Instructions for Form FTB 3576
Pending Audit Tax Deposit Voucher for Individuals
Payment due to – Check the box to identify whether the payment is being
made in anticipation of additional tax due to a federal audit, a state audit, or
Do not use this voucher if you are paying your estimated tax or for automatic
extension. Instead, use Form 540-ES, Estimated Tax for Individuals, or form
FTB 3519, Payment for Automatic Extension for Individuals.
To ensure timely and proper application of the payment to your account,
enter the Social Security Numbers (SSN) or Individual Taxpayer Identification
Numbers (ITIN) and the amount of the payment in the spaces provided.
Registered Domestic Partners (RDP) – For purposes of California income
Private Mail Box (PMB) – Include the PMB in the address field. Write “PMB”
tax, references to a spouse, husband, or wife also refer to a RDP, unless
first, then the box number. Example: 111 Main Street PMB 123.
otherwise specified. For more information on RDP, get FTB Pub. 737, Tax
Check or Money Order – Using black or blue ink, make the check or money
Information for Registered Domestic Partners.
order payable to the “Franchise Tax Board.” On the check or money order,
The Franchise Tax Board (FTB) receives tax deposits from individuals who
write your SSN or ITIN, the taxable year the voucher is being submitted for,
previously filed their tax returns and expect to owe a future tax liability for
and “FTB 3576.” A penalty may be imposed if the payment is returned by
a specific taxable year. In general, individuals make tax deposits to stop the
your bank for insufficient funds. Make all checks or money orders payable in
accrual of underpayment interest. The FTB will consider your payment as
U.S. dollars and drawn against a U.S. financial institution.
a tax deposit only if you have filed a return for that taxable year. For more
When to File
information, go to ftb.ca.gov and search for FTB Notice 2005-6.
Use form FTB 3576, Pending Audit Tax Deposit Voucher for Individuals, to
If you received a Notice of Proposed Assessment (NPA) or Notice of Action
make a tax deposit payment for previously filed tax returns if you anticipate
(NOA) and will:
owing an additional California tax due to a federal audit, a state audit, or
• Protest or appeal the notice within the period explained in the notice
other reasons. See When to File, for more information. Use the voucher
• Make a tax deposit payment to stop the accumulation of interest
below, if paying with a check or money order payment only.
Then do both of the following:
If there is a final balance due on your account, the FTB will first apply the
• Mail the tax deposit voucher below with the payment to the address listed
payment to satisfy any final balance due for the same taxable year. Any
under Where to File.
remaining amount will be held as a tax deposit.
• Mail your protest or appeal request to the PO Box listed on the NPA
Mandatory Electronic Payments
If you are required to make payments electronically, you must also remit
If you are filing an amended tax return to report a federal adjustment,
do not use the voucher below. Attach the payment to the amended return.
the tax deposit payment electronically. Do not mail the tax deposit voucher.
If you are required to pay electronically, you may use Web Pay and be
Where to File
considered in compliance with that requirement.
Enclose, but do not staple, the payment and the voucher and mail to the
Individuals can make payments electronically at the FTB’s website using Web
FRANCHISE TAX BOARD
Pay for Individuals. After a one-time online registration, taxpayers can make
PO BOX 942867
an immediate payment or schedule payments up to a year in advance. Go to
SACRAMENTO CA 94267-0008
ftb.ca.gov for more information.
Submit a separate form FTB 3576 and payment for each taxable year.
Enter all the information requested on the tax deposit voucher using black or
Enter the four-digit taxable year in the box at the top of the voucher and
complete the first line as applicable.
DO NOT USE THIS VOUCHER TO PAY ESTIMATED TAX OR FOR AUTOMATIC EXTENSION
Caution: You may be required to pay electronically. See instructions.
Pending Audit Tax Deposit Voucher
Fiscal year filers, enter year ending month (mm)
Payment due to:
Your first name
Initial Last name
Your SSN or ITIN
If joint payment, spouse’s/RDP’s first name
Initial Last name
Spouse’s/RDP’s SSN or ITIN
Address (number and street, PO box, or PMB no.)
Apt. no./Ste. no.
Amount of payment
DO NOT USE THIS VOUCHER TO PAY ESTIMATED
TAX OR FOR AUTOMATIC EXTENSION.
FTB 3576 2015
For Privacy Notice, get FTB 1131 ENG/SP.