. 00

 

,

. 00

 

,

. 00

 

 

. 00

 

,

. 00

,

,

. 00

,

,

. 00

,

,

. 00

3121113

8

Your name: ______________________________________Your SSN or ITIN: ______________________________

 

 

 

 

 

 

 

 

 

70 Enter the amount from Side 1, line 64

. . . . . . . . . . . . .

. . . . . . . . .

. . . . . . . . . . . . . . .

70

 

,

,

 

.

00

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Payments

71

California income tax withheld (see page 13)

. . . . . . . . . . . . .

. . . . . . . . .

. . . . . . . . . . .

. . 71

 

,

.

00

75

Add line 71, line 72, and line 74. These are your total payments

 

 

..

.. .. .

75

 

,

 

 

 

 

. . . . . . . . . .

 

,

. 00

 

72

2011 CA estimated tax and other payments (see page 13) .

. . . . . . . . . . . . .

. . . . . . . . .

. . . . . . . . . .

72

 

 

,

.

00

 

74

Excess SDI (or VPDI) withheld (see page 13)

. . . . . . . . . . . . .

. . . . . . . . .

. . . . . . . . . . .

. .

74

 

 

 

,

.

00

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OverpaidTax/ TaxDue

91

Overpaid tax. If line 75 is more than line 70, subtract line 70 from line 75

 

 

.

. . .

91

 

,

,

.

00

 

. . . . . . . . .

. . . . . . . . . .

 

 

92

Amount of line 91 you want applied to your 2012 estimated tax

. . . . . . . . . . . . .

92

 

,

,

.

00

 

93

Overpaid tax available this year. Subtract line 92 from line 91

. . . . . . . . . . . . .

93

 

,

,

.

00

 

 

 

 

 

00

 

94

Tax due. If line 75 is less than line 70, subtract line 75 from line 70. (see page 14)

. . . . . . . . . . . . . . . .

94

 

,

,

 

.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Use Tax

95

Use Tax. This is not a total line. (see page 14)

95

 

,

,

.

00

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Code

Amount

 

 

Code

Amount

 

. . .California Seniors Special Fund (see page 23)

. 400

 

 

00

. . . . . .California Sea Otter Fund

. 410

 

00

 

 

. 401

 

 

 

Municipal Shelter Spay-Neuter Fund

 412

 

00

 

Alzheimer’s Disease/Related Disorders Fund . . . .

 

 

00

 

 

 

. 402

 

 

 

California Cancer Research Fund

 413

 

00

 

California Fund for Senior Citizens

 

 

00

 

Contributions

Rare and Endangered Species

 

 

 

 

ALS/Lou Gehrig’s Disease Research Fund.

 414

 

00

 

 

 

 

 

Preservation Program

. 403

 

 

00

Arts Council Fund

. 415

 

00

 

State Children’s Trust Fund for the Prevention

 

 

 

 

California Police Activities League

. 416

 

 

 

 

 

 

 

 

 

 

of Child Abuse

. 404

 

 

00

(CALPAL) Fund

 

00

 

 

. 405

 

 

 

California Veterans Homes Fund

 417

 

00

 

California Breast Cancer Research Fund

 

 

00

 

 

 

. 406

 

 

 

Safely Surrendered Baby Fund

 418

 

00

 

California Firefighters’ Memorial Fund

 

 

00

 

 

 

. 407

 

 

 

Child Victims of Human Trafficking Fund .

 419

 

00

 

Emergency Food for Families Fund

 

 

00

 

 

California Peace Officer Memorial

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Foundation Fund

. 408

 

 

00

 

 

 

 

Amount You Owe

110

Add code 400 through code 419. This is your total contribution

฀฀ ฀ ฀฀฀110

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

00

 

 

111

AMOUNT YOU OWE. Add line 94, line 95, and line 110 (see page 15). Do not send cash.

. . . .

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

00

 

 

Mail to: FRANCHISE TAX BOARD, PO BOX 942867, SACRAMENTO CA 94267-0001

111

 

 

 

 

 

,

 

 

 

,

 

 

 

 

 

 

 

.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Pay Online – Go to ftb.ca.gov and search for web pay.

