SCHEDULE
TAXABLE YEAR
CA (540)
2015
California Adjustments — Residents
Important: Attach this schedule behind Form 540, Side 5 as a supporting California schedule.
Name(s) as shown on tax return
SSN or ITIN
Part I Income Adjustment Schedule
Federal Amounts
Subtractions
Additions
A
B
C
(taxable amounts from
See instructions
See instructions
Section A – Income
your federal tax return)
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)
10
Taxable refunds, credits, offsets of state and local income taxes . . . . . . . . . . . . . . . . . . . 10
11
Alimony received . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
12
Business income or (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
13
Capital gain or (loss). See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
14
Other gains or (losses) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
15
IRA distributions. See instructions. (a)
. . . . . . . . . . . . . . . .15(b)
16
Pensions and annuities. See instructions. (a)
. . . . . . . . . . .16(b)
17
Rental real estate, royalties, partnerships, S corporations, trusts, etc.. . . . . . . . . . . . . . . 17
18
Farm income or (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
19
Unemployment compensation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
{
20
Social security benefits (a)
. . . . . . . . . . . . . . . . . . . . . . . .20(b)
21
Other income.
a
a
a California lottery winnings
e NOL from FTB 3805D, 3805Z,
b
b
b Disaster loss deduction from FTB 3805V
3806, 3807, or 3809
21
c _____________
c
c Federal NOL (Form 1040, line 21)
f Other (describe):
d
d
d NOL deduction from FTB 3805V
e
e
f
f
22
Total. Combine line 7 through line 21 in column A. Add line 7 through line 21f in
column B and column C. Go to Section B. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Section B – Adjustments to Income
23
Educator expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
24
Certain business expenses of reservists, performing artists, and fee-basis
government officials . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
25
Health savings account deduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
26
Moving expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
27
Deductible part of self-employment tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
28
Self-employed SEP, SIMPLE, and qualified plans . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
29
Self-employed health insurance deduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
30
Penalty on early withdrawal of savings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
31a Alimony paid. (b) Recipient’s: SSN
–
–
Last name
. . . 31a
32
IRA deduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
33
Student loan interest deduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
34
Tuition and fees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
35
Domestic production activities deduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
36
Add line 23 through line 31a and line 32 through line 35 in columns A, B, and C.
See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
37
Total. Subtract line 36 from line 22 in columns A, B, and C. See instructions . . . . . . . . 37
Schedule CA (540) 2015 Side 1
7731153
For Privacy Notice, get FTB 1131 ENG/SP.