FORM
California Resident Income Tax Return 2000
540 2EZ
Your first name
Initial Last name
P
L
A
B
If a joint return, spouse’s first name
Initial Last name
E
L
AC
Number and street (include PO box or rural route)
Apt. no.
PMB no.
H
A
E
R
City
State
ZIP Code
E
R
Your social security number
If joint return, spouse’s social security number
RP
-
-
-
-
Filing Status. Fill in the circle for your filing status. See instructions.
1
Single
2
Married filing joint
4
Head of household. Stop! See instructions.
5
Qualifying widow(er) with dependent child. (Year spouse died ______ .)
6 If another person can claim you (or your spouse, if married)
as a dependent on their return, fill in this circle . . . . . . . . . . . . . . . . . .
6
7 Number of dependents. (Do not include yourself or your spouse) . .
7
Name:____________________ Name:____________________ Name:____________________
. . . . .
8 Total wages (Form W-2, box 17) . . . . . . . . .
8
9 Total interest income (Form 1099-INT, box 1)
9
. . . . .
10 Unemployment
compensation .
10 ___________________
11 Add line 8 and line 9.
Caution: Do not include line 10 . . . . . . . . . .
11
. . . . .
12 Using the table for your filing status,
enter the tax for the amount on line 11 . . . . .
12
. . . . .
(If you filled in the circle on line 6, STOP. See instructions)
13 Nonrefundable renter’s credit.
See instructions . . . . . . . . . . . . . . . . . . . . .
13
. . . . .
14 Subtract line 13 from line 12. If zero
or less, enter -0- . . . . . . . . . . . . . . . . . . . . .
14
. . . . .
15 Total tax withheld (Form W-2, box 18) . . . .
15
. . . . .
16 Overpaid tax. If line 15 is more than line 14,
subtract line 14 from line 15 . . . . . . . . . . . .
16
. . . . .
17 Tax due. If line 15 is less than line 14,
subtract line 15 from line 14 . . . . . . . . . . . . .
17
. . . . .
2EZ00109
Form 540 2EZ
2000 Side 1
C1
For Privacy Act Notice, see instructions.