California Form 540x - Amended Individual Income Tax Return
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1
2TAXABLE YEAR
CALIFORNIA FORM
Amended Individual Income Tax Return
540X
Fiscal year filers only: Enter month of year end _______ year _______.
BE SURE TO COMPLETE AND SIGN SIDE 2
Initial
Last name
Your SSN or ITIN
Your first name
-
-
P
Initial
If joint return, spouse’s/RDP’s first name
Spouse’s/RDP’s SSN or ITIN
Last name
-
-
AC
Apt. no./Ste. no.
Address (number and street, PO Box, or PMB no.)
A
City
State ZIP Code
-
R
m
m
RP
a
Have you been advised that your original federal tax return has been, is being, or will be audited? . . . . . . . . . . . . . . . .
Yes
No
b
Filing status claimed:
m
m
m
m
m
On original return
Single
Married/RDP filing jointly
Married/RDP filing separately
Head of household
Qualifying widow(er)
m
m
m
m
m
On this return
Single
Married/RDP filing jointly
Married/RDP filing separately
Head of household
Qualifying widow(er)
m
c
If for the year you are amending, you (or your spouse/RDP) can be claimed as a dependent on someone else’s tax return, check this box . . . . . . . . . .
d
If claiming head of household, enter name and relationship of qualifying person on:
Original return ___________________________________
Amended return __________________________________
A.
B.
C.
If amending Form 540NR, see General Information D .
As originally reported/
Net change
Correct amount
If amending Forms 540 2EZ, 540, or 540A, see the instructions for lines 1 through 6 .
adjusted by the FTB
Explain on Side 2,
All filers: Explain changes on Side 2 and attach your supporting documents .
See instructions
Part ll, line 5
1 a State wages . See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1a
1a
b Federal adjusted gross income . See instructions . . . . . . . . . . . . . . . . . . . . . . . . 1b
1b
2 CA adjustments . Get specific instructions on Form 540A or Sch . CA (540) .
▌ 2a
a California nontaxable interest income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2a
b State income tax refund . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2b
2b
c Unemployment compensation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2c
2c
d Social Security benefits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2d
2d
e Other (list)__________________________________________________ . . . . 2e
2e
3 Total California adjustments . Combine line 2a through line 2e . See instructions . . . . 3
3
4 California adjusted gross income . Combine line 1b and line 3 . See instructions . . . . 4
4
5 California itemized deductions or California standard deduction . See instructions . . 5
5
6 Taxable income . Subtract line 5 from line 4 . If less than zero, enter -0- . . . . . . .
6
6
m
m
m
7 a Tax method used for line 7b, column C . See instructions . . . . . . . . . . . . . . .
7a
TT
FTB 3800
FTB 3803
b Tax . See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7b
7b
8 Exemption credits . See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
8
9 Subtract line 8 from line 7b . If less than zero, enter -0- . . . . . . . . . . . . . . . . . . . . . . . 9
9
10 Tax from Schedule G-1 and form FTB 5870A . See instructions . . . . . . . . . . . . . . . . 10
10
11 Add line 9 and line 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
11
12 Special Credits and Nonrefundable Credits . See instructions . . . . . . . . . . . . . . . . . . 12
12
13 Subtract line 12 from line 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
13
14 Other taxes (alternative minimum tax, credit recapture, etc .) . See instructions . . . . 14
14
15 Mental Health Services Tax, see instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
15
16 Total tax . Add line 13, line 14, and line 15 .
If amending Form 540NR, see instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
16
17 California income tax withheld . See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
17
18 Real estate and other withholding (Form(s) 592-B or 593) . See instructions . . . . . 18
18
19 Excess California SDI (or VPDI) withheld . See instructions . . . . . . . . . . . . . . . . . . . 19
19
20 Estimated tax payments and other payments . See instructions . . . . . . . . . . . . . . . . 20
20
21 Refundable Credits . See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
21
-
-
-
-
22 __________________________________
23 _________________________________
24 $ ____________________
25 Tax paid with original tax return plus additional tax paid after it was filed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
25
26 Total payments . Add lines 17, 18, 19, 20, 21, and 25 of column C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
26
Form 540X
2012 Side 1
3151123
C1
For Privacy Notice, get form FTB 1131.
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