Instructions for Form FTB 3576
Pending Audit Tax Deposit Voucher for Individuals
Important Information
Payment due to – Fill in the circle to identify whether the payment is
being made in anticipation of additional tax due to a federal audit, a state
In 2005, California Revenue and Taxation Code Section 19041.5
audit, or other reasons.
was amended to replace the “deposit in the nature of a cash bond”
To ensure timely and proper application of the payment to your
provisions to conform with Internal Revenue Code (IRC) Section 6603
account, enter the social security numbers (SSN) or Individual Taxpayer
“cash deposit” provisions.
Identification Numbers (ITIN) and the amount of the payment in the
Only use form FTB 3576, Pending Audit Tax Deposit Voucher for
spaces provided.
Individuals, to make a tax deposit payment for previously filed returns
Round Cents to Dollars – Round cents to the nearest whole dollar. For
if you anticipate owing an additional California tax due to a federal
example, round $50.50 up to $51 or $25.49 down to $25. If you do not
audit, a state audit, or other reasons.
round, the FTB will disregard the cents.
Do not use this form if you are paying your estimated tax or for automatic
Private Mail Box (PMB) – Include the Private Mail Box (PMB) in the
extension. Instead, use Form 540-ES, Estimated Tax for Individuals, or
address field. Write “PMB” first, then the box number. Example: 111
form FTB 3519, Payment for Automatic Extension for Individuals.
Main Street PMB 123.
General Information
C When to File
Only use form FTB 3576 to make a tax deposit payment for previously
Registered Domestic Partners (RDP) – For purposes of California
filed returns if you anticipate owing an additional California tax due to a
income tax, references to a spouse, a husband, or a wife also refer to a
federal audit, a state audit, or other reasons.
registered domestic partner (RDP), unless otherwise specified. For more
information on RDPs, get FTB Pub. 737, Tax Information for Registered
If you already received a Notice of Proposed Assessment (NPA) or
Domestic Partners.
Notice of Action (NOA) and will:
We receive tax deposits from individuals who previously filed and
• Protest or appeal the notice within the period explained in the notice.
expect to pay a future tax liability for a specific taxable year. Normally,
• Make a tax deposit payment to stop the accumulation of interest.
individuals make tax deposits to stop the accrual of underpayment
Then do both of the following:
interest. We will consider your payment as a tax deposit only if you
• Send the tax deposit voucher with the payment to the address listed
have already filed a return for that taxable year. For more information,
under General Information D, Where to File.
go to our website at ftb.ca.gov and search for FTB Notice 2005-6.
• Mail your protest or appeal request to the PO Box listed on the NPA
A Purpose
or NOA.
Use form FTB 3576 to make a tax deposit payment to satisfy a future tax
If you are filing an amended return to report a federal adjustment, do not
liability for previously filed returns. See General Information C, When to
use this voucher. Attach the payment to the amended return.
File, for more information. Use this voucher with a check or money order
D Where to File
payment only.
Submit a separate form FTB 3576 and payment for each taxable year.
If there is a final balance due on your account, the Franchise Tax Board
Make the check or money order payable to the, Franchise Tax Board.
(FTB) will first apply the payment to satisfy any final balance due for the
Write your SSN or ITIN and taxable year this voucher is being submitted
same taxable year. Any remaining amount will be held as a tax deposit.
for followed by FTB 3576 on the check or money order or save a stamp
B How to Complete Form FTB 3576
and pay online. A penalty may be imposed if your payment is returned
by your bank for insufficient funds. Enclose, but do not staple, the
Complete a separate form FTB 3576 for each taxable year.
p ayment and the voucher and mail to:
Enter all the information requested on the tax deposit voucher using blue
FRANCHISE TAX BOARD
or black ink.
PO BOX 942867
Enter the four-digit taxable year in the box at the top of the voucher and
SACRAMENTO CA 94267-0031
complete the first line as applicable.
Make all checks or money orders payable in U.S. dollars and drawn
against a U.S. financial institution.
Do noT USE THiS form To PaY ESTimaTED TaX or for aUTomaTic EXTEnSion
DETacH HErE
DETacH HErE
Pending Audit Tax Deposit Voucher
TaXaBlE YEar
california form
3576 (PIT)
for Individuals
fiscal year filers, enter year ending month ________ year ________.
Payment due to:
federal audit
ca audit
other
Initial
Your first name
last name
Your SSn or iTin
- -
Initial
if joint payment, spouse’s/rDP’s first name
last name
Spouse’s/rDP’s SSn or iTin
- -
address (including number and street, Po Box, or PmB no.)
apt. no./Ste. no.
city
State
ZiP code
-
Amount of payment
Do NoT use This Form To Pay esTimaTeD
TaX or For auTomaTiC eXTeNsioN.
00
.
,
,
FTB 3576 2008
1241083
For Privacy Notice, get form FTB 1131.