California Form 3576 (Pit) - Pending Audit Tax Deposit Voucher For Individuals - 2013
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1Instructions for Form FTB 3576
Pending Audit Tax Deposit Voucher for Individuals
Important Information
Instructions
In 2005, California Revenue and Taxation Code Section 19041.5
Submit a separate form FTB 3576 and payment for each taxable year.
was amended to replace the “deposit in the nature of a cash bond”
Enter all the information requested on the tax deposit voucher using black or
provisions to conform with Internal Revenue Code Section 6603 “cash
blue ink.
deposit” provisions.
Enter the four-digit taxable year in the box at the top of the voucher and
Do not use this voucher if you are paying your estimated tax or for automatic
complete the first line as applicable.
extension. Instead, use Form 540-ES, Estimated Tax for Individuals, or form
Payment due to – Check the box to identify whether the payment is being
FTB 3519, Payment for Automatic Extension for Individuals.
made in anticipation of additional tax due to a federal audit, a state audit, or
General Information
other reasons.
To ensure timely and proper application of the payment to your account,
Registered Domestic Partners (RDP) – For purposes of California income
enter the Social Security Numbers (SSN) or Individual Taxpayer Identification
tax, references to a spouse, husband, or wife also refer to a RDP, unless
Numbers (ITIN) and the amount of the payment in the spaces provided.
otherwise specified. For more information on RDP, get FTB Pub. 737, Tax
Information for Registered Domestic Partners.
Private Mail Box (PMB) – Include the PMB in the address field. Write “PMB”
Franchise Tax Board (FTB) receives tax deposits from individuals who
first, then the box number. Example: 111 Main Street PMB 123.
previously filed their tax returns and expect to owe a future tax liability for
Check or Money Order – Using black or blue ink, make the check or money
a specific taxable year. In general, individuals make tax deposits to stop the
order payable to the “Franchise Tax Board.” On the check or money order,
accrual of underpayment interest. The FTB will consider your payment as
write your SSN or ITIN, the taxable year the voucher is being submitted for,
a tax deposit only if you have filed a return for that taxable year. For more
and “FTB 3576.” A penalty may be imposed if the payment is returned by
information, go to ftb.ca.gov and search for FTB Notice 2005-6.
your bank for insufficient funds. Make all checks or money orders payable in
U.S. dollars and drawn against a U.S. financial institution.
Use form FTB 3576, Pending Audit Tax Deposit Voucher for Individuals, to
make a tax deposit payment for previously filed tax returns if you anticipate
When to File
owing an additional California tax due to a federal audit, a state audit, or
If you received a Notice of Proposed Assessment (NPA) or Notice of Action
other reasons. See When to File, for more information. Use the voucher
(NOA) and will:
below, if paying with a check or money order payment only.
• Protest or appeal the notice within the period explained in the notice
If there is a final balance due on your account, the FTB will first apply the
• Make a tax deposit payment to stop the accumulation of interest
payment to satisfy any final balance due for the same taxable year. Any
remaining amount will be held as a tax deposit.
Then do both of the following:
Mandatory Electronic Payments
• Mail the tax deposit voucher below with the payment to the address listed
under Where to File.
If the taxpayer is required to make payments electronically, the taxpayer
• Mail your protest or appeal request to the PO Box listed on the NPA
must also remit the tax deposit payment electronically.
or NOA.
Web Pay
If you are filing an amended tax return to report a federal adjustment, do not
use the voucher below. Attach the payment to the amended return.
Individual can make payments electronically at the FTB’s website using Web
Pay for Individuals. After a one-time online registration, taxpayers can make
Where to File
an immediate payment or schedule payments up to a year in advance. Go to
Enclose, but do not staple, the payment and the voucher and mail to the
ftb.ca.gov for more information.
address below:
FRANCHISE TAX BOARD
PO BOX 942867
SACRAMENTO CA 94267-0008
DO NOT USE THIS VOUCHER TO PAY ESTIMATED TAX OR FOR AUTOMATIC EXTENSION
DETACH HERE
DETACH HERE
Caution: You may be required to pay electronically. See instructions.
Pending Audit Tax Deposit Voucher
TAXABLE YEAR
CALIFORNIA FORM
3576 (PIT)
for Individuals
Fiscal year filers, enter year ending month ________ year ________.
m
m
m
Payment due to:
Federal audit
CA audit
Other
Initial
Your first name
Last name
Your SSN or ITIN
Initial
If joint payment, spouse’s/RDP’s first name
Last name
Spouse’s/RDP’s SSN or ITIN
Address (number and street, PO Box, or PMB no.)
Apt. no./Ste. no.
City
State
ZIP Code
Amount of payment
DO NOT USE THIS VOUCHER TO PAY ESTIMATED
00
TAX OR FOR AUTOMATIC EXTENSION.
.
,
,
FTB 3576 2013
1241133
For Privacy Notice, get FTB 1131 ENG/SP.
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