Form 3583 - California Telefile Payment Voucher

Form 3583 - California Telefile Payment Voucher - 2003

Form 3583 TeleFile Payment Voucher is at the bottom of the page.

Only use form FTB 3583, California TeleFile Payment Voucher, if you owe tax and are mailing your

Check or

payment. Fill in the voucher below, make your check or money order payable to the Franchise Tax

Money Order

Board. Write “2003 540TEL” and your social security number on your check or money order and mail

(No cash please)

your payment and voucher to the address printed on the voucher. Do not mail Form 540TEL, California

TeleFile Tax Record.

IF NO PAYMENT IS DUE, DO NOT MAIL

DETACH HERE

TAXABLE YEAR

FORM

2003

California TeleFile Payment Voucher

3583

Due April 15, 2004

Your first name

Initial Last name

Your social security number

If joint payment, spouse’s first name

Initial Spouse’s last name if different

Spouse’s social security number

Present home address – number and street, PO Box, or rural route

Apt. no.

PMB no.

City, town, or post office

State

ZIP Code

Amount of payment

IF PAYMENT IS DUE, MAIL TO:

FRANCHISE TAX BOARD

}

IF NO PAYMENT IS DUE,

PO BOX 942867

SACRAMENTO CA 94267-0008

DO NOT MAIL THIS FORM

For Privacy Act Notice, get form FTB 1131.

FTB 3583 2003

358303103

Form 3583 - California Telefile Payment Voucher - 2003