Schedule Ca (540nr) - California Adjustments - Nonresidents Or Part-Year Residents - 2011

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California Adjustments —
SCHEDULE
TAXABLE YEAR
CA (540NR)
Nonresidents or Part-Year Residents
2011
Important: Attach this schedule behind Long Form 540NR, Side 3 as a supporting California schedule.
Name(s) as shown on tax return
SSN or ITIN
Part I  Residency Information . Complete all lines that apply to you and your spouse/RDP .
During 20:
Yourself
Spouse/RDP
 a I was domiciled in (enter state or country) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
_____________________
______________________
b I was in the military and stationed in (enter state or country) . . . . . . . . . . . . . . . . . . . . . . . .
_____________________
______________________
2 I became a California resident (enter the state of prior residence and date of move) . . . . . . . . .
_____________________
______________________
3 I became a nonresident (enter new state of residence and date of move) . . . . . . . . . . . . . . . . .
_____________________
______________________
4 I was a nonresident of California the entire year (enter state or country of residence). . . . . . . .
_____________________
______________________
5 The number of days I spent in California (for any purpose) is: . . . . . . . . . . . . . . . . . . . . . . . . .
_____________________
______________________
6 I owned a home/property in California (enter “Yes” or “No”) . . . . . . . . . . . . . . . . . . . . . . . . . . .
_____________________
______________________
Before 20:
7 I was a California resident for the period of (enter dates). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
_____________________
______________________
8 I entered California on (enter date). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
_____________________
______________________
9 I left California on (enter date) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
_____________________
______________________
Part II  Income Adjustment Schedule
A
B
C
D
E
Section A — Income
Federal Amounts
Subtractions
Additions
Total Amounts
CA Amounts
(taxable amounts from
See instructions
See instructions
Using CA Law
(income earned or
your federal tax return)
(difference between
(difference between
As If You Were a
received as a CA
CA & federal law)
CA & federal law)
CA Resident
resident and income
(subtract col. B from
earned or received
col. A; add col. C
from CA sources
to the result)
as a nonresident)
7 Wages, salaries, tips, etc. See instructions
before making an entry in column B or C. . .
7
8 Taxable interest. (b) ________________ . . 8(a)
9 Ordinary dividends. See instructions.
(b) ______________. . . . . . . . . . . . . . . . . 9(a)
0 Taxable refunds, credits, or offsets of state
and local income taxes. . . . . . . . . . . . . . . . . 0
 Alimony received. See instructions . . . . . .

2 Business income or (loss) . . . . . . . . . . . . . . 2
3 Capital gain or (loss). See instructions. . . . . 3
4 Other gains or (losses) . . . . . . . . . . . . . . . . 4
5 IRA distributions. See instructions.
(a) ______________ . . . . . . . . . . . . . . . . . 5(b)
6 Pensions and annuities. See
instructions. (a) _______________ . . . . . 6(b)
7 Rental real estate, royalties, partnerships,
S corporations, trusts, etc.. . . . . . . . . . . . . . 7
8 Farm income or (loss) . . . . . . . . . . . . . . . . . 8
9 Unemployment compensation . . . . . . . . . . . 9
20 Social security benefits. (a)___________ . . 20(b)
2 Other income.
{
a California lottery winnings
a _____________ a _____________
b Disaster loss carryover from FTB 3805V
b _____________ b _____________
c Federal NOL (Form 1040, line 21)
c _____________ c _____________
d NOL carryover from FTB 3805V
2 _________________
d _____________ d _____________
2 ____________
2 _____________
e NOL from FTB 3805D, FTB 3805Z,
FTB 3806, FTB 3807, or FTB 3809
e _____________ e _____________
f Other (describe):___________________
f _____________
f _____________
________________________________
22 a Total: Combine line 7 through line 21
in each column. Continue to Side 2 . . . . 22a
7741113
Schedule CA (540NR) 2011 Side 
For Privacy Notice, get form FTB 1131.

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