Part V
Explanation of Changes
1
Enter name and California corporation number used on original return below (if same as shown on this return, write ‘‘Same’’).
2
Explanation of Changes to items in Part I, Part II, Part III and Part IV.
Enter the line number from Side 1 for each item that is changing. Attach all supporting forms and schedules for items changed. Include federal
schedules if a change was made to the federal return. Be sure to include the corporation name and California corporation number on each
attachment. Refer to the instructions and forms in the tax booklet for the year that is being amended.
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true,
Please
correct and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
Sign
Signature of officer
Date
Telephone
Title
Here
(
)
Preparer’s signature
Date
Preparer’s SSN / FEIN
Check if self-
employed
Paid
Preparer’s
Firm’s name (or yours, if
Use Only
self-employed) and address
FEIN
Telephone
(
)
Where to File
If the Form 100X results in a refund or no
If the Form 100X results in an amount due,
amount due, mail the return to:
mail the return to:
Form 100X
FRANCHISE TAX BOARD
FRANCHISE TAX BOARD
PO BOX 942857
PO BOX 942857
SACRAMENTO CA 94257-0500
SACRAMENTO CA 94257-0501
100X98209
Side 2 Form 100X
1998
C1
For Privacy Act Notice, get form FTB 1131.