Form 540a C1 - California Resident Income Tax Return - 2012 Page 2
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3Your name: ______________________________________Your SSN or ITIN: ______________________________
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31 Tax (see Tax Table) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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32 Exemption credits . Enter the amount from line 11 . If line 13 is more than $169,730, see page 10 . . . . . .
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40 Nonrefundable Child and Dependent Care Expenses Credit (see page 11) . Attach form FTB 3506 . . . . . . .
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46 Nonrefundable renter’s credit (see page 12) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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47 Total credits . Add line 32, line 40, and line 46 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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48 Subtract line 47 from line 31 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
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62 Mental Health Services Tax (see page 13) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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64 Add line 48 and line 62 . This is your total tax . If less than zero, enter -0- . . . . . . . . . . . . . . . . . . . . . . . . .
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71 California income tax withheld (see page 13) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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72 2012 CA estimated tax and other payments (see page 13) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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74 Excess SDI (or VPDI) withheld (see page 13) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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75 Add line 71, line 72, and line 74 . These are your total payments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75
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91 Overpaid tax . If line 75 is more than line 64, subtract line 64 from line 75 . . . . . . . . . . . . . . . . . . . . . . . .
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92 Amount of line 91 you want applied to your 2013 estimated tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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93 Overpaid tax available this year . Subtract line 92 from line 91 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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94 Tax due . If line 75 is less than line 64, subtract line 75 from line 64 (see page 14) . . . . . . . . . . . . . . . . . .
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95 Use Tax . This is not a total line (see page 14) . . . . . . . . . . .
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Code
Amount
Code
Amount
California Sea Otter Fund . . . . . . . . . . . . . . . . . . . . 410
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California Seniors Special Fund (see page 23) . . . . 400
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Municipal Shelter Spay-Neuter Fund . . . . . . . . . . . . 412
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Alzheimer’s Disease/Related Disorders Fund . . . . . 401
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California Cancer Research Fund . . . . . . . . . . . . . . 413
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California Fund for Senior Citizens . . . . . . . . . . . . . 402
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ALS/Lou Gehrig’s Disease Research Fund . . . . . . . . 414
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Rare and Endangered Species
Child Victims of Human Trafficking Fund . . . . . . . . 419
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Preservation Program . . . . . . . . . . . . . . . . . . . . . 403
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California YMCA Youth and Government Fund . . . . 420
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State Children’s Trust Fund for the Prevention
California Youth Leadership Fund . . . . . . . . . . . . . . 421
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of Child Abuse . . . . . . . . . . . . . . . . . . . . . . . . . . . 404
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School Supplies for Homeless Children Fund . . . . . 422
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California Breast Cancer Research Fund . . . . . . . . . 405
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State Parks Protection Fund/Parks Pass Purchase 423
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California Firefighters’ Memorial Fund . . . . . . . . . . 406
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Emergency Food for Families Fund . . . . . . . . . . . . . 407
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California Peace Officer Memorial
Foundation Fund . . . . . . . . . . . . . . . . . . . . . . . . . 408
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110 Add code 400 through code 423 . This is your total contribution . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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Side 2 Form 540A
2012
C1
3122123
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