Form 540 2ez - California Resident Income Tax Return - 2016 Page 2
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Your name:
Your SSN or ITIN:
Whole
only
dollars
Taxable
Income and
.
9 Total wages (federal Form W-2, box 16). See instructions. . . . . . . . . . . . . . . . . .
9
,
00
Credits
.
10 Total interest income (Form 1099-INT, box 1). See instructions. . . . . . . . . . . . . .
10
,
00
.
11 Total dividend income (Form 1099-DIV, box 1a). See instructions. . . . . . . . . . . .
11
,
00
12 Total pension income
. See instructions. Taxable amount. . . . . . . . .
12
.
,
00
13 Total capital gains distributions from mutual funds (Form 1099-DIV, box 2a).
.
,
00
See instructions.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13
Enclose, but do
16 Add line 9, line 10, line 11, line 12, and line 13.. . . . . . . . . . . . . . . . . . . . . . . . . .
16
.
,
00
not staple, any
payment.
17 Using the 2EZ Table for your filing status, enter the tax for the amount on line 16.
Caution: If you checked the box on line 6, STOP. See instructions for
completing the Dependent Tax Worksheet.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
17
,
00
18 Senior exemption: See instructions. If you are 65 or older and entered 1 in the
box on line 7, enter $111. If you entered 2 in the box on line 7, enter $222 . . . . .
.
18
00
.
19 Nonrefundable renter’s credit. See instructions. . . . . . . . . . . . . . . . . . . . . . . . . . .
19
00
.
20 Credits. Add line 18 and line 19 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
20
00
21 Tax. Subtract line 20 from line 17. If zero or less, enter -0- . . . . . . . . . . . . . . . . .
21
.
,
00
.
22 Total tax withheld (federal Form W-2, box 17 or Form 1099-R, box 12). . . . . . . .
22
,
00
23 Earned Income Tax Credit (EITC). See instructions for FTB 3514 . . . . . . . . . . . . .
23
.
,
00
24 Total payments. Add line 22 and line 23 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
24
,
00
Use Tax
.
25 Use tax. See instructions . . . . . . . . . . . . . . . . . . . . . .
25
,
00
26 Payments balance. If line 24 is more than line 25, subtract line 25 from line 24 . 26
.
,
00
.
27 Use Tax balance. If line 25 is more than line 24, subtract line 24 from line 25 . .
,
27
00
Overpaid
28 Overpaid tax. If line 26 is more than line 21, subtract line 21 from line 26. . . . . .
28
.
,
00
Tax/
Tax Due
.
29 Tax due. If line 26 is less than line 21, subtract line 26 from line 21.
See instructions.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
29
,
00
This space reserved for 2D barcode
Side 2
Form 540 2EZ
2016
3112163
C1
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Parent category: Financial