Form 540a - California Resident Income Tax Return - 2010
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FORM
A
540
California Resident Income Tax Return 2010
C1 Side 1
Last name
Initial
Your first name
Your SSN or ITIN
P
-
-
AC
Last name
Initial
If joint return, spouse’s/RDP’s first name
Spouse’s/RDP’s SSN or ITIN
-
-
A
Address (number and street, PO Box, or PMB no.)
Apt. no/Ste. no.
R
City (if you have a foreign address, see page 7)
State
ZIP Code
-
RP
Your DOB (mm/dd/yyyy) ______/______/___________
Spouse’s/RDP’s DOB (mm/dd/yyyy) ______/______/___________
If you filed your 2009 tax return under a different last name, write the last name only from the 2009 tax return .
Taxpayer _______________________________________________
Spouse/RDP_____________________________________________
1
Single
4
Head of household (with qualifying person) . (see page 3)
2
Married/RDP filing jointly . (see page 3)
5
Qualifying widow(er) with dependent child . Enter year spouse/RDP died __________
3
Married/RDP filing separately . Enter spouse’s/RDP’s SSN or ITIN above and full name here____________________________________________
If your California filing status is different from your federal filing status, fill in the circle here . . . . . . . . . . . . . . . . . . .
6 If someone can claim you (or your spouse/RDP) as a dependent, fill in the circle here (see page 7) . . . . . . . . . . . . .
6
for line 7, line 8, line 9, and line 10: Multiply the amount you enter in the box by the pre-printed dollar amount for that line . Whole dollars only
7 Personal: If you filled in 1, 3, or 4 above, enter 1 in the box . If you filled in 2 or 5, enter 2 in the box .
X $99 = $
If you filled in the circle on line 6, see page 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
_________________
X $99 = $
8 Blind: If you (or your spouse/RDP) are visually impaired, enter 1; if both are visually impaired, enter 2 . . . . . 8
_________________
X $99 = $
9 Senior: If you (or your spouse/RDP) are 65 or older, enter 1; if both are 65 or older, enter 2 . . . . . . . . . .
9
_________________
10 Dependents: Enter name and relationship . Do not include yourself or your spouse/RDP. _______________________
X $99 = $
______________________ _______________________ Total dependent exemptions . . . . . . . . . .
10
_________________
$
11 Exemption amount: Add line 7 through line 10 . Transfer this amount to line 32 . . . . . . . . . . . . . . . . . . . . . . . 11
_________________
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00
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12 State wages from your form(s) W-2, box 16 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12
.
00
,
,
13 Enter federal adjusted gross income from form 1040, line 37; 1040A, line 21; or 1040EZ, line 4 . . . . . . . . . . . 13
14 California Income Adjustments. See pages 8 and 9 for line 14a through line 14f .
00
a State income tax refund . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14a
00
b Unemployment compensation . . . . . . . . . . . . . . . . . . . . . . . . . . 14b
00
c U .S . social security or railroad retirement . . . . . . . . . . . . . . . . . 14c
00
d California non-taxable interest or dividend income . . . . . . . . . . . 14d
00
e California IRA distributions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14e
00
f Non-taxable pensions and annuities . . . . . . . . . . . . . . . . . . . . . . 14f
.
00
g Total California income adjustments . Add line 14a through line 14f . . . . . . . . . . . . . . . . . . . . . . . . . . .
14g
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,
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00
17 Subtract line 14g from line 13 . This is your California adjusted gross income . . . . . . . . . . . . . . . . . . . . . .
17
,
,
{
{
18 Enter the
Your California itemized deductions or standard deduction
larger of:
shown below for your filing status:
• Single or Married/RDP filing separately . . . . . . . . . . . . . . . . . . . . . . . . . . . . $3,670
• Married/RDP filing jointly, Head of household, or Qualifying widow(er) . . . $7,340
.
00
If the circle on line 6 is filled in, STOP . (see page 9) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
18
,
,
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00
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19 Subtract line 18 from line 17 . This is your taxable income . If less than zero, enter -0- . . . . . . . . . . . . . . . . . .19
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00
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31 Tax . (see Tax Table) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .31
32 Exemption credits . Enter the amount from line 11 .
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00
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If line 13 is more than $162,186, see page 10 . . . . . . . . . . . . . . . . . . . . . . . 32
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00
46 Nonrefundable renter’s credit . (see page 12) . . . . . . . . . . . . . . . . . . . . .
46
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00
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47 Total credits . Add line 32 and line 46 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47
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48 Subtract line 47 from line 31 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
.
00
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62 Mental Health Services Tax . (see page 12) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
62
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00
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,
64 Add line 48 and line 62 . This is your total tax . If less than zero, enter -0- . . . . . . . . . . . . . . . . . . . . . . . . .
64
3121103
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