Form 540 C1 - California Resident Income Tax Return - 2004 Page 2
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Your name ______________________________________ Your SSN or ITIN: _____________________________
25 Amount from Side 1, line 24 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Step 6
28 Enter credit name__________________code no________and amount . . . . .
28
Special
29 Enter credit name__________________code no________and amount . . . . .
29
Credits
¼
30 To claim more than two credits, see instructions, page 19 . . . . . . . . . . . . . .
30
and
¼
31 Nonrefundable renter’s credit. See instructions, page 18 for “Step 6” . . . . .
31
Nonrefundable
33 Add line 28 through line 31. These are your total credits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
Renter’s
Credit
34 Subtract line 33 from line 25. If less than zero, enter -0- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
¼
35 Alternative minimum tax. Attach Schedule P (540) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
35
Step 7
¼
36 Other taxes and credit recapture. See instructions, page 20 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
36
¼
Other Taxes
37 Add line 34 through line 36. This is your total tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
37
Step 8
38 California income tax withheld. See instructions, page 20 . . . . . . . . . . . . . . .
38
39 2004 CA estimated tax and other payments. See instructions, page 20 . . . . .
39
Payments
40
40
Real estate withholding. (Form(s) 592-B, 593-B, and 594) See instructions, page 20 .
41 Excess SDI. To see if you qualify, see instructions, page 21 . . . . . . . . . . . . . .
41
To view your 2004
estimated
Child and Dependent Care Expenses Credit. See instructions, page 21; attach form FTB 3506.
-
-
-
-
payments, go to
¼ ¼ ¼ ¼ ¼
¼ ¼ ¼ ¼ ¼
42
__________
_____
__________
43
__________
_____
__________
44
_____________________
45
46 Add line 38, line 39, line 40, line 41, and line 45. These are your total payments . . . . . . . . . . . . . . . . . . . . . . . 46
Step 9
47 Overpaid tax. If line 46 is more than line 37, subtract line 37 from line 46 . . . . . . . . . . . . . . . . . . . . . . . . . .
47
48 Amount of line 47 you want applied to your 2005 estimated tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
48
Overpaid Tax/
49 Overpaid tax available this year. Subtract line 48 from line 47 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
49
Tax Due
50 Tax due. If line 46 is less than line 37, subtract line 46 from line 37. See instructions, page 21 . . . . . . . . .
50
Step 9a
¼
00
51 Use Tax. This is not a total line. See instructions, page 21 . . . . . . . . . . . . . .
51
Use Tax
¼
Step 10
00
CA Seniors Special Fund
CA Firefighters’ Memorial Fund . . . . .
58
¼
00
See instructions, page 25 . . . . . .
52
Emergency Food Assistance
¼
00
Contributions
Alzheimer’s Disease/Related
Program Fund . . . . . . . . . . . . . . .
59
¼
00
Disorders Fund . . . . . . . . . . . . . .
53
CA Peace Officer Memorial
¼
¼
00
00
CA Fund for Senior Citizens . . . . . . .
54
Foundation Fund . . . . . . . . . . . . .
60
Rare and Endangered Species
Asthma and Lung Disease
¼
¼
00
00
Preservation Program . . . . . . . . .
55
Research Fund . . . . . . . . . . . . . . .
61
¼
00
State Children’s Trust Fund for the
CA Missions Foundation Fund . . . . .
62
¼
¼
00
00
Prevention of Child Abuse . . . . . .
56
CA Military Family Relief Fund . . . . .
63
¼
¼
00
00
CA Breast Cancer Research Fund . . .
57
CA Prostate Cancer Research Fund . .
64
¼
65 Add line 52 through line 64. These are your total contributions . . . . . . . . . . . . . . . . . . . . . . . . . .
65
Step 11
66 REFUND OR NO AMOUNT DUE. See instructions, page 22. Mail to:
. . . . .
, , , , ,
, , , , ,
FRANCHISE TAX BOARD, PO BOX 942840, SACRAMENTO CA 94240-0002 . . . .
66
Refund or
67 AMOUNT YOU OWE. See instructions, page 22. Mail to:
Amount
. . . . .
You Owe
, , , , ,
, , , , ,
FRANCHISE TAX BOARD, PO BOX 942867, SACRAMENTO CA 94267-0001 . . . .
67
Step 12
68 Interest, late return penalties, and late payment penalties . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
68
69 Underpayment of estimated tax. Fill in circle:
FTB 5805 attached
FTB 5805F attached . . . . .
69
Interest and
70 Total amount due. See instructions, page 23. Enclose, but do not staple, any payment . . . . . . . . . . . . . . .
70
Penalties
¼
71 If you do not need California income tax forms mailed to you next year, fill in the circle . . . . . . . . . . . . . .
71
Do not attach a voided check or a deposit slip. See instructions, page 23
Step 13
¼
Fill in the boxes to have your refund directly deposited. Routing number . . . . . . . . . . . . . . . .
Direct Deposit
Account Type:
Account
(Refund Only)
¼
¼
¼
Checking
Savings
number
. . . . . . . . . .
IMPORTANT: See the instructions to find out if you should attach a copy of your complete federal return. Under penalties of perjury,
I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete.
3
Sign
Your signature
Spouse’s signature (if filing jointly, both must sign)
Daytime phone number (optional)
Here
(
)
X
X
I
t is unlawful to
Date
forge a spouse’s
Paid preparer’s SSN/PTIN
Paid preparer’s signature (declaration of preparer is based on all information of which preparer has any knowledge)
¼
signature.
Joint return?
Firm’s name (or yours if self-employed)
Firm’s address
FEIN
¼
See instructions,
page 24.
Side 2 Form 540
2004
54004203
C1
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