Form 540nr - California Nonresident Or Part-Year Resident Income Tax Return - 2005
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California Nonresident or Part-Year
FORM
Short Form
Resident Income Tax Return 2005
540NR
C1 Side 1
Your first name
Initial
Last name
P
Place
label
If joint return, spouse’s first name
Last name
Initial
here
AC
or print
___________
___________
___________
___________
___________
Present home address — number and street, PO Box or rural route
Apt. no.
PMB no.
A
Name
and
State
ZIP Code
City, town, or post office (If you have a foreign address, see instructions, page 13)
R
Address
-
RP
Your SSN or ITIN
Spouse’s SSN or ITIN
SSN
IMPORTANT:
or
-
-
-
-
Your SSN or ITIN
ITIN
is required.
If you filed your 2004 tax return under a different last name, write the last name only from the 2004 return.
Prior
Name
Taxpayer _____________________________________________
Spouse_____________________________________________
Filing Status
1
Single
2
Married filing jointly (even if only one spouse had income)
Fill in only one.
4
Head of household (with qualifying person). STOP. See instructions, page 19.
5
Qualifying widow(er) with dependent child. Enter year spouse died _________ .
Residency
State of residence: Yourself________________ Spouse_______________
Dates of California residency: Yourself from _____________ to____________ Spouse from _____________ to____________
State or country of domicile: Yourself________________ Spouse_______________
6 If your parent (or someone else) can claim you (or your spouse, if married) as a dependent on his or her
¼
tax return, even if he or she chooses not to, fill in this circle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6
Exemptions
For line 7, line 8, and line 10: Multiply the amount you enter in the box by the pre-printed dollar amount for that line.
Enclose, but do not
7 Personal: If you filled in 1 or 4 above, enter 1 in the box. If you filled in 2 or 5, enter 2
staple, any payment.
X $87 = $_________
in the box. If you filled in the circle on line 6, see instructions, page 13 . . . . . . . . . . . . . . . . . . . . . . 7
X $87 = $_________
8 Blind: If you (or if married, your spouse) are visually impaired, enter 1; if both, enter 2 . . . . . . . . . 8
10 Dependents: Enter name and relationship. Do not include yourself or your spouse.
Dependent
______________________ ______________________ ______________________
¼
Exemptions
X $272 = $_________
______________________ ______________________ Total dependent exemptions
10
X $265 =
$_________
11 Exemption amount: Add line 7 through line 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
¼
Total Taxable
12 Total California wages from all your Form(s) W-2, box 16 or CA Sch W-2, line C . . .
12
Income
13 Enter federal adjusted gross income from Form 1040, line 37; Form 1040A, line 21;
Form 1040EZ, line 4; Form 1040NR, line 35; or Form 1040NR-EZ, line 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Standard
Deduction
If the amount on line 13 is more than $100,000, stop here and use Long Form 540NR.
¼
Single, $3,254
14 Unemployment compensation and military pay adjustment. See instructions, page 13 . . . . . . . . . . . . . . .
14
Married filing
¼
17 Adjusted gross income from all sources. Subtract line 14 from line 13 . . . . . . . . . . . . . . . . . . . . . . . . . . . .
17
jointly, Head of
household, or
18 Standard deduction for your filing status (see the left margin). If you filled in the circle on line 6,
Qualifying
¼
widow(er),
see instructions, page 14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
18
$6,508
19 Subtract line 18 from line 17. This is your total taxable income. If less than zero, enter -0- . . . . . . . . . . . . . 19
¼
California
20 Tax on the amount shown on line 19 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
20
Taxable
21 CA adjusted gross income. Add wages from line 12 and California taxable interest
Income
¼
(Form 1099, box 1). Military servicemembers see line 14 instructions, page 13 . . .
21
Attach a copy of
.
22a CA Standard Deduction Percentage. Divide line 21 by line 17. If more than 1, enter 1.0000 . . . . . . . . . . . . 22a
your Form(s) W-2
22b CA Prorated Standard Deduction. Multiply line 18 by line 22a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22b
here. If you
¼
completed
22c CA Taxable Income. Subtract line 22b from line 21. If less than zero, enter -0- . . . . . . . . . . . . . . . . . . . . .
22c
CA Sch W-2, attach
.
23 CA Tax Rate. Divide line 20 by line 19 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 3
it to the back of
your return.
24 CA Tax Before Exemption Credits. Multiply line 22c by line 23 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 4
.
25 CA Exemption Credit Percentage. Divide line 22c by line 19. If more than 1, enter 1.0000 . . . . . . . . . . . . . . 2 5
26 CA Prorated Exemption Credits. Multiply line 11 by line 25 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 6
Attach any
¼
Form(s) 1099
27 CA Regular Tax Before Credits. Subtract line 26 from line 24. If less than zero, enter -0- . . . . . . . . . . . . .
27
showing California
tax withheld.
NRS05103
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