Form 540 C1 - California Resident Income Tax Return - 2004
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FORM
California Resident Income Tax Return 2004
540
C1 Side 1
Fiscal year filers only: Enter month of year end: month________ year 2005.
Step 1
PBA Code
P
Your first name
Last name
Initial
Place
If joint return, spouse’s first name
Initial
Last name
label here
AC
or print
___________
___________
___________
___________
___________
Present home address — number and street, PO Box, or rural route
Apt. no.
PMB no.
A
Name
and
City, town, or post office (If you have a foreign address, see instructions, page 9)
State
ZIP Code
R
Address
-
RP
Your SSN or ITIN
Spouse’s SSN or ITIN
Step 1a
IMPORTANT:
-
-
-
-
Your SSN or ITIN
SSN or ITIN
is required.
Step 2
1
Single
2
Married filing jointly (even if only one spouse had income)
Filing Status
3
Married filing separately. Enter spouse’s social security number above and full name here _______________________________
Fill in only one.
4
Head of household (with qualifying person). STOP. See instructions, page 9.
5
Qualifying widow(er) with dependent child. Enter year spouse died _________ .
6 If your parent, (or someone else) can claim you (or your spouse, if married) as a dependent on his or her
Step 3
¼
tax return, even if he or she chooses not to, fill in this circle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6
For line 7, line 8, line 9, and line 10: Multiply the amount you enter in the box by the pre-printed dollar amount for that line.
Exemptions
7
Personal: If you filled in 1, 3, or 4 above, enter 1 in the box. If you filled in 2 or 5, enter 2
X $85 =
$__________
7
in the box. If you filled in the circle on line 6, see instructions, page 10 . . . . . . . . . . . . . . . . . . . . . . . . . .
X $85 =
$__________
8
8
Blind: If you (or if married, your spouse) are visually impaired, enter 1; if both, enter 2 . . . . . . . . . . . . . .
¼
X $85 =
$__________
9
9
Senior: If you (or if married, your spouse) are 65 or older, enter 1; if both, enter 2 . . . . . . . . . . . . . . . . .
10
Dependents: Enter name and relationship. Do not include yourself or your spouse.
Dependent
Exemptions
______________________
_______________________ ______________________
¼
X $265 =
$__________
10
______________________ _______________________ Total dependent exemptions . . . . . . . . .
$__________
11
11
Exemption amount: Add line 7 through line 10. Transfer this amount to line 21 . . . . . . . . . . . . . . . . . . . . .
¼
Step 4
12 State wages from your Form(s) W-2, box 16 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12
13 Enter federal adjusted gross income from Form 1040, line 36; Form 1040A, line 21;
Taxable
Form 1040EZ, line 4; or TeleFile Tax Record, line I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
¼
Income
14 California adjustments – subtractions. Enter the amount from Schedule CA (540), line 36, column B . . . .
14
15 Subtract line 14 from line 13. If less than zero, enter the result in parentheses. See instructions, page 17 . . . 15
Enclose, but do not
¼
staple, any payment.
16 California adjustments – additions. Enter the amount from Schedule CA (540), line 36, column C . . . . . . .
16
¼
17 California adjusted gross income. Combine line 15 and line 16 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
17
18 Enter the
Your California itemized deductions from Schedule CA (540), line 43; OR
{
{
larger of:
Your California standard deduction shown below for your filing status:
• Single or Married filing separately . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $3,165
• Married filing jointly, Head of household, or Qualifying widow(er) . . . . $6,330
¼
If the circle on line 6 is filled in, STOP. See instructions, page 17
. . . . . . . . . . . . . . . . . . . . . . . .
18
19 Subtract line 18 from line 17. This is your taxable income. If less than zero, enter -0- . . . . . . . . . . . . . . . . .
19
Step 5
¼
20 Tax. Fill in circle if from:
Tax Table
FTB 3800 or
FTB 3803 . . . . . . . . . . . . . . . . . . . . . . . .
20
Tax
Caution: If under age 14 and you have more than $1,600 of investment income, read the line 20
instructions to see if you must attach form FTB 3800 or FTB 3803.
Attach copy of your
Form(s) W-2, W-2G,
21 Exemption credits. Enter the amount from line 11. If your federal AGI is more than $139,921,
592-B, 593-B, and
see instructions, page 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
21
594. Also, attach any
Form(s) 1099
22 Subtract line 21 from line 20. If less than zero, enter -0- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
22
showing California
23 Tax. See instructions, page 18.
tax withheld.
Fill in circle if from:
Schedule G-1, Tax on Lump-Sum Distributions
¼
form FTB 5870A, Tax on Accumulation Distribution of Trusts . . . . . . . . . . . . . . .
23
24 Add line 22 and line 23. Continue to Side 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
24
54004103
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