Short Form 540nr - California Nonresident Or Part-Year Resident Income Tax Return - 2003

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California Nonresident or Part-Year

FORM

Short Form

Resident Income Tax Return 2003

540NR

C1 Side 1

Your first name

Initial

Last name

Step 1

If joint return, spouse’s first name

Last name

Initial

Place

label

here

Apt. no.

PMB no.

Present home address — number and street, PO Box or rural route

or print

___________

Name

State

ZIP Code

City, town, or post office (If you have a foreign address, see instructions)

and

Address

Your social security number

Spouse’s social security number

IMPORTANT:

Step 1a

Your social security number

SSN

is required.

Single

State of residence

Step 2

Step 2a

Married filing jointly

Yourself________________ Spouse_______________

Filing Status

Residency

(even if only one spouse had income)

Dates of California residency

Head of household

Yourself from________________ to_______________

Fill in only one.

(with qualifying person). STOP. See instructions.

Spouse from ________________ to______________

Qualifying widow(er) with dependent child.

Active duty military – State of domicile

Enter year spouse died _________ .

Yourself________________ Spouse_______________

Step 3

6 If your parent (or someone else) can claim you (or your spouse, if married) as a dependent on his or her

tax return, even if he or she chooses not to, fill in this circle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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 $82 = $_________

in the box. If you filled in the circle on line 6, see instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

X $82 = $_________

8 Blind: If you (or if married, your spouse) are visually impaired, enter 1; if both, enter 2 . . . . . . . . . . 8

Dependents: Enter name and relationship. Do not include yourself or your spouse.

Dependent

______________________ _______________________ ______________________

Exemptions

X $257 = $_________

______________________ _______________________ Total dependent exemptions . . . . . . . . . . .

$_________

Exemption amount: Add line 7 through line 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Step 4

12 Total California wages from all your Form(s) W-2, box 16 . . . . . . . . . . . . . . . . . . . . .

13 Enter federal adjusted gross income from Form 1040, line 34; Form 1040A, line 21;

Total Taxable

Form 1040EZ, line 4; TeleFile Tax Record, line 1; Form 1040NR, line 33; or Form 1040NR-EZ, line 10 . . . . . . . 13

Income

Standard

14 Unemployment compensation and military pay adjustment. See instructions . . . . . . . . . . . . . . . . . . . . . . .

Deduction

Single,

17 Adjusted gross income from all sources. Subtract line 14 from line 13 . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$3,070

Married filing

18 Standard deduction for your filing status (see the left margin). If you filled in the circle on line 6,

jointly, Head of

household, or

see instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Qualifying

widow(er),

$6,140

19 Subtract line 18 from line 17. This is your total taxable income. If less than zero, enter -0- . . . . . . . . . . . . . . . 19

20 Tax on the amount shown on line 19 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Step 5

21 CA adjusted gross income. Add wages from line 12 and California taxable interest

(Form 1099, box 1) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

California

Taxable

22a CA Standard Deduction Percentage. Divide line 21 by line 17. If more than 1, enter 1.0000 . . . . . . . . . . . . . . 22a

Income

22b CA Prorated Standard Deduction. Multiply line 18 by line 22a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22b

Attach a copy of

22c CA Taxable Income. Subtract line 22b from line 21. If less than zero, enter 0 . . . . . . . . . . . . . . . . . . . . . .

22c

your Form(s) W-2.

23 CA Tax Rate. Divide line 20 by line 19 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

24 CA Tax Before Exemption Credits. Multiply line 22c by line 23 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

Also, attach any

25 CA Exemption Credit Percentage. Divide line 22c by line 19. If more than 1, enter 1.0000 . . . . . . . . . . . . . . . 25

Form(s) 1099

26 CA Prorated Exemption Credits. Multiply line 11 by line 25. If the amount on line 13 is more

showing California

tax withheld.

than $135,714, stop here and use Long Form 540NR. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

27 CA Regular Tax Before Credits. Subtract line 26 from line 24. If less than zero, enter -0- . . . . . . . . . . . . .

NRS03103