Form 540nr C1 - California Nonresident Or Part-Year Resident Income Tax Return - 2012
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3Get instructions for 540NR Long Form
For Privacy Notice, get form FTB 1131.
California Nonresident or Part-Year
FORM
540NR
Resident Income Tax Return 2012
Long Form
C1 Side 1
Fiscal year filers only: Enter month of year end: month________ year 2013.
Your SSN or ITIN
Initial
P
Your first name
Last name
AC
Spouse’s/RDP’s SSN or ITIN
Initial
Last name
If joint tax return, spouse’s/RDP’s first name
A
Apt. no./Ste.no.
PBA Code
Address (number and street, PO Box, or PMB no.)
R
State
ZIP Code
City (If you have a foreign address, see page 17)
RP
Your DOB (mm/dd/yyyy) ______/______/___________
Spouse’s/RDP’s DOB (mm/dd/yyyy) ______/______/___________
If you filed your 2011 tax return under a different last name, write the last name only from the 2011 tax return .
Taxpayer _______________________________________________
Spouse/RDP_____________________________________________
1
Single
4
Head of household (with qualifying person) (see page 3)
2
Married/RDP filing jointly (see page 3)
5
Qualifying widow(er) with dependent child . Enter year spouse/RDP died _________
3
Married/RDP filing separately . Enter spouse’s/RDP’s SSN or ITIN above and full name here______________________________________
If your California filing status is different from your federal filing status, check the box here . . . . . . . . . . .
6 If someone can claim you (or your spouse/RDP) as a dependent, check the box here (see page 17) . . . .
6
For line 7, line 8, line 9, and line 10: Multiply the amount you enter in the box by the pre-printed dollar amount for that line .
Whole dollars only
7 Personal: If you checked box 1, 3, or 4 above, enter 1 in the box . If you checked box 2 or 5,
X $104 = $
enter 2 . If you checked the box on line 6, see page 17 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
__________________
8 Blind: If you (or your spouse/RDP) are visually impaired, enter 1;
X $104 = $
if both are visually impaired, enter 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
__________________
▌
X $104 =
$
9 Senior: If you (or your spouse/RDP) are 65 or older, enter 1; if both are 65 or older, enter 2 .
9
__________________
10
Dependents: Do not include yourself or your spouse/RDP.
Dependent’s
First name
Last name
relationship to you
▌
X $321 =
$
Total dependent exemptions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10
__________________
$
11 Exemption amount: Add line 7 through line 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
__________________
12 Total California wages from your Form(s) W-2, box 16 . . . . . . . . . . . . . . . . . . . . . .
12
00
13
Enter federal AGI from Form 1040, line 37; 1040A, line 21; 1040EZ, line 4; 1040NR, line 36; or 1040NR-EZ, line 10
. . . . 13
00
14 California adjustments – subtractions . Enter the amount from Schedule CA (540NR), line 37, column B . . . . . .
14
00
15 Subtract line 14 from line 13 . If less than zero, enter the result in parentheses (see page 18) . . . . . . . . . . . . . . . . . 15
00
16 California adjustments – additions . Enter the amount from Schedule CA (540NR), line 37, column C . . . . . . . . .
16
00
17 Adjusted gross income from all sources . Combine line 15 and line 16 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
17
00
18 Enter the larger of: Your California itemized deductions from Schedule CA (540NR), line 43; OR
Your California standard deduction (see page 18) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
18
00
19 Subtract line 18 from line 17 . This is your total taxable income . If less than zero, enter -0- . . . . . . . . . . . . . . . ▌ 19
00
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