Form 540 2ez - California Resident Income Tax Return - 2013
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FORM
California Resident Income Tax Return 2013
540 2EZ
C1 Side 1
Your first name
Initial Last name
Your SSN or ITIN
A
If joint tax return, spouse's/RDP's first name
Initial Last name
Spouse's/RDP's SSN or ITIN
R
Additional information (See instructions)
RP
Street address (Number and street or PO Box)
Apt. no/Ste. no.
PMB/Private Mailbox
City (If you have a foreign address, see page 6.)
State
ZIP Code
Foreign Country Name
Foreign Province/County
Foreign Postal Code
Date
Your DOB (mm/dd/yyyy)
Spouse's/RDP's DOB (mm/dd/yyyy)
of
Birth
If you filed your 2012 tax return under a different last name, write the last name only from the 2012 tax return.
Prior
Name
Taxpayer
Spouse/RDP
Filing Status. Check the box for your filing status. See instructions, page 6.
Filing Status
m
Check only one.
1
Single
m
2
Married/RDP filing jointly (even if only one spouse/RDP had income)
m
4
Head of household. STOP! See instructions, page 6.
m
5
Qualifying widow(er) with dependent child. Year spouse/RDP died.
m
If your California filing status is different from your federal filing status, check the box here. . . . . . . . . . . . . . .
Exemptions
6 If another person can claim you (or your spouse/RDP) as a dependent on his or her tax return,
m
even if he or she chooses not to, you must see the instructions, page 6 . . . . . . . . . . . . . . . . . . . . . . . . . .
6
m
7 Senior: If you (or your spouse/RDP) are 65 or older, enter 1; if both are 65 or older, enter 2 . . . . . . . . . .
7
m
8 Dependents: (Do not include yourself or your spouse/RDP) Enter number of dependents here. . . . . . . .
8
First name
Last name
Dependent’s relationship
to you
3111133
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