Form 540 2ez - California Resident Income Tax Return - 2016

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TAXABLE YEAR
FORM
California Resident Income Tax Return
2016
540 2EZ
Your first name
Initial
Last name
Suffix
Your SSN or ITIN
A
If joint tax return, spouse's/RDP's first name
Initial Last name
Suffix
Spouse's/RDP's SSN or ITIN
R
Additional information (see instructions)
RP
Street address (number and street) or PO box
Apt. no/ste. no.
PMB/private mailbox
City (If you have a foreign address, see instructions.)
State
ZIP code
Foreign country name
Foreign province/state/county
Foreign postal code
Date
Your DOB (mm/dd/yyyy)
Spouse's/RDP's DOB (mm/dd/yyyy)
of
Birth
If you filed your 2015 tax return under a different last name, write the last name only from the 2015 tax return.
Prior
Name
Taxpayer
Spouse/RDP
Filing Status. Check the box for your filing status. See instructions.
Filing Status
Check only one.
1
Single
2
Married/RDP filing jointly (even if only one spouse/RDP had income)
4
Head of household. STOP! See instructions.
5
Qualifying widow(er) with dependent child. Enter year spouse/RDP died.
If your California filing status is different from your federal filing status, check the box here . . . . . . . . . . . . . . . .
Exemptions
6 If another person can claim you (or your spouse/RDP) as a dependent on his or her tax return,
even if he or she chooses not to, you must see the instructions. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6
7 Senior: If you (or your spouse/RDP) are 65 or older, enter 1; if both are 65 or older, enter 2 . . . . . .
7
8 Dependents: (Do not include yourself or your spouse/RDP) Enter number of dependents here. . . .
8
Dependent 1
Dependent 2
Dependent 3
First Name
Last Name
SSN
Dependent's
relationship
to you
3111163
Form 540 2EZ
2016 Side 1
C1

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