฀ 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

00

 

113

Underpayment of estimated tax. If form FTB 5805 is attached, fill in this circle

113

 

 

 

 

 

,

 

 

 

,

 

 

 

 

 

 

 

.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Deposit

115 REFUND or NO AMOUNT DUE. Subtract line 95 and line 110 from line 93 (see page 16).

 

 

 

Mail to: FRANCHISE TAX BOARD, PO BOX 942840, SACRAMENTO CA 94240-0002 . . . . . . . . . . . . . . 115

,

,

. 00

Fill in the information to authorize direct deposit of your refund into one or two accounts. Do not attach a voided check or a deposit slip (see page 17). Have you veriied the routing and account numbers? Use whole dollars only.

Refund and Direct

All or the following amount of my refund (line 115) is authorized for direct deposit into the account shown below:

 

 

 

 

 

 

 

 

 

 

Checking

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Savings

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Routing number

Type

Account number

The remaining amount of my refund (line 115) is authorized for direct deposit into the account shown below:

Checking

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Savings

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Routing number

Type

Account number

 

 

 

,

 

 

 

,

 

 

 

 

 

.

 

00

 

 

116 Direct deposit amount

 

 

 

 

 

 

 

 

,

 

 

 

,

 

 

 

 

 

.

 

00

 

 

117 Direct deposit amount

 

 

 

 

 

Under penalties of perjury, I declare that I have examined this tax return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete.

SIGN

HERE

It is unlawful to

forge a spouse’s/RDP’s signature.

Joint tax return? (see page 17)

Your signature

Spouse’s/RDP’s signature (if a joint tax return, both must sign) Daytime phone number (optional)

X

X

(

 

 

 

 

 

 

 

 

 

 

 

 

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Your email address (optional). Enter only one email address.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Paid preparer’s signature (declaration of preparer is based on all information of which preparer has any knowledge)

 

฀PTIN

 

Firm’s name (or yours, if self-employed)

Firm’s address

 

 

 

 

 

฀

 

FEIN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Do you want to allow another person to discuss this tax return with us? (see page 17) . . . . . . . . . ฀ Yes No

__________________________________________________________________

(

 

 

 

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Print Third Party Designee’s Name

 

Telephone Number

Side 2 Form 540A C1 2011

3122113

7

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Include the expected details in the s n o i t p m e x E, d n a, e m o c n, I e l b a x a T, s t n e m t s u d A e m o c n, a i n r o f i l a C, If you filled in the circle on line, Total dependent exemptions, Exemption amount Add line, a State income tax refund, If the circle on line is filled in, s t i d e r C d n a x a T, and Tax see Tax Table area.

Donot s n o i t p m e x E, d n a, e m o c n, I e l b a x a T, s t n e m t s u d A e m o c n, a i n r o f i l a C, If you filled in the circle on line, Total dependent exemptions, Exemption amount Add line, a State income tax refund, If the circle on line  is filled in, s t i d e r C d n a x a T, and Tax see Tax Table blanks to fill

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The s t n e m y a P, x a T d i a p r e v O, e u D x a T, e s U, x a T, s n o i t u b i r t n o C, Your name Your SSN or ITIN, Enter the amount from Side line, Overpaid tax If line is more, Use Tax This is not a total line, Code California Sea Otter Fund, Code California Seniors Special, CALPAL Fund, and Amount area is the place to place the rights and responsibilities of each side.

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Look at the fields s n o i t u b i r t n o C, t n u o m A, e w O u o Y, t i s o p e D, t c e r i D d n a d n u f e R, Code California Seniors Special, CALPAL Fund, Mail to FRANCHISE TAX BOARD PO BOX, Underpayment of estimated tax If, REFUND or NO AMOUNT DUE Subtract, Mail to FRANCHISE TAX BOARD PO BOX, Fill in the information to, All or the following amount of my, Routing number The remaining, and Account number and next fill them out.

Donot s n o i t u b i r t n o C, t n u o m A, e w O u o Y, t i s o p e D, t c e r i D d n a d n u f e R, Code California Seniors Special, CALPAL Fund, Mail to FRANCHISE TAX BOARD PO BOX, Underpayment of estimated tax If, REFUND or NO AMOUNT DUE Subtract, Mail to FRANCHISE TAX BOARD PO BOX, Fill in the information to, All or the following amount of my, Routing number The remaining, and Account number fields to complete

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