Instructions for Form FTB 3576
Tax Deposit Voucher for Individuals
Important Information
To ensure timely and proper application of the payment to your account,
enter the social security numbers or Individual Taxpayer Identification
AB 115 (Stats. 2005, Ch. 691), Section 45, amended California Revenue
Numbers (ITIN) and the amount of the payment in the spaces provided.
and Taxation Code (R&TC) Section 19041.5 to repeal the “deposit in
In the box marked “Payment due to”, fill in the circle to identify whether
the nature of a cash bond” provisions and replace them with conformity
the payment is being made in anticipation of additional tax due to a
to the “cash deposit” provisions of the Internal Revenue Code (IRC)
federal audit, a state audit, or other reasons.
Section 6603.
Note: Include the Private Mail Box (PMB) in the address field. Write the
Only use form FTB 3576 to make a tax deposit payment for previously
acronym “PMB” first, then the box number.
filed returns if you anticipate owing additional California tax due to a
Example: 111 Main Street PMB 123
federal audit, state audit, or other reasons.
C When to File
Do not use this form if you are paying your estimated tax or extension
amount. Instead use Form 540-ES, Estimated Tax for Individuals, or
Only use form FTB 3576 to make a tax deposit payment for previously
form FTB 3519, Automatic Extension for Individuals.
filed returns if you anticipate owing additional California tax due to a
federal audit, state audit, or other reasons. Use this voucher if you have
General Information
not received a Notice of Proposed Assessment or Notice of Action from
FTB or IRS.
Tax deposits are amounts that the individual deposits with the Franchise
If you already received a notice, do not use this voucher; attach a copy
Tax Board (FTB) to pay an expected tax liability that may arise in the
of the notice with the payment. If you are filing an amended return to
future for a specific taxable year. Normally, tax deposits are made to
report a federal adjustment, do not use this voucher; attach the payment
stop the running of underpayment interest on that future tax liability.
to the amended return.
FTB will consider your payment as a tax deposit only if you have already
filed a return for that taxable year. For more information, see FTB
D Where to File
Notice 2005-6, available on our Website at
Submit a separate form FTB 3576 and payment for each taxable
A Purpose
year. Make the check or money order payable to Franchise Tax Board.
Write your social security number (or Individual Taxpayer Identification
Use form FTB 3576, Tax Deposit Voucher for Individuals, to make a
Number) and the applicable taxable year on the check or money order.
tax deposit payment to satisfy a future tax liability for previously filed
A penalty may be imposed if your check is returned by your bank for
returns. See General Information C “When to File” for more information.
insufficient funds. Enclose, but do not staple, the payment and the
Use this voucher with a check or money order payment only.
voucher and mail to:
Note: If there is a final balance due on your account, FTB will first apply
FRANCHISE TAX BOARD
the payment to satisfy any final balance due for the taxable year. Any
PO BOX 942867
remaining amount will be held as a tax deposit.
SACRAMENTO CA 94267-0031
B How to Complete Form FTB 3576
Note: Make all checks or money orders payable in U.S. dollars and
Complete a separate form FTB 3576 for each taxable year.
drawn against a U.S. financial institution.
Enter all the information requested on the tax deposit voucher.
Enter the four-digit taxable year in the box at the top of the voucher and
complete the first line as applicable.
Print and Reset Form
Reset Form
Do noT USE THiS form To PaY ESTimaTE TaX or EXTEnSion amoUnT
DETacH HErE
DETacH HErE
TaXaBlE YEar
california form
3576 (PIT)
Tax Deposit Voucher for Individuals
fiscal year filers, enter year ending month ________ year ________
Your first name
initial
last name
Your social security number or iTin
-
-
initial
if joint payment, spouse’s first name
last name
Spouse’s social security number or iTin
-
-
Present home address — number and street, Po Box, rural route, or PmB no.
apt. no.
Payment due to:
federal audit
ca audit
city, town, or post office
State
ZiP code
-
other
amount of payment
Do NoT use This Form To Pay
esTimaTeD TaX or eXTeNsioN amouNT.
.
,
,
FTB 3576 (REV 03-07)
1241063
For Privacy Notice, get form FTB 1131.