Form 540 2ez - California Resident Income Tax Return - 2014 Page 4

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Your name:
Your SSN or ITIN:
27 AMOUNT YOU OWE. Add line 24, line 25, and line 26. If line 23 is less than line 25 and
Amount
You Owe
line 26, enter the difference here. See instructions. Do Not Send Cash. Mail to:
FRANCHISE TAX BOARD, PO BOX 942867, SACRAMENTO CA 94267-0001 . . . . . . . .
27
,
00
.
Pay online – Go to ftb.ca.gov for more information.
28 REFUND OR NO AMOUNT DUE. Subtract line 25 and line 26 from line 23.
Direct
Deposit
See instructions. Mail to: FRANCHISE TAX BOARD, PO BOX 942840,
(Refund
SACRAMENTO CA 94240-0001 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
28
,
00
.
Only)
Fill in the information to authorize direct deposit of your refund into one or two accounts.
Do not attach a voided check or a deposit slip. Have you verified the routing and
account numbers? Use whole dollars only.
All or the following amount of my refund (line 28) is authorized for direct deposit into the
account shown below:
 Type
m
 Routing number
 Account number
Checking
29 Direct deposit amount
m
,
00
Savings
.
The remaining amount of my refund (line 28) is authorized for direct deposit into the account shown below:
 Type
m
 Routing number
Checking
 Account number
30 Direct deposit amount
m
,
Savings
.
00
Under penalties of perjury, I declare that, to the best of my knowledge and belief, the information on this return is true, correct, and complete.
Your signature
Date
Spouse’s/RDP’s signature (if a joint tax return, both must sign)
X
X
Your email address (optional). Enter only one email address.
Daytime phone number (optional)
Sign
(
)
Here
Paid preparer’s signature (declaration of preparer is based on all information of which preparer has any knowledge)
It is unlawful
to forge a
Firm’s name (or yours, if self-employed)
PTIN
spouse’s/RDP’s
signature.
Joint tax return?
Firm’s address
FEIN
See instructions.
m
m
 
Do you want to allow another person to discuss this tax return with us? See instructions. . . . .
Yes
No
Print Third Party Designee’s Name
Telephone Number
(
)
Side 4
Form 540 2EZ
2014
C1
3114143

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