California Form Ftb 3576 - Pending Audit Tax Deposit Voucher For Individuals
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1Instructions for Form FTB 3576
Pending Audit Tax Deposit Voucher for Individuals
Important Information
To ensure timely and proper application of the payment to your account,
enter the Social Security Numbers (SSN) or Individual Taxpayer Identification
In 2005, California Revenue and Taxation Code Section 19041.5 was
Numbers (ITIN) and the amount of the payment in the spaces provided.
amended to replace the “deposit in the nature of a cash bond” provisions
Private Mail Box (PMB) – Include the PMB in the address field. Write “PMB”
to conform with Internal Revenue Code Section 6603 “cash deposit”
first, then the box number. Example: 111 Main Street PMB 123.
provisions.
C When to File
Use form FTB 3576, Pending Audit Tax Deposit Voucher for Individuals, to
Use form FTB 3576 to make a tax deposit payment for previously filed tax
make a tax deposit payment for previously filed returns if you anticipate
returns if you anticipate owing an additional California tax due to a federal
owing an additional California tax due to a federal audit, a state audit, or
audit, a state audit, or other reasons.
other reasons.
If you received a Notice of Proposed Assessment (NPA) or Notice of Action
Do not use this voucher if you are paying your estimated tax or for automatic
(NOA) and will:
extension. Instead, use Form 540-ES, Estimated Tax for Individuals, or form
FTB 3519, Payment for Automatic Extension for Individuals.
• Protest or appeal the notice within the period explained in the notice
• Make a tax deposit payment to stop the accumulation of interest
General Information
Then do both of the following:
Registered Domestic Partners (RDP) – For purposes of California income
• Mail the tax deposit voucher below with the payment to the address listed
tax, references to a spouse, husband, or wife also refer to a RDP, unless
under General Information D, Where to File.
otherwise specified. For more information on RDP, get FTB Pub. 737, Tax
• Mail your protest or appeal request to the PO Box listed on the NPA or
Information for Registered Domestic Partners.
NOA.
Franchise Tax Board (FTB) receives tax deposits from individuals who
If you are filing an amended tax return to report a federal adjustment, do not
previously filed their tax returns and expect to owe a future tax liability for
use the voucher below. Attach the payment to the amended return.
a specific taxable year. In general, individuals make tax deposits to stop the
D Where to File
accrual of underpayment interest. The FTB will consider your payment as
a tax deposit only if you have filed a return for that taxable year. For more
Submit a separate form FTB 3576 and payment for each taxable year. Save
information, go to ftb.ca.gov and search for FTB Notice 2005-6.
a stamp and pay online. Go to ftb.ca.gov and search for web pay. Do not mail
this voucher if you use Web Pay. If paying by check, using black or blue ink,
A Purpose
make the check or money order payable to the “Franchise Tax Board.” On the
Use form FTB 3576 to make a tax deposit payment to satisfy a future tax
check or money order, write your SSN or ITIN, the taxable year the voucher is
liability for previously filed returns. See General Information C, When to
being submitted for, and “FTB 3576.” Enclose, but do not staple, the payment
and the voucher and mail to the address below. A penalty may be imposed if
File, for more information. Use the voucher below, if paying with a check or
money order payment only.
the payment is returned by your bank for insufficient funds.
FRANCHISE TAX BOARD
If there is a final balance due on your account, the FTB will first apply the
payment to satisfy any final balance due for the same taxable year. Any
PO BOX 942867
remaining amount will be held as a tax deposit.
SACRAMENTO CA 94267-0031
B How to Complete Form FTB 3576
Make all checks or money orders payable in U.S. dollars and drawn against a
U.S. financial institution.
Enter all the information requested on the tax deposit voucher using black or
E Mandatory Electronic Payments
blue ink.
Enter the four-digit taxable year in the box at the top of the voucher and
If the taxpayer is required to make payments electronically, the taxpayer
complete the first line as applicable.
must also remit the tax deposit payment electronically.
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 audit, or
other reasons.
Do noT USE THiS VoUcHEr To PaY ESTimaTED TaX or for aUTomaTic EXTEnSion
DETacH HErE
DETacH HErE
Caution: You may be required to pay electronically. See instructions.
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 (number and street, Po Box, or PmB no.)
apt. no./Ste. no.
city
State
ZiP code
amount of payment
Do NoT use This VouCheR To Pay esTiMaTeD
00
.
TaX oR FoR auToMaTiC eXTeNsioN.
,
,
FTB 3576 2011
1241113
For Privacy Notice, get form FTB 1131.
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