Form 540a - California Resident Income Tax Return - 2003 Page 2
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Your name ____________________________________________ Your SSN: _____________________________
Step 6
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24 Enter the amount from Side 1, line 23 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Overpaid
. . . . .
, , , , ,
25 California income tax withheld. See instructions . . . . .
25
Tax/
26 2003 California estimated tax and payment with
Tax Due/
. . . . .
, , , , ,
form FTB 3519 and amount applied from 2002 return .
26
Use Tax
. . . . .
, , , , ,
27 Excess SDI. See instructions . . . . . . . . . . . . . . . . . . . . .
27
To view your 2003
estimated
Child and Dependent Care Expenses Credit. See instructions.
payments, go to
Attach form FTB 3506.
-
-
¼
28
-
-
¼
Do not attach
29
a copy of
your federal
. . . . .
. . . . .
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30
31
return.
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32 Total payments and credits. Add line 25, line 26, line 27, and line 31 . . . . . . . . . . . . . . . . . . . 32
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33 Overpaid tax. If line 32 is more than line 24, subtract line 24 from line 32 . . . . . . . . . . . . . . 33
. . . . .
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34 Enter the amount of line 33 you want applied to your 2004 estimated tax . . . . . . . . . . . .
34
. . . . .
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35 Overpaid tax available this year. Subtract line 34 from line 33 . . . . . . . . . . . . . . . . . . . . .
35
. . . . .
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36 Tax due. If line 32 is less than line 24, subtract line 32 from line 24. See instructions . . . . . . 36
¼
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37 Use Tax. See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
37
Step 7
¼
00
CA Seniors Special Fund.
CA Breast Cancer Research Fund . .
57
¼
¼
00
00
See instructions . . . . . . . . . . . . .
52
CA Firefighters’ Memorial Fund . . .
58
Contributions
Alzheimer’s Disease/Related
Emergency Food Assistance
¼
¼
00
00
Disorders Fund . . . . . . . . . . . . .
53
Program Fund . . . . . . . . . . . . . .
59
¼
CA Fund for Senior Citizens . . . . . .
54
00
CA Peace Officer Memorial
¼
00
Rare and Endangered Species
Foundation Fund . . . . . . . . . . . . .
60
¼
00
Preservation Program . . . . . . . .
55
Asthma and Lung Disease
¼
00
State Children’s Trust Fund for the
Research Fund . . . . . . . . . . . . . .
61
¼
¼
00
00
Prevention of Child Abuse . . . . .
56
CA Missions Foundation Fund . . . .
62
¼
38 Add line 52 through line 62. These are your total contributions . . . . . . . . . . . . . . . . . . . . .
38
39 REFUND or NO AMOUNT DUE. See instructions. Mail to:
Step 8
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FRANCHISE TAX BOARD, PO BOX 942840, SACRAMENTO CA 94240-0002 . . . . . . . . . .
39
Refund or
40 AMOUNT YOU OWE. See instructions. Mail to:
Amount
. . . . .
FRANCHISE TAX BOARD, PO BOX 942867, SACRAMENTO CA 94267-0001 . . . . . . . . .
40
, , , , ,
You Owe
Or pay online with FTB’s WebPay – go to
. . . . .
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41 Underpayment of estimated tax. If form FTB 5805 is attached, fill in this circle . . . . .
41
¼
42 If you do not need California income tax forms mailed to you next year, fill in this circle . .
42
Direct
Do not attach a voided check or a deposit slip. See instructions.
¼
Deposit
Fill in the boxes to have your refund directly deposited. Routing number . . . . . . . . . . . . . . .
(Refund
Account type:
Account
Only)
¼
¼
¼
Checking
Savings
number . . . . . . . .
Under penalties of perjury, I declare that I have examined this return and to the best of my knowledge and belief, it is true, correct, and complete.
3
Step 9
Your signature
Spouse’s signature (if filing jointly, both must sign)
Daytime phone number (optional)
(
)
Sign Here
X
X
Date
It is unlawful to
Paid Preparer’s SSN/PTIN
Paid preparer’s signature (declaration of preparer is based on all information of which preparer has any knowledge)
¼
forge a spouse’s
signature.
Firm’s name (or yours if self-employed)
Firm’s address
FEIN
¼
Joint return?
See instructions.
Side 2 Form 540A
2003
540A03203
C1
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