Form 540nr - California Nonresident Or Part-Year Resident Income Tax Return - 2011 Page 3
Download a blank fillable Form 540nr - California Nonresident Or Part-Year Resident Income Tax Return - 2011 in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form 540nr - California Nonresident Or Part-Year Resident Income Tax Return - 2011 with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2
3Your name: ______________________________________Your SSN or ITIN: ______________________________
Code .
Amount
Code .
Amount
California Sea Otter Fund . . . . . . . . . . . . . . . . . . . . 410
00
California Seniors Special Fund (see page 21) . . . . 400
00
Municipal Shelter Spay-Neuter Fund . . . . . . . . . . . . 412
00
Alzheimer’s Disease/Related Disorders Fund . . . . . 401
00
California Cancer Research Fund . . . . . . . . . . . . . . 413
00
California Fund for Senior Citizens . . . . . . . . . . . . . 402
00
ALS/Lou Gehrig’s Disease Research Fund . . . . . . . . 414
00
Rare and Endangered Species
Arts Council Fund . . . . . . . . . . . . . . . . . . . . . . . . . . 415
00
Preservation Program . . . . . . . . . . . . . . . . . . . . . 403
00
California Police Activities League
State Children’s Trust Fund for the Prevention
(CALPAL) Fund . . . . . . . . . . . . . . . . . . . . . . . . . . 416
00
of Child Abuse . . . . . . . . . . . . . . . . . . . . . . . . . . . 404
00
California Veterans Homes Fund . . . . . . . . . . . . . . . 417
00
California Breast Cancer Research Fund . . . . . . . . . 405
00
Safely Surrendered Baby Fund . . . . . . . . . . . . . . . . 418
00
California Firefighters’ Memorial Fund . . . . . . . . . . 406
00
Child Victims of Human Trafficking Fund . . . . . . . . 419
00
Emergency Food for Families Fund . . . . . . . . . . . . . 407
00
California Peace Officer Memorial
Foundation Fund . . . . . . . . . . . . . . . . . . . . . . . . . 408
00
120 . Add code 400 through code 419 . This is your total contribution . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
120 .
00
121 . AMOUNT .YOU .OWE. .Add line 104 and line 120 (see page 21) . Do .not .send .cash .
00
.
,
,
Mail to: FRANCHISE .TAX .BOARD, .PO .BOX .942867, .SACRAMENTO .CA .94267-0001 . . . . . . . . .
121 .
Pay Online – Go to ftb.ca.gov .and search for .web .pay.
122 . Interest, late return penalties, and late payment penalties . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 122 .
00
123 . Underpayment of estimated tax . Fill in the circle:
FTB .5805 .attached
FTB .5805F .attached . . . . .
123 .
00
124 . Total amount due (see page 23) . Enclose, but do .not staple, any payment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 124 .
00
125 . REFUND .OR .NO .AMOUNT .DUE. .Subtract line 120 from line 103 .
.
,
,
00
Mail to: FRANCHISE .TAX .BOARD, .PO .BOX .942840, .SACRAMENTO .CA .94240-0002 . . . . . . . . . .
125
Fill in the information to authorize direct deposit of your refund into one or two accounts . Do .not attach a voided check or a deposit slip
(see page 23) . Have .you .verified .the .routing .and .account .numbers? Use whole dollars only .
All or the following amount of my refund (line 125) is authorized for direct deposit into the account shown below:
Checking
Savings
.
00
,
,
Routing number
Type
Account number
126 .Direct deposit amount
The remaining amount of my refund (line 125) is authorized for direct deposit into the account shown below:
Checking
.
,
,
00
Savings
Routing number
Type
Account numbe
127 .Direct deposit amount
r
IMPORTANT: Attach a copy of your complete federal return.
Under penalties of perjury, I declare that I have examined this tax return, including accompanying schedules and statements, and to the best of my
knowledge and belief, it is true, correct, and complete.
Your signature
Spouse’s/RDP’s signature
Daytime phone number (optional)
(if a joint tax return, both must sign)
(
)
Sign
Here
X
X
Date
Your email address (optional) . Enter only one email address .
It is unlawful
Paid preparer’s signature (declaration .of .preparer .is .based .on .all .information .of .which .preparer .has .any .knowledge)
PTIN
to forge a
spouse’s/RDP’s
signature .
Firm’s name (or yours, if self-employed)
Firm’s address
FEIN
Joint tax return?
(see page 23)
Do you want to allow another person to discuss this tax return with us? (see page 23) . . . . . . . . .
Yes
No
(
)
__________________________________________________________________
__________________________________
Print Third Party Designee’s Name
Telephone Number
Long Form 540NR
2011 Side .3
3133113
5
C1
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial