Form 540nr - California Nonresident Or Part-Year Resident Income Tax Return - 2005 Page 2
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Your name: _____________________________________ Your SSN or ITIN: _____________________________
28
Amount from Side 1, line 27 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
28
Nonrefundable
¼
40 Nonrefundable renter’s credit. See instructions, page 14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
40
Renter’s Credit/
Total Tax
¼
46 Total tax. Subtract line 40 from line 28 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
46
Payments
47 California income tax withheld (Form(s) W-2, box 17 or CA Sch W-2, box 17) . . . . . . . . . . . . . . . . . . . .
47
Overpaid Tax
or Tax Due
58 Overpaid tax. If line 47 is larger than line 46, subtract line 46 from line 47 . . . . . . . . . . . . . . . . . . . . . . . .
58
59 Tax due. If line 47 is less than line 46, subtract line 47 from line 46 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 9
Contributions
¼
00
Alzheimer’s Disease/Related
Emergency Food Assistance Program Fund
67__________________
¼
¼
Disorders Fund . . . . . . . . . . . . . . . . . . . . .
61__________________
00
CA Peace Officer Memorial Foundation Fund
68__________________
00
¼
CA Fund for Senior Citizens . . . . . . . . . . . . .
62__________________
00
¼
00
CA Military Family Relief Fund . . . . . . . . . . . .
71__________________
Rare and Endangered Species
¼
00
CA Prostate Cancer Research Fund . . . . . . .
72__________________
¼
Preservation Program . . . . . . . . . . . . . . . .
63__________________
00
¼
Veterans’ Quality of Life Fund . . . . . . . . . . . .
73__________________
00
State Children’s Trust Fund for the
¼
¼
00
CA Sexual Violence Victim Services Fund . . .
74__________________
Prevention of Child Abuse . . . . . . . . . . . .
64__________________
00
¼
¼
00
CA Breast Cancer Research Fund . . . . . . . . .
65__________________
00
CA Colorectal Cancer Prevention Fund . . . . .
75__________________
¼
CA Firefighters’ Memorial Fund . . . . . . . . . . .
66__________________
00
¼
76 Add line 61 through line 75. These are your total contributions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
76
Refund or
77 REFUND OR NO AMOUNT DUE. Subtract line 76 from line 58. Mail to:
Amount
. . . . .
You Owe
, , , , ,
, , , , ,
FRANCHISE TAX BOARD, PO BOX 942840, SACRAMENTO CA 94240-0002 . . . .
77
78 AMOUNT YOU OWE. Add line 59 and line 76. See instructions, page 14. Mail to:
. . . . .
FRANCHISE TAX BOARD, PO BOX 942867, SACRAMENTO CA 94267-0001 . . . .
78
, , , , ,
, , , , ,
Pay Online – Go to our Webiste at
82 If you do not need California income tax forms mailed to you next year,
¼
fill in the circle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
82
Direct Deposit
Do not attach a voided check or a deposit slip. See instructions, page 27.
(Refund Only)
¼
Fill in the boxes to have your refund directly deposited. Routing number . . . . . . . . . . . . . . . . .
Account Type:
Account
¼
¼
¼
Checking
Savings
number . . . . . . . . . .
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.
3
Your signature
Spouse’s signature (if filing jointly, both must sign)
Daytime phone number (optional)
Sign
(
)
Here
X
X
Date
Paid preparer’s signature (declaration of preparer is based on all information of which preparer has any knowledge)
Paid Preparer’s SSN/PTIN
It is unlawful to
¼
forge a spouse’s
signature.
Firm’s name (or yours if self-employed)
Firm’s address
FEIN
¼
Joint return?
See instructions,
page 28.
Side 2 Short Form 540NR
2005
NRS05203
C1
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