Print and Reset Form
Reset Form
Your name: ______________________________________Your SSN or ITIN: ______________________________
28 Amount from Side 1, line 27 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
35 Nonrefundable renter’s credit . (see page 10) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
35
42 Total tax . Subtract line 35 from line 28 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
42
43 California income tax withheld (Form(s) W-2, box 17 or CA Sch W-2, box 17) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
43
54 Overpaid tax . If line 43 is larger than line 42, subtract line 42 from line 43 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
54
55 Tax due . If line 43 is less than line 42, subtract line 43 from line 42 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
00
Alzheimer’s Disease/Related
Emergency Food Assistance Program Fund . . .
63__________________
00
Disorders Fund . . . . . . . . . . . . . . . . . . . . . . .
57__________________
00
CA Peace Officer Memorial Foundation Fund . .
64__________________
00
CA Fund for Senior Citizens . . . . . . . . . . . . . . .
58__________________
00
CA Military Family Relief Fund . . . . . . . . . . . . .
65__________________
Rare and Endangered Species
Veterans’ Quality of Life Fund . . . . . . . . . . . . . .
66__________________
00
00
Preservation Program . . . . . . . . . . . . . . . . . .
59__________________
00
CA Sexual Violence Victim Services Fund . . . . .
67__________________
State Children’s Trust Fund for the
00
CA Colorectal Cancer Prevention Fund . . . . . . .
68__________________
00
Prevention of Child Abuse . . . . . . . . . . . . . . .
60__________________
00
CA Breast Cancer Research Fund . . . . . . . . . . .
61__________________
CA Sea Otter Fund . . . . . . . . . . . . . . . . . . . . . . .
69__________________
00
00
CA Firefighters’ Memorial Fund . . . . . . . . . . . . .
62__________________
00
70 Add line 57 through line 69 . These are your total contributions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
70
71 AMOUNT YOU OWE. Add line 55 and line 70 . (see page 10) Do Not Send Cash.
.
Mail to: FRANCHISE TAX BOARD, PO BOX 942867, SACRAMENTO CA 94267-0001 . . . . . . . . . . . . . .
71
,
,
Pay Online – Go to our Website at
75 REFUND OR NO AMOUNT DUE. Subtract line 70 from line 54 .
.
,
,
Mail to: FRANCHISE TAX BOARD, PO BOX 942840, SACRAMENTO CA 94240-0002 . . . . . . . . . . . . . .
75
Fill in the information to have your refund directly deposited to one or two separate accounts . Do not attach a voided check or a deposit slip (see page 10) .
All or portion of total refund (line 75) you want to direct deposit:
Checking
.
,
,
Savings
Routing number
Type
Account number
76 Amount you want to direct deposit
Remaining portion of total refund (line 75) you want to direct deposit:
Checking
.
,
,
Savings
Routing number
Type
Account number
77 Amount you want to direct deposit
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete.
Your signature
Spouse’s signature (if filing jointly, both must sign)
Daytime phone number (optional)
Sign
(
)
Here
X
X
Date
Paid Preparer’s SSN/PTIN
Paid preparer’s signature (declaration of preparer is based on all information of which preparer has any knowledge)
I
t is unlawful to
forge a spouse’s
signature .
Firm’s name (or yours if self-employed)
Firm’s address
FEIN
Joint return?
(see page 23)
Side 2 Short Form 540NR
2006
3142063
C1