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For Privacy Act Notice, get form FTB 1131.
FORM
California Resident Income Tax Return 2003
540 2EZ
C1 Side 1
Your first name
Initial
Last name
P
Step 1
If joint return, spouse’s first name
Last name
Initial
Place
label here
or print
AC
___________
___________
___________
___________
___________
Apt. no.
PMB no.
Number and street, PO Box, or rural route
Name
A
and
State
ZIP Code
City, town, or post office
Address
-
R
Your social security number
Spouse’s social security number
Step 1a
IMPORTANT:
RP
-
-
-
-
Your social security number
SSN
is required.
Step 2
Filing Status. Fill in the circle for your filing status. See instructions.
1
Single
Filing Status
2
Married filing jointly
Fill in only one.
4
Head of household. STOP! See instructions.
5
Qualifying widow(er) with dependent child. Year spouse died ______ .
Step 3
6 If another person can claim you (or your spouse, if married) as a dependent on his or her tax return,
¼ ¼ ¼ ¼ ¼
even if he or she chooses not to, fill in this circle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6
Exemptions
¼ ¼ ¼ ¼ ¼
7 Senior: If you (or if married, your spouse) are 65 or older, enter 1; if both, enter 2 . . . . . . . . . . . . . .
7
¼ ¼ ¼ ¼ ¼
8 Number of dependents. (Do not include yourself or your spouse). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8
Dependent
Exemptions
Name:____________________________ Name:_____________________________ Name:_____________________________
Step 4
9 Total wages (Form W-2, box 16) See instructions . . . . . . . . . . . . . . . . . . . . . ¼ ¼ ¼ ¼ ¼
9
. . . . .
,
Taxable
Income and
10 Total interest income (Form 1099-INT, box 1) . . . . . . . . . . . . . . . . . . . . . . . .
10
. . . . .
Credits
,
Enclose, but do
. . . . .
not staple, any
11 Unemployment compensation . . . . . . . . . . .
11
,
payment.
. . . . .
12 U.S. Social security or railroad retirement . .
12
,
¼ ¼ ¼ ¼ ¼
. . . . .
13 Add line 9 and line 10. Caution: Do not include line 11 and line 12 . . . . . . . .
13
,
. . . . .
14 Using the 2EZ Table for your filing status, enter the tax for the amount on line 13
14
,
(If you filled in the circle on line 6, STOP. See instructions)
15 Senior Exemption: If you entered 1 in the box on line 7,
. . . . .
enter $82. If you entered 2 in the box on line 7, enter $164 . . . . . . . . . . . . . . .
15
¼ ¼ ¼ ¼ ¼
. . . . .
16 Nonrefundable renter’s credit. See instructions . . . . . . . . . . . . . . . . . . . . . . .
16
. . . . .
17 Add line 15 and line 16 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
17
¼ ¼ ¼ ¼ ¼
. . . . .
18 Subtract line 17 from line 14. If zero or less, enter -0- . . . . . . . . . . . . . . . . . .
18
,
Step 5
. . . . .
19 Total tax withheld (Form W-2, box 17) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
19
,
Overpaid
Tax/ Tax
Due/Use Tax
. . . . .
20 Overpaid tax. If line 19 is more than line 18, subtract line 18 from line 19 . . . .
20
,
21 Tax due. If line 19 is less than line 18, subtract line 19 from line 18.
Attach a copy of
See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
. . . . .
,
your Form(s) W-2.
¼ ¼ ¼ ¼ ¼
22 Use tax. See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
22
. . . . .
,
2EZ03103