Schedule Ca (540nr) - California Adjustments, Nonresidents Or Part-Year Residents - 2016
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1
2California Adjustments —
TAXABLE YEAR
SCHEDULE
CA (540NR)
2016
Nonresidents or Part-Year Residents
Important: Attach this schedule behind Long Form 540NR, Side 4 as a supporting California schedule.
Name(s) as shown on tax return
SSN or ITIN
Part I Residency Information. Complete all lines that apply to you and your spouse/RDP for taxable year 2016.
During 2016:
1
My California (CA) Residency (Check one)
a Myself:
Nonresident
Part-Year Resident
Resident
b Spouse:
Nonresident
Part-Year Resident
Resident
Yourself
Spouse/RDP
a I was domiciled in (enter two letter code, see instructions) . . . . . . . . . . . . . . . . . . . . . . . .
2
b I was in the military and stationed in (enter two letter code) . . . . . . . . . . . . . . . . . . . . . . . .
I became a CA resident (enter state of prior residence and date (mm/dd/yyyy) of move) . . .
/
/
/
/
3
I became a CA nonresident (enter new state of residence and date (mm/dd/yyyy) of move) .
/
/
/
/
4
5
I was a CA nonresident the entire year (enter state of residence) . . . . . . . . . . . . . . . . . . . . . .
The number of days I spent in CA for any purpose was: . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6
I owned a home/property in CA (enter Y for Yes, N for No) . . . . . . . . . . . . . . . . . . . . . . . . . .
7
Before 2016: I was a CA resident for the period of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
/
/
–
/
/
–
8
/
/
/
/
Part II Income Adjustment Schedule
A
B
C
D
E
Section A — Income
Federal Amounts
Subtractions
Additions
Total Amounts
CA Amounts
(taxable amounts from
See instructions
See instructions
Using CA Law
(income earned or
your federal tax return)
(difference between
(difference between
As If You Were a
received as a CA
CA & federal law)
CA & federal law)
CA Resident
resident and income
(subtract col. B from
earned or received
col. A; add col. C
from CA sources
to the result)
as a nonresident)
7 Wages, salaries, tips, etc . See instructions
before making an entry in col . B or C . . . . . 7
8 Taxable interest . (b)
. . . . 8(a)
9 Ordinary dividends . See instructions .
(b)
. . . . . . . . . . . . 9(a)
10 Taxable refunds, credits, or offsets of state
and local income taxes . . . . . . . . . . . . . . . . 10
11 Alimony received . See instructions . . . . . . . 11
12 Business income or (loss) . . . . . . . . . . . . . 12
13 Capital gain or (loss) . See instructions . . . 13
14 Other gains or (losses) . . . . . . . . . . . . . . . 14
15 IRA distributions . See instructions .
(a)
. . . . . . . . . . . . 15(b)
16 Pensions and annuities . See instructions .
(a)
. . . . . . . . . . . . 16(b)
17 Rental real estate, royalties, partnerships,
S corporations, trusts, etc . . . . . . . . . . . . . 17
18 Farm income or (loss) . . . . . . . . . . . . . . . . 18
19 Unemployment compensation . . . . . . . . . . 19
20 Social security benefits . (a)
20(b)
{
21 Other income .
a
a
California lottery winnings
a
Disaster loss deduction from FTB 3805V
b
b
b
Federal NOL (Form 1040, line 21)
c
c
c
d
NOL deduction from FTB 3805V
21
d
d
21
21
NOL from FTB 3805D, FTB 3805Z,
e
e
e
FTB 3806, FTB 3807, or FTB 3809
Other (describe):
f
f
f
22
Total: Combine line 7 through line 21
a
in each column . Continue to Side 2 . . . . 22a
7741163
Schedule CA (540NR) 2016 Side 1
For Privacy Notice, get FTB 1131 ENG/SP.
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